Assistance program
Section 223 Demonstration Programs to Improve Community Mental Health Services
$1.9 Billion committed in FY2018–FY2026
- Agency
- Centers for Medicare and Medicaid Services, Health and Human Services, Department of
- Assistance
- Project Grants
- CFDA number
- 93.829
- What it does
- Funding to support development of proposals to participate in time-limited community based behavioral health demonstration programs described in subsection (d) of section 223 of P.L. 113-93 Protecting Access to Medicare Act of 2014, 42 USC 1396(a) note. Additional funding as outlined under section 11001 of Bipartisan Safer Communities Act of 2022 (P.L. 117-159) to expand the number of states allowed to participate in the section 223 CCBHC demonstration program. The legislation appropriates $40 million to the Secretary to award planning grants, provide technical assistance to states, and to select up to ten states every two years (until all funds are expended), with the first 10 states launching CCBHC demonstration programs beginning July 1, 2024.
- Who benefits
- Individual/Family; Non-profit organization; Consumer; Mentally Disabled; Drug Addict; Alcoholic; Child; Youth; Senior Citizen
- Who applies
- The statutory authority limits eligibility to states including the District of Columbia. Eligible applicants are either the State Mental Health Authority (SMHSA) or the Single State Agency for Substance Abuse Services (SSA) or the State Medicaid Agency (SMAs).
- Authorized by
- (For all authorizations/amendments, you must supply the Act or the Executive Order in order to continue) P.L. 113-90 Protecting Access to Medicare Act of 2014, 42 USC 1396a note, section 223 subsections (a), (b), (d)(7).
- Program site
- http://www.samhsa.gov ↗
Committed by fiscal year
* FY2026 is year-to-date — the fiscal year is still in progress, so its total is still filling in. The striped band and dashed line mark that provisional stretch.
Top recipients
By dollars committed.
How to read these numbers
- Committed through this program
Money committed under this assistance listing (its CFDA program), counted in the year each action happened.
- How it's paid
Most programs pay out one way — a grant, or a direct payment to individuals; the flow bar only appears when a program genuinely mixes types.
- Some recipients aren't itemized
For entitlement programs like Social Security and Medicare, the government reports one aggregate instead of naming tens of millions of people, so the recipient roster isn't part of the public record.
- Awards, counted once
An award count is the number of distinct awards with at least one action that year — each counted once, however many times it was amended.
- The colored bars
Every bar on this page splits by how the money moves:
Direct payments
