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[Medicaid] GenIC #45 (Revised): Certified Community Behavioral Health Clinic (CCBHC) 2024 State Proposal Demonstration Application
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction GenIC #45 Yes Yes Fillable Fileable
Form and Instruction GenIC #45 Yes Yes Fillable Fileable
Other-Guidance on Addition of CCBHCs Yes No Printable Only
Other-Guidance for States Reporting Changes Yes No Printable Only

Health Health Care Services

 

43 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 43 0 43 0 0 0
Annual IC Time Burden (Hours) 194 0 194 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Supporting Statement 02/23/2026
Demonstration Application: Crosswalk 02/23/2026
Demonstration Application: Redline 02/23/2026
Compliance Checklist: Redline 02/23/2026
Guidance on Addition of CCBHCs: Redline 02/23/2026
Response to Public Comments 02/23/2026
Comment (H Consulting Solutions) 02/23/2026
Comment (Anonymous) 02/23/2026
Comment (Health Management) 02/23/2026
Comment (CrescentCare) 02/23/2026
Comment (Health Management) 02/23/2026
Comment (NJAMHAA) 02/23/2026
Comment (Anonymous) 02/23/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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