A: Not all rural health clinics can be a CCBHC. Section 6.a.1 of the CCBHC Criteria states that the CCBHC must be either a non-profit organization, part of a local government behavioral health authority, operated under the authority of the Indian Health Service, an Indian tribe, or tribal organization pursuant to a contract, grant, cooperative agreement, or compact with the Indian Health Service pursuant to the Indian Self-Determination Act, or is an urban Indian organization pursuant to a grant or contract with the Indian Health Service under Title V of the Indian Health Care Improvement Act. If the rural health clinic meets one of these criteria, all CCBHC demonstration services provided to Medicaid recipients will be billed at the CCBHC PPS rate (and through the CCBHC wraparound process). Primary care screening and monitoring is considered a CCBHC demonstration service, and costs for the provision of these screening and monitoring services for CCBHC patients should be factored into the CCBHC PPS rate. The CCBHC PPS rate will be calculated exclusively from the existing RHC PPS rate.