2019 Session

Budget Amendments - HB1700 (Member Request)

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Chief Patron: Garrett
Behavioral Health Services Realignment (language only)

Item 303 #1h

Item 303 #1h

Health and Human Resources
Department of Medical Assistance Services


Page 315, line 7, strike "$14,974,837,166" and insert "$14,975,087,166".

Page 342, after line 27, insert:

"YYY.1. The Department of Medical Assistance Services shall work with the Department of Behavioral Health and Developmental Services and stakeholders to implement the continuum of evidence-based, trauma-informed, and cost-effective mental health services recommended by the University of Colorado Farley Center for Health Policy that will result in the best outcomes for Medicaid and FAMIS members. This continuum shall include Community Mental Health Rehabilitation Services (including Early Intervention Services) and integrated behavioral health in primary care and school settings.

2.  The department shall have the authority to amend the necessary waiver(s) and the State Plan under Titles XIX and XXI of the Social Security Act to fulfill this item, including but not limited to, changes to the medical necessity criteria, services covered, provider qualifications, and reimbursement methodologies and rates for Community Mental Health and Rehabilitation Services. The department shall work with its contractors, the Department of Behavioral Health and Developmental Services, and appropriate stakeholders to develop service definitions, utilization review criteria, provider qualifications, and rates and reimbursement methodologies.

3.  The Department of Medical Assistance Services and Department of Behavioral Health and Developmental Services shall, prior to the submission of any state plan amendment or waivers to implement these changes, submit a plan detailing the changes in provider rates, new services added and any other programmatic changes to the Chairmen of the House Appropriation and Senate Finance Committees. The departments shall submit this report no later than December 1, 2019.

4.  The department shall have authority to implement these changes to be effective no later than July 1, 2020. The department shall have the authority to implement this change effective upon passage of this act, and prior to the completion of any regulatory process undertaken in order to effect such change. The department shall also have authority to promulgate any emergency regulations required to implement these necessary changes."


(This amendment adds language authorizing the realignment of behavioral health services to ensure the system supports evidence-based, trauma-informed, prevention-focused and cost-effective services for individuals served across the lifespan. This is a recommendation of the Joint Subcommittee Studying Mental Health Services in the Commonwealth in the 21st Century.)