Colorado Code
Part 4 - Statewide Managed Care System
§ 25.5-5-402. Statewide Managed Care System - Definition - Rules








































Source: L. 2006: Entire article added with relocations, p. 1883, § 7, effective July 1. L. 2008: (3) and (5) amended, p. 390, § 1, effective August 5. L. 2012: (6) added, (HB 12-1281), ch. 246, p. 1187, § 3, effective June 4. L. 2018: Entire section amended with relocations, (HB 18-1431), ch. 313, p. 1877, § 1, effective August 8; IP(2) and (2)(a) amended, (HB 18-1328), ch. 184, p. 1244, § 6, effective June 7, 2019. L. 2019: (3)(e) amended and (3)(g), (3)(h), (3)(i), (15), (16), and (17) added, (HB 19-1269), ch. 195, p. 2133, § 12, effective May 16; (7.5) added, (HB 19-1285), ch. 392, p. 3501, § 1, effective August 2. L. 2020: (6) amended, (HB 20-1237), ch. 271, p. 1319, § 1, effective July 11; (3)(c.5) added, (SB 20-007), ch. 286, p. 1391, § 7, effective July 13. L. 2021: (6)(b) amended, (SB 21-059), ch. 136, p. 747, § 123, effective October 1.




Cross references: (1) For the legislative declaration in HB 18-1328, see section 1 of chapter 184, Session Laws of Colorado 2018.
(2) For the short title ("Behavioral Health Care Coverage Modernization Act") in HB 19-1269, see section 1 of chapter 195, Session Laws of Colorado 2019.

Structure Colorado Code

Colorado Code

Title 25.5 - Health Care Policy and Financing

Article 5 - Colorado Medical Assistance Act - Services and Programs

Part 4 - Statewide Managed Care System

§ 25.5-5-401. Short Title

§ 25.5-5-402. Statewide Managed Care System - Definition - Rules

§ 25.5-5-403. Definitions

§ 25.5-5-406.1. Required Features of Statewide Managed Care System

§ 25.5-5-408. Capitation Payments - Availability of Base Data - Adjustments - Rate Calculation - Capitation Payment Proposal - Preference - Assignment of Medicaid Recipients - Definition

§ 25.5-5-410. Data Collection for Managed Care Programs

§ 25.5-5-412. Program of All-Inclusive Care for the Elderly - Services - Eligibility - Legislative Declaration - Rules - Definitions

§ 25.5-5-414. Telemedicine - Legislative Intent

§ 25.5-5-415. Medicaid Payment Reform and Innovation Pilot Program - Legislative Declaration - Creation - Selection of Payment Projects - Report - Rules

§ 25.5-5-418. Primary Care Provider Sustainability Fund - Creation - Use of Fund

§ 25.5-5-419. Accountable Care Collaborative - Reporting - Rules

§ 25.5-5-420. Advancing Care for Exceptional Kids

§ 25.5-5-421. Parity Reporting - State Department - Public Input

§ 25.5-5-422. Medication-Assisted Treatment - Limitations on Mces - Definition

§ 25.5-5-423. Independent Review Organization - Review Denial of Residential and Inpatient Substance Use Disorder Treatment Claims - Contract

§ 25.5-5-424. Residential and Inpatient Substance Use Disorder Treatment - Mce Standardized Utilization Management Process - Medical Necessity - Report

§ 25.5-5-425. Audit of Mce Denials for Residential and Inpatient Substance Use Disorder Treatment Authorization - Report