Colorado § 25.5-5-804 - Integrated funding pilot.

§ 25.5-5-804. Integrated funding pilot.

Subject to available appropriations, the state department, in conjunction with the behavioral health administration in the department of human services, counties, and other relevant departments, shall design and recommend a child and youth behavioral health delivery system pilot program that addresses the challenges of fragmentation and duplication of behavioral health services. The pilot program shall integrate funding for behavioral health intervention and treatment services across the state to serve children and youth with behavioral health disorders. To implement the provisions of this section, the state department shall collaborate with the behavioral health administration in the department of human services and other relevant stakeholders, including counties, managed care entities, and families.

Source: L. 2019: Entire part added, (SB 19-195), ch. 190, p. 2101, § 2, effective August 2. L. 2020: Entire section amended, (HB 20-1384), ch. 172, p. 790, § 3, effective June 29. L. 2022: Entire section amended, (HB 22-1278), ch. 222, p. 1517, § 78, effective July 1.

ARTICLE 6

Colorado Medical Assistance Act - Long-term Care

PART 1

LONG-TERM CARE ADMINISTRATION

25.5-6-101. Spousal protection - protection of income and resources for community spouse - definitions - amounts retained - responsibility of state department - right to appeal.

25.5-6-102. Court-approved trusts - transfer of property for persons seeking medical assistance for nursing home care - undue hardship - legislative declaration.

25.5-6-103. Court-approved trusts - transfer of property for persons seeking medical assistance - rule-making authority for trusts created on or after July 1, 1994 - undue hardship.

25.5-6-104. Long-term care placements - comprehensive and uniform client assessment instrument - report - legislative declaration - definitions - repeal. (Repealed)

25.5-6-105. Legislative declaration relating to implementation of single entry point system - repeal. (Repealed)

25.5-6-106. Single entry point system - authorization - phases for implementation - services provided - repeal. (Repealed)

25.5-6-107. Financing of single entry point system - repeal. (Repealed)

25.5-6-108. Legislative declaration - advisory committee - long-term care - report - repeal. (Repealed)

25.5-6-108.5. Community long-term care studies - authority to implement - alternative care facility report.

25.5-6-109. Community long-term care - coordinated care pilot program - federal authorization - rules - repeal. (Repealed)

25.5-6-110. Private-public partnership education and information program concerning long-term care insurance authorized.

25.5-6-111. Pilot program for coordinated care for people with a disability - fund - repeal. (Repealed)

25.5-6-112. Plan of financial operation - purpose - approval - financial audits - rules - repeal. (Repealed)

25.5-6-113. Health home - integrated services - contracting - legislative declaration - definitions.

25.5-6-114. Alternative care facilities - reimbursement programs - legislative declaration - report - repeal. (Repealed)

25.5-6-115. Notification of federal immigration consequences.

25.5-6-116. Community placement transformation - creation - report - repeal. (Repealed)

25.5-6-117. Determination of need-based services - professional medical information document - definition.

25.5-6-118. Plan of care - rehabilitation therapy - requirements - definition.

25.5-6-119. Long-term care for members with permanent disability.

25.5-6-120. Home- and community-based service provider agencies - disclosure of direct care service cost ratio to administrative cost ratio - definition.

PART 2

NURSING FACILITIES

25.5-6-201. Special definitions relating to nursing facility reimbursement.

25.5-6-202. Providers - nursing facility provider reimbursement - exemption - rules.

25.5-6-203. Nursing facilities - provider fees - federal waiver - fund created - rules - repeal. (Repealed)

25.5-6-204. Providers - reimbursement - intermediate care facility for individuals with intellectual disabilities - reimbursement - maximum allowable.

25.5-6-205. Collection of penalties assessed against nursing facilities - creation of cash fund.

25.5-6-206. Personal needs benefits - amount - patient personal needs trust fund required - funeral and final disposition expenses - penalty for illegal retention and use.

25.5-6-207. Class I nursing facility reimbursement rates - study - report - repeal. (Repealed)

25.5-6-208. Nursing facility provider reimbursement - rules - definition - repeal. (Repealed)

25.5-6-209. Establishment of nursing facility provider demonstration of need - criteria - rules.

