Capitated Behavioral Health Benefit Colorado

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Capitated Behavioral Health Benefit Updated Template - coacc…

(5 days ago) People also askDoes Colorado have a more fully capitated approach to behavioral health?Colorado has adopted a more fully capitated approach for behavioral health. Behavioral health organizations (BHOs) provide behavioral health services to Medicaid enrollees and are paid a fixed PMPM fee from HCPF. The BHOs bear the financial risk in this system, giving them greater incentives to control costs.Managing Medicaid in Colorado Colorado Health Institutecoloradohealthinstitute.orgHow does Colorado pay for Behavioral Health Services?This payment system creates only modest incentives to control costs and improve care quality. Colorado has adopted a more fully capitated approach for behavioral health. Behavioral health organizations (BHOs) provide behavioral health services to Medicaid enrollees and are paid a fixed PMPM fee from HCPF.Managing Medicaid in Colorado Colorado Health Institutecoloradohealthinstitute.orgWhat happens if a behavioral health provider bills for services?If the behavioral health provider bills for the services, those claims will always come to Colorado Access to be paid under the Behavioral Health Capitation. If the primary care provider bills for the services, then this process applies to you. The following procedure codes are included in this benefit.Provider Manual - coaccess.comcoaccess.comHow many behavioral health services can a provider bill to Medicaid?Providers may bill up to six behavioral health services, with or without a covered behavioral health diagnosis, to Medicaid fee-for-service as you would a medical service. This process does not apply to CHP+ members. This benefit applies to several types of primary care settings, listed below.Provider Manual - coaccess.comcoaccess.comDo I need a copay for Behavioral Health Services?Providers may not require a copay for covered behavioral health services rendered to Health First Colorado members enrolled with Colorado Access. For CHP+ HMO members, providers may not require a copay for outpatient behavioral health services.Provider Manual - coaccess.comcoaccess.comDoes hcpf provide short-term behavioral health services?In order to see the availability of a full continuum of behavioral health services, the Department of Health Care Policy and Financing (HCPF) is promoting the provision of short-term behavioral health services within primary care settings for brief episodic conditions.Provider Manual - coaccess.comcoaccess.comFeedbackHCPFhttps://hcpf.colorado.gov/sites/hcpf/files/BH Fact[PDF]Behavioral Health Services - ColoradoWEBthe capitated behavioral health benefit must contract directly with the RAE(s). For more information, see the . Contracting Guidance for Behavioral Health Providers fact sheet. Short-term Behavioral Health Services Starting July 1, 2018, the Department increased …

https://www.coaccess.com/wp-content/uploads/2018/12/Capitated-Behavioral-Health-Benefit-Updated-Template.pdf#:~:text=What%20is%20the%20Health%20First%20Colorado%20%28Colorado%E2%80%99s%20Medicaid,adversity%2C%20and%20the%20realization%20of%20a%20member%E2%80%99s%20abilities.

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State Behavioral Health Services Billing Manual October 2023

(7 days ago) WEBCapitated Behavioral Health Benefit. BHA and HCPF publish this billing manual to provide common definitions of the program service categories and standard guidance in …

https://hcpf.colorado.gov/sites/hcpf/files/SBHS%20Billing%20Manual%20October%202023.pdf

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Contracting Guidance for Behavioral Health Providers

(7 days ago) WEBRegion. Entity, Proposals and Contracts. Contact Information for Providers. 3. Colorado Access. Amber Garcia Phone: 720-744-5487 Email: [email protected]. …

https://hcpf.colorado.gov/sites/hcpf/files/BH%20Provider%20Contracting%20Fact%20Sheet%20May%2030%202018.pdf

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FACT SHEET Healthcare Policy - Colorado Association of …

(2 days ago) WEBand Behavioral Health Health First, Colorado’s Medicaid program, is a public health insurance program for eligible Coloradans funded jointly However, the majority of …

https://www.colohealthplans.org/wp-content/uploads/2020/12/CO-Medicaid-Behavioral-Health.pdf

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Behavioral Health Tip DHMP Behavioral Health Tip Sheet

(7 days ago) WEBColorado Access (COA) Manages Behavioral Health after Six (6) Visits . o After the sixth behavioral health visit, per code, the benefits are covered by the COA administered …

https://www.denverhealthmedicalplan.org/sites/default/files/2021-03/Behavioral%20Health%20Final_3-17-21.pdf

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Provider Manual - coaccess.com

(7 days ago) WEBAny member or provider who needs assistance accessing EPSDT services or is experiencing barriers or problems related to EPSDT services (even physical health …

https://www.coaccess.com/wp-content/uploads/2022/12/508_01-21-126-1022F_COA-Provider-Manual10.pdf

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FACT SHEET Healthcare Policy - Colorado Association of …

(Just Now) WEBEntities (RAEs) as part of the capitated, managed behavioral health care benefit. These services will be in addition to current SUD and behavioral health benefits covered by …

https://colohealthplans.org/wp-content/uploads/2021/04/CAHP-Fact-Sheet-CO-Substance-Use-Disorder.pdf

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Behavioral Health UnitedHealthcare Community Plan …

