Measurement-Based Care for Nevada CCBHCs and Clinics
For certified community behavioural health clinics, outpatient programs, group practices and solo clinicians from Las Vegas to Elko. Send validated scales by email or QR code, see each one scored on submission, and follow every client's progress on one chart. US customer data stays in Google Cloud US regions.
Nevada Made Certified Community Clinics Permanent
Certified community behavioural health clinics (CCBHCs) began under a federal Medicaid demonstration in 2017, when 67 clinics opened in eight states and were paid through a prospective payment system for nine required services. According to SAMHSA, Nevada moved its CCBHC program out of that demonstration in 2023 and made it a permanent part of its state Medicaid program.
The federal model these clinics follow sets out how measurement fits into care. SAMHSA's 2023 certification criteria say a CCBHC uses standardized, validated and developmentally appropriate screening and assessment tools, include required quality measures and a quality improvement plan, and encourage evidence-based strategies such as measurement-based care, defined as the systematic use of patient-reported information to inform clinical care and individualize ongoing treatment plans.
Nevada's regional behavioural health policy boards also review data collection and reporting standards for behavioural health information in their regions. For a clinic, the practical step is the same: give validated scales at intake and through treatment, and keep the results where clinicians and quality staff can use them. HiBoop sends and scores the PHQ-9, GAD-7, PCL-5 and other scales and charts each client's change. It does not report to the state or to a payer.
CCBHCs in Nevada Medicaid
A permanent part of the state program since 2023, after the federal demonstration
Standardized, Validated Screening
Required by SAMHSA's 2023 CCBHC criteria, alongside required quality measures
Measurement-Based Care Encouraged
Named in the criteria as a strategy to improve service outcomes
How HiBoop Supports Nevada Clinics
Nevada runs public behavioural health through state clinics, community providers and regional policy boards. HiBoop takes care of the scales so your clinicians can concentrate on the person in front of them.
Screening Ready at the First Visit
Clients complete the PHQ-9, GAD-7 or C-SSRS Screener before they arrive, and your team sees the scored result as the visit begins.
Patient-Reported Information Over Time
Repeat scales at regular points and every result lands on the client's chart, so treatment plans can be adjusted with the person. The scores inform the clinician's judgement rather than replace it.
Material for Quality Improvement
Export score histories as CSV or PDF for your quality plan, a chart review or a payer request. You can export the whole account at any time.
Trauma-Informed Measurement
The PCL-5 and PC-PTSD-5 sit next to depression and anxiety scales, for clinics where trauma is a common thread in the caseload.
Clinics With Several Sites
Team and Network plans bring every clinician into one account, with role-based access so staff see only the clients they serve.
Developmentally Appropriate Scales
For children and adolescents, HiBoop offers the PHQ-A, the SCARED and the CRAFFT-2.1.
Mental health in Nevada
Research data
Each figure below links to the source it comes from.
24.6%
of Nevada adults had any mental illness in the past year (model-based estimate, 2023-2024 average)
18.8%
of Nevadans aged 12 to 17 had a major depressive episode in the past year (2023-2024 average)
21.8%
of Nevada adults received mental health treatment in the past year (2024)
Research from Nevada
PHQ-9 and PCL-5 after a mass casualty event
Among 50 healthcare workers who cared for victims of the 2017 Las Vegas Route 91 Harvest Festival shooting, surveyed in 2022-2023 with the PHQ-9, BDI-II and PCL-5, work-related stress was significantly associated with symptoms of depression and PTSD.
de Lorenco-Lima et al., Western Journal of Emergency Medicine, 2025 PMID 41554169
Postpartum anxiety and depression
In a survey of 326 mothers of children up to 23 months old in Clark County, postpartum depressive symptoms were associated with lower odds of exclusive breastfeeding (adjusted odds ratio 0.13).
Neupane et al., International Breastfeeding Journal, 2025 PMID 40390039
Adolescent mental health screening data
In Nevada's 2017 Youth Risk Behavior Survey across 98 high schools, among 3,427 physically active students, those who reported a sports concussion in the past year had higher odds of depressive symptoms, self-harm and attempted suicide.
Yang et al., American Journal of Health Behavior, 2019 PMID 30808466
Nevada's Behavioural Health System
HiBoop is independent of the agencies and boards described here and does not connect to state systems. This is the landscape your clinic works in.
