Colorado § 27-50-404 - Care coordination - responsibilities of behavioral health administrative services organizations - coordination with managed care entities.

§ 27-50-404. Care coordination - responsibilities of behavioral health administrative services organizations - coordination with managed care entities.

(1) (a) Behavioral health administrative services organizations and managed care entities have the shared responsibility of providing care coordination services in a manner consistent with article 60 of this title 27 for individuals utilizing the behavioral health safety net system.

(b) Managed care entities are responsible for providing care coordination services, as required by section 25.5-5-419, to individuals enrolled in the state medical assistance program.

(c) Behavioral health administrative services organizations are responsible for providing care coordination services, whether directly or through contract with behavioral health safety net providers, to individuals who are not currently enrolled in the state medical assistance program, with access for priority populations as required by part 3 of this article 50.

(d) The BHA shall publish on the BHA's website an easily accessible list of secure transportation providers, as defined in section 27-65-102, that have contracts with behavioral health administrative services organizations. The list must include the contact information for the secure transportation provider, including an active phone number or website.

(2) The BHA shall establish objective and standardized processes for care coordination, including:

(a) Coordination between behavioral health administrative services organizations and other care coordination entities, including managed care entities, case management agencies, counties, and other behavioral health administrative services organizations, to ensure continuity of care across shared populations consistent with subsection (1) of this section;

(b) Referral processes between entities, including a behavioral health administrative services organization's responsibility to provide care coordination to an individual pending commencement of care coordination services by another entity; and

(c) Processes to ensure efficient and person-centered care coordination services for individuals who have acute and complex needs, including individuals involved in the civil involuntary treatment system pursuant to articles 65 and 81 of this title 27; individuals transitioning out of treatment settings or acute care settings; and individuals involved in the child welfare, juvenile justice, or criminal justice systems.

(3) A behavioral health administrative services organization shall ensure care coordination services through its network and include local partners, when appropriate, such as counties, school districts, the office of bridges of Colorado established in article 95 of title 13, and local collaborative management programs.

Source: L. 2022: Entire article added, (HB 22-1278), ch. 222, p. 1468, § 1, effective July 1. L. 2023: (3) amended, (HB 23-1249), ch. 287, p. 1730, § 11, effective August 7. L. 2024: (3) amended, (HB 24-1355), ch. 471, p. 3315, § 17, effective August 7. L. 2026: (1)(d) added, (HB 26-1063), ch. 322, p. 1878, § 2, effective August 12.

Cross references: For the legislative declaration in HB 23-1249, see section 1 of chapter 287, Session Laws of Colorado 2023.