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Medicaid Archives - Colorado Association of Health Plans CAHP Sun, 16 Nov 2025 17:29:30 +0000 en-US hourly 1 https://wordpress.org/?v=7.1.4 https://staging.colohealthplans.org/wp-content/uploads/2025/11/cropped-CAHP_Logo-Favicon_v1-32x32.png Medicaid Archives - Colorado Association of Health Plans 32 32 Colorado insurers face new rules for behavioral-health coverage https://staging.colohealthplans.org/colorado-insurers-face-new-rules-for-behavioral-health-coverage/ https://staging.colohealthplans.org/colorado-insurers-face-new-rules-for-behavioral-health-coverage/#respond Fri, 24 Oct 2025 14:23:18 +0000 https://staging.colohealthplans.org/?p=2866 Colorado health insurers are forbidden to deny coverage of medically necessary mental-health and substance-abuse treatment and must use nationally accepted standards in making their decisions, according to a new law whose regulations are being finalized. The new rules are the result of House Bill 1002, a measure that passed early in the 2025 session with... Read more »

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Fiction vs Fact – Medicaid and RAEs https://staging.colohealthplans.org/fiction-vs-fact-medicaid-and-raes/ https://staging.colohealthplans.org/fiction-vs-fact-medicaid-and-raes/#respond Fri, 04 Mar 2022 19:03:55 +0000 https://staging.colohealthplans.org/?p=1478 The post Fiction vs Fact – Medicaid and RAEs appeared first on Colorado Association of Health Plans.

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Network Adequacy Requirements for Behavioral Health Services for Colorado Medicaid https://staging.colohealthplans.org/network-adequacy-requirements-for-behavioral-health-services-for-colorado-medicaid/ https://staging.colohealthplans.org/network-adequacy-requirements-for-behavioral-health-services-for-colorado-medicaid/#respond Tue, 30 Nov 2021 20:53:34 +0000 https://staging.colohealthplans.org/?p=1444 The RAEs are required to establish and maintain a statewide network of behavioral health providers that spans inpatient, outpatient, laboratory, and all other covered mental health and substance use disorder services. RAEs contract with independent providers as well as community mental health centers, federally qualified health centers, hospitals, substance use disorder providers, rural health centers,... Read more »

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Provider Credentialing & Contracting in Colorado’s Medicaid Program https://staging.colohealthplans.org/provider-credentialing-contracting-in-colorados-medicaid-program/ https://staging.colohealthplans.org/provider-credentialing-contracting-in-colorados-medicaid-program/#respond Tue, 30 Nov 2021 20:51:02 +0000 https://staging.colohealthplans.org/?p=1441 The RAEs develop and maintain networks by contracting directly with behavioral health providers. Providers must first be validated with HCPF and credentialed by the RAE in accordance with national standards before providers can be reimbursed for covered behavioral health services. Reimbursement for services is governed by the contract executed by the RAE and the provider.... Read more »

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Health First Colorado Substance Use Disorder Benefit Changes https://staging.colohealthplans.org/health-first-colorado-substance-use-disorder-benefit-changes/ https://staging.colohealthplans.org/health-first-colorado-substance-use-disorder-benefit-changes/#respond Wed, 28 Apr 2021 20:24:09 +0000 https://staging.colohealthplans.org/?p=1380 Beginning January 1st, 2021, Substance Use Disorder (SUD) inpatient, residential, and withdrawal management services will be fully available under Health First Colorado’s Medicaid Plan in accordance with House Bill 18-1136. These services will be reimbursed by the Regional Accountable Provider Participation Colorado’s health plans are committed partners in helping facilitate a smooth transition to the... Read more »

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Colorado’s Medicaid Program and Behavioral Health https://staging.colohealthplans.org/colorados-medicaid-program-and-behavioral-health/ https://staging.colohealthplans.org/colorados-medicaid-program-and-behavioral-health/#respond Tue, 01 Dec 2020 17:03:36 +0000 https://staging.colohealthplans.org/?p=1328 Every Health First Colorado Member is assigned to a RAE that manages their physical and behavioral health care. Members have access to comprehensive mental health and substance use disorder services through their RAE. There are no-copays for Health First Colorado behavioral health services.

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Mental Health Parity in Medicaid https://staging.colohealthplans.org/mental-health-parity-in-medicaid/ https://staging.colohealthplans.org/mental-health-parity-in-medicaid/#respond Tue, 01 Dec 2020 17:02:00 +0000 https://staging.colohealthplans.org/?p=1324 The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) and related federal laws and regulations require State Medicaid agencies to ensure that Medicaid managed care organizations and Medicaid alternative benefit plans provide mental health or substance use disorder benefits that are no more stringent than those imposed upon... Read more »

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Colorado’s Medicaid Program and Physical Health https://staging.colohealthplans.org/colorados-medicaid-program-and-physical-health/ https://staging.colohealthplans.org/colorados-medicaid-program-and-physical-health/#respond Tue, 01 Dec 2020 17:00:04 +0000 https://staging.colohealthplans.org/?p=1320 Health First, Colorado’s Medicaid program, is a public health insurance program for eligible Coloradans funded jointly by a federal-state partnership. In 2018, Health First Colorado launched the development of the Regional Accountable Entities (RAEs) to help administer Medicaid. The RAE contracts were awarded through a competitive bidding process by the Department of Health Care Policy... Read more »

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