25.5-6-210. Additional supplemental payments - nursing facilities - funding methodology - reporting requirement - rules - repeal. (Repealed)

25.5-6-211. Gifts, grants, and donations for enhanced reimbursement model for nursing facilities.

PART 3

HOME- AND COMMUNITY-BASED SERVICES FOR THE ELDERLY, BLIND, AND DISABLED

25.5-6-301. Short title.

25.5-6-302. Legislative declaration.

25.5-6-303. Definitions.

25.5-6-304. Administration.

25.5-6-305. Provision of services for elderly and blind individuals and individuals with disabilities.

25.5-6-306. Eligible groups.

25.5-6-307. Services for the elderly, blind, and disabled.

25.5-6-308. Cost of services.

25.5-6-309. Special provisions - post-eligibility treatment of income.

25.5-6-310. Special provisions - personal care services provided by a family - repeal. (Repealed)

25.5-6-311. Duties of state department.

25.5-6-312. Gifts - grants.

25.5-6-313. Rules - federal authorization.

25.5-6-314. Training for staff providing direct-care services to members with dementia - rules - definitions.

PART 4

HOME- AND COMMUNITY-BASED SERVICES FOR PERSONS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES

25.5-6-401. Short title.

25.5-6-402. Legislative declaration - Prader-Willi syndrome.

25.5-6-403. Definitions.

25.5-6-404. Duties of the department of health care policy and financing and the department of human services.

25.5-6-405. Relationship to other programs.

25.5-6-406. Appropriations - reimbursement for services - direct support professionals - legislative declaration - definitions.

25.5-6-407. Gifts - grants.

25.5-6-408. Eligibility - fees.

25.5-6-409. Services for persons with intellectual and developmental disabilities.

25.5-6-409.3. Consolidated waiver - intellectual and developmental disabilities - conflict-free case management - legislative declaration - repeal. (Repealed)

25.5-6-409.5. Transition plan for youth with intellectual and developmental disabilities to adult services - rules - cash fund - legislative declaration.

25.5-6-410. Qualification for federal funding.

25.5-6-411. Personal needs trust fund required.

25.5-6-412. Cross-system response for behavioral health crises pilot program - legislative declaration - creation - criteria - recommendations - fund - repeal. (Repealed)

25.5-6-413. Elimination of subminimum wage - transition plan for individuals with disabilities - waiver - legislative declaration - definition.

25.5-6-414. Delivery of services for individuals with serious mental illness - rules.

25.5-6-415. Individual residential services and supports settings for persons with intellectual and developmental disabilities - statewide database - risk criteria - complaint process - rules - definitions.

PART 5

HOME- AND COMMUNITY-BASED SERVICES FOR PERSONS WITH HEALTH COMPLEXES RELATED TO ACQUIRED IMMUNE DEFICIENCY SYNDROME

25.5-6-501 to

25.5-6-508. (Repealed)

PART 6

HOME- AND COMMUNITY-BASED SERVICES FOR PERSONS WITH MAJOR MENTAL HEALTH DISORDERS

25.5-6-601. Short title.

25.5-6-602. Legislative declaration - no entitlement created.

25.5-6-603. Definitions.

25.5-6-604. Cost of services.

25.5-6-605. Relationship to single entry point for long-term care - repeal. (Repealed)

25.5-6-606. Implementation of program for persons with mental health disorders authorized - federal waiver - duties of the department of health care policy and financing and the department of human services - rules.

25.5-6-607. Implementation of part contingent upon receipt of federal waiver - repeal of part.

PART 7

HOME- AND COMMUNITY-BASED SERVICES FOR PERSONS WITH BRAIN INJURY

25.5-6-701. Short title.

25.5-6-702. Legislative declaration - no entitlement created.

25.5-6-703. Definitions.

25.5-6-704. Implementation of home- and community-based services program for persons with brain injury authorized - federal waiver - duties of the department - rules.

25.5-6-705. Implementation of part contingent upon receipt of federal waiver - repeal of part.

25.5-6-706. Rate structure - rules - quality assurance.

PART 8

HOME- AND COMMUNITY-BASED SERVICES FOR CHILDREN WITH AUTISM

25.5-6-801 to

25.5-6-806. (Repealed)

PART 9

HOME- AND COMMUNITY-BASED SERVICE PROGRAMS FOR CHILDREN

25.5-6-901. Disabled children care program - eligibility criteria - documentation requirements - report to the general assembly - repeal. (Repealed)

25.5-6-902. Children's personal assistance services and family support program.