CCBHCs in Nevada Medicaid
Since 2023The Section 223 CCBHC Medicaid demonstration started in 2017, with clinics certified against federal criteria and paid a prospective payment rate for nine required services. SAMHSA reports that Nevada moved its CCBHC program out of the demonstration in 2023 and made it a permanent part of its Medicaid program.
Nine required servicesProspective paymentState Medicaid program2023 CCBHC Certification Criteria
SAMHSAThe criteria cover staffing, access, coordination with other providers, services, quality reporting and governance. They call for standardized, validated and developmentally appropriate screening tools that are culturally and linguistically appropriate, require quality measures and a quality improvement plan, and encourage measurement-based care. Most CCBHCs had to comply by July 1, 2024.
Validated screeningQuality measuresMeasurement-based careRegional Behavioral Health Policy Boards
Five regionsPolicy boards for the Clark, Washoe, Northern, Rural and Southern regions advise the Division of Public and Behavioral Health and the Commission on Behavioral Health, review data collection and reporting standards for behavioural health information, and report their region's priorities and needs. Each board is supported by a regional coordinator funded through federal block grants.
Data and reporting standardsRegional prioritiesBlock grant coordinatorsState-Operated Services
DPBHThe Division of Public and Behavioral Health runs inpatient and outpatient behavioural health services through Southern Nevada Adult Mental Health Services, Northern Nevada Adult Mental Health Services, Rural Clinics and Lake's Crossing Center.
SNAMHSNNAMHSRural Clinics
Care Teams in Nevada's Five Behavioural Health Regions
HiBoop runs in a browser, so a Las Vegas clinic and a frontier-county provider use the same check-ins. The regions below are those of Nevada's regional behavioural health policy boards.
Clark Region
Since the regions were redrawn in 2019, the southern half of Nye County has belonged to the Clark region, whose regional coordinator is based in Clark County's Office of Clinical and Community Services.
Washoe Region
Washoe County, around Reno, borders California and Oregon and is the state's second most populous area.
Northern Region
Carson City and Churchill, Douglas, Lyon and Storey counties cover about 8,000 square miles of northwestern Nevada, with hubs such as Minden, Fallon and Fernley.
Rural Region
Elko, Eureka, Humboldt, Lander, Pershing and White Pine counties form a northeastern region larger than Mississippi, where email check-ins save long drives.
Southern Region
Mineral, Lincoln, Esmeralda and northern Nye counties stretch across about 28,000 square miles of southern rural Nevada.
Data sovereignty
Regions hereOther regionsLow CO₂ (Google)Local guides
Hosted in the United States
HiBoop runs on Google Cloud, and US customers' data is hosted in Google Cloud US regions. These are Google's regions in the United States. Google Cloud locations
Google Cloud regions
- Las Vegas, Nevada In this region
us-west4 - Council Bluffs, Iowa Low CO₂ · 88% carbon-free
us-central1 - Moncks Corner, South Carolina
us-east1 - Ashburn, Virginia
us-east4 - Columbus, Ohio
us-east5 - Dallas, Texas Low CO₂ · 83% carbon-free
us-south1 - The Dalles, Oregon Low CO₂ · 83% carbon-free
us-west1 - Los Angeles, California
us-west2 - Salt Lake City, Utah
us-west3
Low CO₂ is Google's label for a region that ran on carbon-free energy at least 75% of the time in 2025. Google's figures
- Las Vegas, Nevada In this region
Why Nevada clinics choose HiBoop
Measurement Tools for Nevada Teams
- US customer data is hosted in Google Cloud US regions and encrypted in transit and at rest
- A BAA provided to covered entities, HIPAA compliance and SOC 2 Type II certification
- Access follows each staff member's role, and every view or export is logged
- Care is $25/month, billed monthly, with no credit card required to begin
- Clients respond on their own phone, through an emailed link or a QR code at reception
USD pricing & support
Transparent pricing in USD with flexible payment options for clinics of every size.
CareSingle clinician, billed monthly$25USD/monthTeamBase price, unlimited clinicians$200USD/monthNetworkClinics and multi-site organizationsCustomEnterprise pricing
100+ validated scales for Nevada clinics
Validated scales grouped by what they measure, each with its scoring and source. Public programmes often call this routine outcome monitoring (ROM), or patient-reported outcome measures (PROMs): the same practice of giving a validated scale at regular points and reading the scores over time.
