No later than July 1, 2023, the state department shall contract with one or more independent review organizations to conduct external medical reviews requested for review by a medicaid provider when there is a denial or reduction for residential or inpatient substance use disorder treatment and medicaid appeals processes have been exhausted.
Source: L. 2021: Entire section added, (SB 21-137), ch. 362, p. 2364, § 9, effective June 28.
Cross references: For the short title ("Behavioral Health Recovery Act of 2021") and the legislative declaration in SB 21-137, see sections 1 and 2 of chapter 362, Session Laws of Colorado 2021.
Structure 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
§ 25.5-5-402. Statewide Managed Care System - Definition - Rules
§ 25.5-5-406.1. Required Features of Statewide Managed Care System
§ 25.5-5-410. Data Collection for Managed Care Programs
§ 25.5-5-414. Telemedicine - Legislative Intent
§ 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