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Colorado Revised Statutes Title 27. Behavioral Health § 27-50-305. Resources to support behavioral health safety net providers--independent third-party contract

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

(1) No later than July 1, 2025, the BHA shall contract with an independent third-party entity to provide services and supports to behavioral health providers seeking to become a behavioral health safety net provider with the goal of the provider becoming self-sustaining.

(2) The independent third-party entity shall assist behavioral health providers in accessing alternative payment models and enhanced reimbursement rates through the BHA and medicaid by providing:

(a) Support to providers in completing the annual cost reporting to inform medicaid rate-setting;

(b) Analysis of current accounting practices and recommendations on implementing new or modified practices to support the soundness of cost reporting;

(c) Administrative support for enrolling in different payer types, including, but not limited to, medicaid, medicare, and commercial insurance;

(d) Billing and coding support;

(e) Claims processing;

(f) Data analysis;

(g) Compliance and training on policies and procedures;

(h) Shared purchasing for technology;

(i) Assistance in building provider capacity to become a behavioral health safety net provider; and

(j) Any other service and support approved by the BHA.

(3) The independent third-party entity shall prioritize providing services and supports to a behavioral health provider that has not previously used the state cost report process to set medicaid rates.

(4) The independent third-party entity shall be nonpartisan and shall not lobby, personally or in any other manner, directly or indirectly, for or against any pending legislation before the general assembly.

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Cite this article: FindLaw.com - Colorado Revised Statutes Title 27. Behavioral Health § 27-50-305. Resources to support behavioral health safety net providers--independent third-party contract - last updated January 01, 2025 | https://codes.findlaw.com/co/title-27-behavioral-health/co-rev-st-sect-27-50-305/

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