Screening: Depression, Anxiety and Suicide Risk
- PHQ-9 (Depression)
- GAD-7 (Anxiety)
- C-SSRS Screener (Suicide Risk)
Trauma and Substance Use
- PCL-5 (PTSD)
- PC-PTSD-5 (PTSD Screen)
- TAPS (Tobacco, Alcohol and Other Drugs)
Children and Adolescents
- PHQ-A (Adolescent Depression)
- SCARED (Child Anxiety)
- CRAFFT-2.1 (Youth Substance Use)
What CCBHC Criteria and HIPAA Ask of Nevada Clinics
HIPAA applies to health information everywhere in the US, and CCBHCs also follow the federal certification criteria. Nevada has its own health information laws as well; check them with your counsel. None of these certify software. The duties sit with your organization, and HiBoop supplies tools that help.
What the framework asks
- Use standardized, validated and developmentally appropriate screening and assessment tools suited to the person (CCBHC criterion 4.d.6)
- Choose screening tools and approaches that are culturally and linguistically appropriate and accommodate all literacy levels and disabilities (criterion 4.d.7)
- Report the required quality measures and keep a quality improvement plan (CCBHC program requirement 5)
- Keep HIPAA safeguards and breach notification in place, with a business associate agreement for every vendor that handles protected health information
What HiBoop offers
- A business associate agreement provided to HIPAA covered entities
- Hosting in Google Cloud's US regions, with data encrypted while stored and sent
- A library of validated scales for adults, adolescents and children, scored consistently
- Role-based access, activity logs and the SOC 2 Type II controls set out on our trust page
Considering HiBoop for a Nevada clinic?
The trust page describes our hosting, encryption, access controls and SOC 2 Type II certification. We can provide a BAA and help with your security questionnaire.
Grants & funding for Nevada mental health clinics
Funding Guide
Public and private funding programs that support measurement-based care implementation.
- Tech eligible
SAMHSA — Substance Abuse and Mental Health Services Administration
Certified Community Behavioral Health Clinic (CCBHC) Expansion Grants
SAMHSA’s CCBHC grants fund detailed behavioral health services including the infrastructure, staffing, and technology required to meet CCBHC standards. Outcome measurement and digital assessment platforms are explicitly eligible as required infrastructure for CCBHC certification.
$1M–$5M/yearLearn more - Tech eligible
SAMHSA
Mental Health Block Grant (MHBG)
States receive federal MHBG funds and redistribute them to community mental health organizations. Technology, quality improvement, and workforce development are eligible uses. Contact your state mental health authority to understand how MHBG flows in your state.
State-distributedLearn more - Tech eligible
SAMHSA
Primary and Behavioral Health Care Integration (PIPBHC)
SAMHSA’s PIPBHC program funds integration of primary and behavioral health care, including the technology infrastructure needed to coordinate care across disciplines. Outcome measurement platforms and digital assessment tools are eligible as integration infrastructure.
$500K–$900K/yearLearn more - Tech eligible
HRSA — Health Resources and Services Administration
Rural Health Network Development Program
HRSA funds rural health networks to develop shared infrastructure including technology platforms, telehealth systems, and outcome measurement tools. Mental health-focused networks in rural areas can use this to fund shared digital assessment and measurement platforms.
$250K–$500K/yearLearn more - Tech eligible
HRSA
Behavioral Health Workforce Development Program
Supports expanding the behavioral health workforce through training, clinical placements, and technology-supported care delivery. Technology platforms that support supervision, measurement, and case management are eligible uses.
$250K–$1MLearn more - Tech eligible
CMS Innovation Center (CMMI)
ACCESS Model — Behavioral Health Track
The Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) model includes a Behavioral Health Track for practices treating depression and anxiety. It shifts from fee-for-service to monthly payments tied to outcomes — explicitly requiring technology-enabled care and outcome measurement.
Enhanced per-patient paymentsLearn more
Resources for Nevada practitioners
Billing guides, compliance documentation, and clinical practice resources.
- CCBHCMeasurement for CCBHCs
How certified community behavioural health clinics put validated scales to work
- DepressionPHQ-9 Clinical Guide
Scoring, severity bands and response and remission thresholds
- TraumaPCL-5 Guide
The PTSD checklist and how to follow change during treatment
- LibraryFull Assessment Library
Each scale HiBoop covers, with its references
Nevada and Federal Behavioural Health Resources
Official bodies, clinical guidelines, and regulatory references. Nevada.
- Section 223 CCBHC Demonstration and State Programs
SAMHSA
The history of the demonstration and Nevada's move to a permanent Medicaid CCBHC program in 2023.
