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Colorado Revised Statutes Title 25.5. Health Care Policy and Financing § 25.5-4-406. Rate setting--medicaid residential treatment service providers--monitoring and auditing--report

Current as of January 01, 2025 | Updated by Findlaw Staff

(1) The state department shall approve a rate-setting process consistent with medicaid requirements for providers of medicaid residential treatment services in the state of Colorado as developed by the department of human services. The rate-setting process developed pursuant to this section may include, but shall not be limited to:

(a) A range for reimbursement that represents a base-treatment rate for serving a child who is subject to out-of-home placement due to dependency and neglect, a child placed in a residential child care facility pursuant to the “Children and Youth Mental Health Treatment Act”, article 67 of title 27, or a child who has been adjudicated a delinquent, which includes a defined service package to meet the needs of the child;

(b) A request for proposal to contract for specialized service needs of a child, including but not limited to: Substance-abuse treatment services; sex offender services; and services for the developmentally disabled; and

(c) Negotiated incentives for achieving outcomes for the child as defined by the state department, counties, and providers.

(2) The medicaid rate-setting process approved by the state department shall include a two- or three-year implementation timeline with implementation beginning in state fiscal year 2008-09.

(3) The state department and the department of human services, in consultation with the representatives of the counties and the provider community, shall review the rate-setting process every two years and shall submit any changes to the joint budget committee of the general assembly.

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Cite this article: FindLaw.com - Colorado Revised Statutes Title 25.5. Health Care Policy and Financing § 25.5-4-406. Rate setting--medicaid residential treatment service providers--monitoring and auditing--report - last updated January 01, 2025 | https://codes.findlaw.com/co/title-25-5-health-care-policy-and-financing/co-rev-st-sect-25-5-4-406/

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