25.5-6-903. Residential child health-care program - waiver - home- and community-based services - rules.

25.5-6-904. Children with complex health needs waiver program - federal authorization - rules - legislative declaration - definitions.

PART 10

CONSUMER-DIRECTED ATTENDANT SUPPORT FOR PERSONS WITH DISABILITIES

25.5-6-1001 to

25.5-6-1004. (Repealed)

PART 11

CONSUMER-DIRECTED CARE

25.5-6-1101. Definitions.

25.5-6-1102. Service model - consumer-directed care.

25.5-6-1103. Reporting.

PART 12

IN-HOME SUPPORT SERVICES

25.5-6-1201. Legislative declaration - repeal. (Repealed)

25.5-6-1202. Definitions.

25.5-6-1203. In-home support services - eligibility - licensure exclusion - in-home support service agency responsibilities - rules.

25.5-6-1204. Provision of services - duties of state department - gifts - grants.

25.5-6-1205. Accountability - rate structure - rules.

25.5-6-1206. Report - repeal. (Repealed)

25.5-6-1207. Repeal of part.

25.5-6-1208. Conditional repeal of part. (Repealed)

PART 13

COMPLEMENTARY AND INTEGRATIVE HEALTH FOR A PERSON WITH A SPINAL CORD INJURY

25.5-6-1301. Legislative declaration.

25.5-6-1302. Definitions.

25.5-6-1303. Complementary and integrative health - rules.

25.5-6-1304. Repeal of part.

PART 14

MEDICAID BUY-IN

25.5-6-1401. Legislative declaration.

25.5-6-1402. Definitions.

25.5-6-1403. Waivers and amendments.

25.5-6-1404. Medicaid buy-in program - eligibility - premiums - medicaid buy-in fund - report - rules.

25.5-6-1405. Rule-making authority.

25.5-6-1406. Availability of federal financial assistance under medical assistance.

PART 15

TRANSITION SERVICES

25.5-6-1501. Community transition services and supports - legislative declaration - rules.

PART 16

HOME CARE EMPLOYEES' COMPENSATION AND TRAINING

25.5-6-1601. Definitions.

25.5-6-1602. State department to request increase in reimbursement rate for certain services.

25.5-6-1603. Minimum wage - wage pass-through requirement for certain home care agencies - applicability - reports - recovery.

25.5-6-1604. Training for home care agency employees - process for reviewing and enforcing training requirements.

25.5-6-1605. Exemptions.

PART 17

CASE MANAGEMENT SERVICES FOR LONG-TERM SERVICES AND SUPPORTS

25.5-6-1701. Legislative declaration.

25.5-6-1702. Definitions.

25.5-6-1703. Case management system - defined service areas - case management services - only willing and qualified provider exemption - rules.

25.5-6-1704. Intellectual and developmental disability determination - functional eligibility determination - rules.

25.5-6-1705. Person-centered support plan.

25.5-6-1706. Termination of long-term services and supports for member receiving services.

25.5-6-1707. Records and confidentiality of information.

25.5-6-1708. Performance audits - Colorado local government audit law - public disclosure of board administration and operations.

25.5-6-1709. Community-centered board designation - rules.

PART 18

COLORADO MEDICAL ASSISTANCE PROGRAM REQUIREMENTS FOR DISBURSEMENT OF FEDERAL FUNDS UNDER THE FEDERAL "AMERICAN RESCUE PLAN ACT OF 2021"

25.5-6-1801 to

25.5-6-1806. (Repealed)

PART 19

COMMUNITY FIRST CHOICE

25.5-6-1901. Definitions.

25.5-6-1902. Community first choice option - covered services - state plan amendment.

25.5-6-1903. Permissible services and supports.

25.5-6-1904. Maintenance of effort.

25.5-6-1905. Eligibility.

PART 20

SYSTEM OF CARE FOR CHILDREN AND YOUTH WITH COMPLEX BEHAVIORAL HEALTH NEEDS

25.5-6-2001. System of care for children and youth - federal authorization - leadership and implementation team - workforce capacity center - report - rules - definition - repeal.

PART 1

LONG-TERM CARE ADMINISTRATION