- 2023 CCBHC Certification Criteria
SAMHSA
Screening, quality measures and measurement-based care in the federal CCBHC model.
- Regional Behavioral Health Policy Boards
Division of Public and Behavioral Health
The purpose of the boards, including review of behavioural health data collection and reporting standards.
- Behavioural health regions
Nevada Regional Behavioral Health Policy Boards
Region pages with counties, coordinators and regional data.
- BH - Inpatient and Outpatient Services
Division of Public and Behavioral Health
The state-run services: SNAMHS, NNAMHS, Rural Clinics and Lake's Crossing Center.
Latest in mental health in California
Recent news, research, and policy from trusted sources.
- ResearchEnhancing a Behavioral Intervention Using Rest-Activity Rhythm Monitoring via a Consumer Wearable in Older Dementia Caregivers and People With Dementia: Feasibility and Acceptability Study.
Stahl ST, Rodakowski J, Patira R — JMIR formative research
JMIR formative research
- ResearchChanges in social connection, physical activity, and positive psychological attributes associated with grief-related symptoms and depression among bereaved older women during COVID-19.
Goveas JS, Ray RM, Pai M — Death studies
Death studies
- ResearchTranslation Validation, Software Adaptation, and Usability Testing of a Spanish Contraception Decision Tool: Protocol for a Mixed Methods Pilot Study.
Kang MM, Perez A, Brooks-Greisen A — JMIR research protocols
JMIR research protocols
- ResearchSmartphone-Based Passive Sensing of Activity Levels and Behavioral Activation During Psychosocial Interventions for Older Adults With Depression: Longitudinal Observational Study.
Kim S, Bein O, Carter E — Journal of medical Internet research
Journal of medical Internet research
- ResearchPatient and Provider Perspective of Cranioelectrical Stimulation for the Management of Persistent Mild Traumatic Brain Injury Symptoms in Veterans and Service Members.
Skop KM, Kern M, Ingram A — Military medicine
Military medicine
- FundingRFK Jr. presents $700 million in mental health funding, but experts say grants aren’t new
RFK Jr. presents $700 million in mental health funding, but experts say grants aren’t new STAT
STAT
Crisis and urgent help lines
If someone is in immediate danger, call 911. HiBoop is not a crisis service.
Emergency
For a life-threatening emergency, call emergency services first.
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Measurement-based care
…starts with what we measure, and how long.
Send your first check-in today, with your own assessments and clients. For teams, we set up your assessments and schedules with you. Prefer a guided start? You can book a walkthrough on the next page.
Start- Everything in HiBoop, by workflow, and what shipped lately.Features
- 100+ validated measures, with scoring guides and sources.Assessments
Frequently Asked Questions
Does Nevada require measurement-based care?
Not for every practice, as far as we know. CCBHCs work under certification criteria that require standardized, validated screening tools and quality measures and encourage measurement-based care, and Nevada's regional policy boards review behavioural health data and reporting standards. Your Medicaid plan, grant or certification may set specific measures, so check those.
Can HiBoop help a CCBHC meet its screening criteria?
HiBoop provides standardized, validated scales such as the PHQ-9, GAD-7, C-SSRS Screener, PCL-5 and youth scales, scored on submission, which a CCBHC can use within its own screening and assessment process. Meeting the criteria depends on your clinic's whole program, which your team and the state assess.
Will HiBoop send our data to the state or to Nevada Medicaid?
No. HiBoop has no connection to state or Medicaid systems. It sends and scores scales, charts each client's results and exports them as CSV or PDF, so your team can prepare what its reports require.
Is HiBoop HIPAA compliant for Nevada clinics?
Yes. HiBoop is HIPAA compliant and provides a business associate agreement to covered entities. Nevada also has its own health information laws, so confirm with your counsel how they apply to your organization.
Official sources for Nevada
Billing and payment routes
- 1.CMS MLN909432: Behavioral Health Integration Services · public program · codes 99484, 99492, 99493, 99494, G2214, G0323 (read in the document on 2026-11-01)
- 2.CMS Physician Fee Schedule look-up · fee schedule
- 3.SAMHSA: Certified Community Behavioral Health Clinics (CCBHC) · public program
Fee codes and amounts are set by each payer and change; check the linked schedule before you bill. HiBoop does not submit claims.
Regulators and licensing
Listed for reference so you can find the official source. HiBoop is not affiliated with, and is not endorsed by, any of these organizations.