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Care deliveryWatchingUpdated

Behavioral-health integration and capacity

Behavioral health at health centers: payment rules, staffing, and programs opening or closing.

107 updates · 105 sources · 2 analysis

RSSThis week's summary

Where it stands

On November 6 the Nevada Health Authority posted a draft request to extend its substance use disorder waiver from 2028 through 2032, with comments due December 16. Santa Clara County's $470 million Behavioral Health Pavilion, with 35 youth beds and 42 adult beds, was set to open for service November 3. On October 26 the Governor announced $115.2 million in Homekey+ awards for 329 homes, and Proposition 1 bonds are estimated to fund 6,800 residential treatment beds when fully awarded. Payment is a weak point. Insurers rejected $4.1 million in mobile crisis bills from 11 counties since 2024. On October 6 CMS told states how to cover Certified Community Behavioral Health Clinic services in Medicaid state plans. States need not pay a PPS rate and get no enhanced federal match, and clinics must keep care coordination agreements with FQHCs.

As of

Based on: Nevada Health Authority, Division of Nevada Medicaid · San José Spotlight, October 26, 2026 · Office of the Governor of California · Bay Area News Group via The Press Democrat, November 1… · Centers for Medicare & Medicaid Services

What to watch

  • Final payment policy, awarded funding, working partnerships, openings, closures, and named staffing effects.
  • Whether announced programs actually start seeing patients.

What's next

Calendar (.ics)

What changed

Capital projects and grants

Open
Show 42 earlier updates

Integration and payment

Open
Show 25 earlier updates

Program and bed closures

Open
Show 7 earlier updates

Other updates

National Association of Community Health Centers

NACHC advocacy lands a 45-0 House Energy & Commerce vote advancing $750M for health-center behavioral health and nutrition

NACHC reported July 27, 2026 that the House Energy and Commerce Committee voted 45-0 to advance legislation providing $750 million in new funding for behavioral health and nutrition services at Community Health Centers — reported as $500M for behavioral…

Show 22 earlier updates

Sources

  • Centers for Medicare & Medicaid Services (4)
  • California HCAI (2)
  • Northland Health Centers (2)
  • Source NM (2)
  • Alabama Medicaid Agency (1)
  • Alabama Political Reporter (1)
  • Bay Area News Group via The Press Democrat, November 1, 2026 (1)
  • Becker's Behavioral Health (1)
  • Becker's Behavioral Health: 7 Behavioral Health Facility, Service Closures & Layoffs in 2026 (1)
  • CA CYBHI / California Health & Human Services (1)
  • California Department of Health Care Services (Stakeholder News, October 5, 2026) (1)
  • California Department of Public Health (1)
  • California Governor's Office (1)
  • California Governor's Office / DHCS (1)
  • California Legislative Information (AB 96, Chapter 497, Statutes of 2026) (1)
  • CalMatters (1)
  • Centers for Medicare & Medicaid Services — State Medicaid Director Letter SMD #26-004 (1)
  • Centers for Medicare & Medicaid Services (CMS) (1)
  • CIFC Health / Connecticut Institute for Communities, Inc. (1)
  • Community Health Centers of the Rutland Region (1)
  • Community Health Clinics Inc. dba Terry Reilly Health Services (1)
  • Community Health of South Florida, Inc. (CHI) (1)
  • CommUnityCare Health Centers (October 27, 2026) (1)
  • Congress of the Federated States of Micronesia (1)
  • Cornell Scott-Hill Health Center (1)
  • County of San Diego Communications Office (County News Center) (1)
  • DC Department of Health Care Finance (Medicaid transmittal 26-26) (1)
  • East Bay Times (1)
  • Hawaiʻi Department of Health (1)
  • HCAI (1)

and 71 more organizations