Directed Payment Program for Behavioral Health Services (DPP BHS)

The Directed Payment Program for Behavioral Health Services is one of four directed payment programs (DPPs) HHSC submitted to the Centers for Medicare and Medicaid Services (CMS) for approval as part of the Delivery System Reform Incentive Payment Transition Plan. CMS approved DPP BHS on Nov. 15, 2021.

Background

DPP BHS is a DPP for community mental health centers (CMHCs) to promote and improve access to behavioral health services, care coordination, and successful care transitions for individuals enrolled in the STAR, STAR+PLUS, and STAR Kids Medicaid managed care programs. It also incentivizes continuation of care for these individuals using the Certified Community Behavioral Health Clinic (CCBHC) model of care.

SFY 2024 (Y3) Measures and Requirements

• Y3 Requirements (PDF) (2/23/2023)
• Y3 Measure Specifications and FAQs (Excel) (9/8/2023)
• Y3 DPP BHS Data Master (Excel) (2/16/2024)
• Getting Ready for Quality Reporting (PDF) (6/28/23)
• Webinar recording: Getting Ready for Quality Reporting (6/28/23)
• Webinar slide deck: Getting Ready for Quality Reporting (PDF) (6/28/23)
• Stakeholder Feedback for Y3 (PDF) (2/23/2023)

Proposed SFY 2025 Measures and Requirements

The proposed quality metrics and requirements are submitted to CMS for annual program review and approval. The final quality metrics and requirements will be posted following CMS’ approval.

• Proposed SFY 2025 Requirements (PDF) (2/6/2024)
• Proposed SFY 2025 Measure Specifications (Excel) (2/6/2024)
• Stakeholder Feedback for SFY 2025 (PDF) (2/6/2024)

SFY 2023 (Y2) Measures and Requirements

• Y2 Requirements (PDF) (1/13/2022)
• Y2 Measure Specifications (Excel) (3/23/2023)
• Y2 Measure Specifications FAQs (Excel) (3/23/2023)
• Y2 DPP BHS Data Master (Excel) (10/13/2023)
• Data Visualization (Excel) (10/13/2023)
• Stakeholder Feedback for Y2 (PDF) (3/1/2022)

SFY 2022 (Y1) Measures and Requirements

• Y1 Requirements (PDF) (12/1/2021)
• Y1 Measure Specifications (Excel) (4/8/2022)
• Y1 Measure Specifications FAQs (Excel) (4/8/2022)
• Y1 Data Master (Excel) (10/27/2022)
• Stakeholder Feedback for Y1 (PDF) (3/13/2021)

Rules

• DPP BHS rules §353.1320 and §353.1322

Contact Information

• For information on enrollment, eligibility, payment information and preprints for DPP BHS, visit the HHSC Provider Finance Department.
• For program eligibility and financial questions, email PFD DPP BHS.
• For questions on DPP BHS quality requirements and reporting, email HHSC DPP Quality.
• To add, change or remove a contact from the DPP BHS contact list, submit a contact change form.

Reporting Portal Access

If you are participating in the DPP BHS program, you will use the reporting portal to access templates, review technical guidance, and submit your quality reporting. Refer to the Reporting Portal User Guide (PDF) for instructions on creating an IAMOnline account, requesting access to the DPP reporting portal, FAQs and additional resources.