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 of ACC Phase II
- Provider Resources
- Attribution
- Behavioral Health Services
- Performance Measurement
- Other Resources
Key Concepts
- ACC Letter Refining Focus
- ACC Phase II Key Concepts Fact Sheet
- Overview of Key Concepts of ACC Phase II Webinar
- Overview of Key Concepts of ACC Phase II Webinar Slides
Provider Resources
- Denver Health Medicaid Choice Provider FAQs
- Top 10 Things Providers Need to Know
- Behavioral Health Provider Contracting Guidance Fact Sheet
- Primary Care Medical Provider Contracting Guidance Fact Sheet
- Provider Contracting Recorded Webinar
- Provider Contracting Webinar Slides
- Identifying Denver Health Member Enrollment in the Provider Web Portal
- Health First Colorado Data Analysis Portal Resources
- RAE Capitated Behavioral Health Crossover Requirements
- Behavioral Health Workforce Capitated Payment Increase
- Accessing Regional Accountable Entity (RAE) - Covered Behavioral Health Services in Long-term Care Settings, Regional Centers, or Covered by Home and Community Based Waiver Services
Attribution
- Member Attribution Fact Sheet
- Attribution Frequently Asked Questions
- Attribution of Foster Care Members to Primary Care Medical Providers Fact Sheet (Updated June 28, 2018)
- Member Attribution Recorded Webinar (February 2018)
- Member Attribution Webinar Slides
- COVID-19 ACC Member Attribution
Behavioral Health Services
Short-Term Behavioral Health Services
- Behavioral Health Services Fact Sheet and Frequently Asked Questions
- Short-Term Behavioral Health Services in Primary Care Fact Sheet (Updated January 2019)
- Short Term Behavioral Health Services in the Primary Care Setting Recorded Webinar
- Senate Bill 23-174: Coverage Policy
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.
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
- Performance Measurement Fact Sheet
- Key Performance Indicator Methodology
- Behavioral Health Incentive Program Specifications
- Performance Pool Specifications
- Medical Loss Ratio Measures (MCOs only)
- COVID Vaccination Equity Measures
- Public Reporting
- Performance Measurement Recorded Webinar
- Performance Measurement Webinar Slides
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.