This document sets forth the requirements of billing procedure codes for behavioral health services covered by HCPF and the Behavioral Health Administration (BHA). The USCS manual is a living document that is updated periodically to maintain consistency between the Regional Accountable Entity (RAE) and Managed Care Organization (MCO) -together referred to as Managed Care Entities (MCEs) - contracts, BHA contracts, State Plan Amendments, 1915(b)(3) waiver, and coding guidelines.
- Uniform Service Coding Standards January 2023
- January 2023 Manual Tracking Form
- Uniform Service Coding Standards October 2022
- October 2022 Manual Tracking Form
- Uniform Service Coding Standards July 2022
- July 2022 Manual Tracking Form
- Uniform Service Coding Standards January 2022
- January 2022 Manual Tracking Form
For copies of previous coding documents, please email John.Laukkanen@state.co.us.
To understand the history, design, content, and management approach of the USCS Manual, please see the Uniform Service Coding Standards (USCS) Manual Orientation.
Provider Support
- RAE 1 - Rocky Mountain Health Partners (RMHP): RAEsupport@uhc.com
- RAE 2/4 - Northeast Health Partners (NHP) and Health Colorado, Inc. (HCI): coproviderrelations@
carelon.com - RAE 3/5/DH - Colorado Access (COA): providernetworkservices
@coaccess.com - RAE 6/7 - Colorado Community Health Alliance (CCHA): www.cchacares.com/for-
providers/provider-assistance/
Coding Committee
HCPF facilitates a quarterly Coding Committee meeting to discuss coding questions, policy considerations, and requested edits to the USCS Manual (Coding Manual) with sister agencies (BHA, CDHS, etc.), Managed Care Entities (MCEs), and providers. This meeting serves as an advisory opportunity for HCPF to engage state policy subject matter experts, MCE representatives, expert behavioral health coders, and providers to review and discuss issues that impact content in the Coding Manual. HCPF relies on this consultation to ensure proper billing codes and methodologies are reflected in the coding manual, as well as ensuring alignment with billing guidance, the State Plan, and federal and state changes to rule or statute. In addition to State staff, the only required attendees are representatives from the MCEs which are responsible for managing the Capitated Behavioral Health Benefit.
This meeting is not intended for general billing questions from providers. Providers are encouraged to reach out to their MCE or BHA program staff for specific billing questions. For any suggestions to add, delete or change coding guidance in this manual please send these to your MCE(s) or BHA program staff.
This meeting will occur quarterly, on the second Thursday of the month from 12:00 pm – 2:00 pm. I Meeting Link
Reasonable accommodations will be provided upon request for persons with disabilities. Please notify the 504/ADA Coordinator hcpf504ada@state.co.us at least one week prior to the meeting to make arrangements.