(1 days ago) WEBRocky Mountain Health Plans manages covered services under the Medicaid capitated behavioral health benefit and a payment reform initiative known as Rocky Mountain Health Plans PRIME. Diagnostic …

https://www.uhcprovider.com/en/health-plans-by-state/colorado-health-plans/co-comm-plan-home/co-cp-behavioral-health.html

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SUD Reimbursement Transition 1/1/21 - Colorado.gov

(6 days ago) WEBOverview. On January 1, 2021, Health First Colorado, Colorado’s Medicaid program, will expand its substance use disorder (SUD) benefit. Residential and inpatient treatment …

https://www.colorado.gov/sites/hcpf/files/Inpatient%20Substance%20Use%20Disorder%20Reimbursement%20for%20members%20in%20care%20December%202020.pdf

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SOLICITATION #: 2017000265 Appendix O Capitated …

(3 days ago) WEBCapitated Behavioral Health Benefit Covered Services . Page 2 of 22 . For this Contract, the Short-term Behavioral Health Service Procedure Codes can be performed, in any …

https://www.colorado.gov/sites/hcpf/files/Appendix%20O%20Capitated%20Behavioral%20Health%20Benefit%20Covered%20Services.pdf

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Denver Health Medical Plan Behavioral Health

(4 days ago) WEBColorado Access (COA) manages behavioral health after six (6) visits. After the sixth behavioral health visit, per code, the benefits are covered by the COA administered …

https://www.denverhealthmedicalplan.org/denver-health-medical-plan-behavioral-health

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State Behavioral Health Services Billing Manual July 2023

(1 days ago) WEBB. CAPITATED BEHAVIORAL HEALTH BENEFIT .. 17. A) C. HILD . W. ELFARE AND . D. IVISION OF . Y. OUTH . S. ERVICES oversees and regulates Colorado’s …

https://hcpf.colorado.gov/sites/hcpf/files/July%202023%20USCS%20Manual%20Draft%20-Final.pdf

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Managing Medicaid in Colorado Colorado Health Institute

(5 days ago) WEBEnrollment in Health First Colorado, the state’s Medicaid program, has grown rapidly, and the state’s costs have grown, too. every member is in a program …

https://www.coloradohealthinstitute.org/research/managing-medicaid-colorado

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Accountable Care Collaborative Phase II Colorado Department of …

(6 days ago) WEBAppendix O Capitated Behavioral Health Benefit Covered Services; Appendix P Short-term Behavioral Health Services in a Primary Care Setting; Appendix Q Peer Specialist …

https://hcpf.colorado.gov/accphaseII

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Prior Authorization Requirements for Behavioral Health Services

(5 days ago) WEBThe following table contains all of the behavioral health benefits covered under the capitated behavioral health benefit of the Health First Colorado (Colorado’s …

https://www.coaccess.com/documents/BH%20Auth%20list.pdf

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Department of Health Care Policy & Financing - Colorado

(7 days ago) WEB3. Physical health services will continue to be reimbursed fee-for-service. Member assignment to a PCMP does not affect fee-for-service payments. 4. Behavioral health …

https://www.colorado.gov/sites/hcpf/files/Accountable%20Care%20Collaborative%20Phase%20II%20Launches%20July%201%20-%20What%20Providers%20Need%20to%20Know.pdf

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IssueBrief - Colorado General Assembly

(4 days ago) WEBBehavioral health benefits are reimbursed through a capitated behavioral health benefit. Under this arrangement, Health First Colorado pays the RAE a monthly …

https://leg.colorado.gov/sites/default/files/rae_issue_brief.pdf

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CAPITATED BH BENEFIT - Colorado

(8 days ago) WEBCAPITATED BH BENEFIT; S3005 Eval self-assess depression I S5150 Unskilled respite care /15m I S5151 Unskilled respitecare /diem I H0031 Mh health assess by non-md …

https://hcpf.colorado.gov/sites/hcpf/files/RAE%20Capitated%20Behavioral%20Health%20Crossover%20Requirements%20January%202019.pdf

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Colorado clinics, mental health providers are seeing more …

(8 days ago) WEBJune 3, 2024 at 6:00 a.m. Health clinics in Colorado are seeing more uninsured patients than they have since the Affordable Care Act took effect a decade …

https://www.denverpost.com/2024/06/03/colorado-clinics-mental-health-uninsured-medicaid-unwinding/

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Behavioral Health Workforce Capitated Payment Increase

(5 days ago) WEBDuring the 2019 legislative session, the Colorado General Assembly appropriated to the Department a 2% increase in funds for the capitated behavioral health benefit. The …

https://hcpf.colorado.gov/sites/hcpf/files/Accountable%20Care%20Collaborative%20Phase%20II%20Behvavioral%20Health%20Workforce%20Capitated%20Payment%20Increase%20Feb%202020.pdf

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Head Start / Early Head Start Colorado Department of Early …

(6 days ago) WEBColorado Department of Early Childhood. 1-800-799-5876 710 S. Ash St., Denver, CO 80246. Sign Up For Our Newsletter

https://cdec.colorado.gov/for-families/head-start/early-head-start

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Access Contract Administer - Colorado

(1 days ago) WEBThe Department launched the Accountable Care Collaborative to create a high-performing system that blends managed care behavioral health and managed fee-for-service …

https://www.colorado.gov/sites/hcpf/files/Accountable%20Care%20Collaborative%20Overview.pdf

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