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Emergency Rule: Pediatric Behavioral Therapy (PBT) Providers Stakeholder Meeting

Please join the Colorado Department of Health Care Policy and Financing to learn more about proposed emergency rules for Pediatric Behavioral Therapy (PBT) providers. These rules are needed right away to keep children in Health First Colorado (Colorado’s Medicaid program) safe and to make sure they continue receiving high-quality care.

In July 2025, the U.S. Department of Health and Human Services Office of Inspector General (OIG) reviewed PBT services in Colorado. The audit found that some Registered Behavior Technicians (RBTs) who provide Applied Behavioral Analysis (ABA) therapy were not meeting national standards for training and supervision. If Colorado does not fix this, the state could lose federal Medicaid funding. Federal dollars pay for about half of all PBT services. Other states that failed to meet these requirements had to repay millions of dollars.

This emergency rule is needed to:

  • Set clear standards that follow federal requirements.
  • Protect children by making sure all staff who provide PBT services are properly trained, certified, and supervised.
  • Avoid financial risks that could reduce federal funding for Colorado’s program.

We know these changes may feel stressful for families and providers. However, these requirements are necessary to keep children safe, protect Colorado’s Medicaid program, and make sure families can keep accessing these important services. The emergency rule allows the Department to act quickly now, while we continue working with providers and families on permanent rules.

Meeting date and time: Monday, September 29, 2025, from 8:00 to 10:00 a.m.   

  • Intended Audiences: Health First Colorado families, providers, advocacy groups, and other impacted communities 

Registration and location: the meeting will be virtual via Zoom. Register in advance or at the start of the webinar.  Once you register, you will receive a unique link to join the meeting. It is tied to your registration and will not work for anyone else.

If you are unable to attend, the meeting recording will be posted to this page after the meeting.    

Meeting Accommodation and Language Access Notice  
Auxiliary aids and services for individuals with disabilities and language services for individuals whose first language is not English may be provided upon request. Please notify the meeting organizer, Kelly O'Brien; or the or the Civil Rights Officer at hcpf504ada@state.co.us at least one week prior to the meeting to make arrangements. 

Las ayudas y servicios auxiliares para individuos con discapacidades y servicios de idiomas para individuos cuyo idioma materno no sea inglés pueden estar disponibles por solicitud. Comuníquese con organizador de reuniones, Kelly O'Brien; o con el oficial de derechos civiles a hcpf504ada@state.co.us al menos una semana antes de la reunión para hacer los arreglos necesarios.