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Accountable Care Collaborative Phase II - Provider and Stakeholder Resource Center

The Behavioral Health Independent Provider Network (IPN) Collaborative was created for behavioral health providers to engage with and partner collaboratively with the Department of Health Care Policy (the Department) and Financing and Regional Accountable Entities (RAEs). The Department published frequently asked questions and answers about key behavioral health initiatives and policies that may impact the IPN. Please visit our IPN Collaborative page for additional information. 

On July 1, 2018, the next iteration of the Accountable Care Collaborative (ACC) launched. The ACC seeks to leverage the proven successes of Colorado Medicaid's programs to enhance the Health First Colorado (Colorado's Medicaid program) member and provider experience. For more information go to the ACC Phase II page.

The Department has published and will regularly update information on this Provider and Stakeholder Resource Center. This resource center includes fact sheets, FAQs webinars and other resources for providers and stakeholders about Phase II.

Choose a resource below:

Key Concepts

Provider Resources

Attribution

Behavioral Health Services

Short-Term Behavioral Health Services

Statewide Standardized Utilization Management (SSUM) Guidelines

The Department of Health Care Policy and Financing (HCPF) has been working with the Regional Accountable Entities (RAEs) to create uniform statewide utilization management standards for assessing for the most appropriate level of care for children and youth referred for residential treatment.  

These Level of Care (LOC) guidelines were developed as a companion to national utilization management (UM) standards used by the RAEs to authorize behavioral health services. RAEs will be required to use these guidelines in their utilization management processes starting July 1, 2023. 

Currently, the Statewide Standardized Utilization Management (SSUM) Guidelines have information related to residential services – both Qualified Residential Treatment Programs (QRTP) and Psychiatric Residential Treatment Facilities (PRTF).  This document will continue to be edited/added to as the RAEs work to create guidelines for additional levels of care. 

  • Colorado Statewide Standardized UM (SSUM) Guidelines: English  l  Spanish

State Behavioral Health Services Billing Manual

The State Behavioral Health Services Billing Manual (the billing manual) is the coding manual for services covered by the Regional Accountable Entities (RAEs). Please visit the State Behavioral Health Services Billing Manual for more information.

Performance Measurement including Key Performance Indicators, Behavioral Health Incentive Program and Public Reporting

Other Resources

Sign Up for Updates: The Department shares regular updates via email on the ACC Phase II. Sign up for our updates here and see our past updates to stakeholders and providers here.

Member Messaging Resource Center: The Department has developed this Member Messaging Resource Center and includes sample letters, talking points, frequently asked questions, and more.