Insights

If you take away only one thing from this letter, let it be this: the time between a forecast and its NOFO release is now where the real application work needs to happen: frameworks, data systems, budgets, and partner agreements can no longer be built inside a single application window.

The CCBHC cliff is September 29, 2027: While most agencies know this, we're finding ourselves pointing out that for those approximately 128 CCBHC expansion grants from FY2023 ending that day, your Medicaid transition, certification and cost reporting need to be in place before then. Ultimately, sustainability planning has to start now, while you're also preparing your case for a continuing grant application.

AI is already inside your organization, from clinical notes to billing, often used without oversight. While some adoption is official, much enters through the "back door" as staff manage workloads, creating hidden liability. Passive tolerance leaves you exposed. You must conduct a comprehensive inventory, bring it to board review, and formalize accountability frameworks to manage the risk.