Colorado § 25.5-4-403.1 - Providers - comprehensive community behavioral health providers - cost reporting.

§ 25.5-4-403.1. Providers - comprehensive community behavioral health providers - cost reporting.

(1) For the purposes of increased payment methodology transparency, no later than March 15, 2023, and each March 15 thereafter, the state department shall:

(a) Publish cost reports for comprehensive community behavioral health providers, as defined in section 27-50-101;

(b) Establish a cost-reporting template and cost-reporting schedule to assist providers in providing cost reports;

(c) Redact information to maintain compliance with state and federal law including, but not limited to, personally identifying information and protected health information as necessary to protect the privacy of patients;

(d) Create a publicly available website that provides insight to medicaid members, medicaid providers, and members of the public regarding behavioral health reimbursement rates. The website must include the following:

(I) All completed cost reports for each behavioral health safety net provider, as defined in section 27-50-101 (7);

(II) An overview of the purpose of the cost report described in this subsection (1);

(III) Information on how to interpret the cost reports and where to find information in the cost reports;

(IV) An overview of:

(A) How reimbursement rates are determined;

(B) What constitutes a reasonable and allowable cost; and

(C) How value-based payments impact reimbursement rates; and

(V) The state department's plan to improve behavioral health reimbursement rates and annual updates to the plan.

Source: L. 2022: Entire section added, (HB 22-1268), ch. 363, p. 2598, § 3, effective June 3. L. 2025: (1)(a) amended, (HB 25-1326), ch. 309, p. 1611, § 4, effective August 6.

Cross references: For the legislative declaration in HB 22-1268, see section 1 of chapter 363, Session Laws of Colorado 2022.