Senate Bill 25-294 Revised

A Bill for an Act

• Page 1, Line 101Concerning residential behavioral health services for

• Page 1, Line 102medicaid members who are in the custody of a county

• Page 1, Line 103department of human or social services.

Bill Summary

(Note: This summary applies to this bill as introduced and does not reflect any amendments that may be subsequently adopted. If this bill passes third reading in the house of introduction, a bill summary that applies to the reengrossed version of this bill will be available at http://leg.colorado.gov/.)

Joint Budget Committee. The bill excludes from the statewide managed care program the services delivered to medicaid members who are in a qualified residential treatment program or a psychiatric residential treatment facility and in the care and custody of a county department of human or social services until July 1, 2026.

No later than December 1, 2025, the bill requires the department of health care policy and financing (HCPF), in collaboration with the department of human services, the behavioral health administration, and relevant stakeholders, to develop policies to transition qualified residential treatment programs and psychiatric residential treatment facilities to the statewide managed care system for medicaid members who are in the care and custody of a county department of human or social services (policies). No later than July 1, 2026, the bill requires HCPF to implement the policies.

• Page 2, Line 1Be it enacted by the General Assembly of the State of Colorado:

• Page 2, Line 2SECTION 1.  In Colorado Revised Statutes, 25.5-5-402, amend (2)(a); and add (2)(c) as follows:

• Page 2, Line 325.5-5-402.  Statewide managed care system - rules -

• Page 2, Line 4definitions - repeal. (2)  The statewide managed care system implemented pursuant to this article 5 does not include:

• Page 2, Line 5(a)  The services delivered under pursuant to the residential

• Page 2, Line 6child health-care program described in section 25.5-6-903; except in those

• Page 2, Line 7counties in which there is a written agreement between the county

• Page 2, Line 8department of human or social services, the designated and contracted

• Page 2, Line 9MCE responsible for community behavioral health care, and the state department;

• Page 2, Line 10(c) (I)  The services delivered in a qualified residential

• Page 2, Line 11treatment program, as defined in section 26-5.4-102, or in a

• Page 2, Line 12psychiatric residential treatment facility, as defined in section

• Page 2, Line 1325.5-4-103, to members who are in the care and custody of a county department of human or social services.

• Page 2, Line 14(II)  This subsection (2)(c) is repealed, effective July 1, 2026.

• Page 2, Line 15SECTION 2.  In Colorado Revised Statutes, 25.5-5-202, add (5)

• Page 2, Line 16as follows:

• Page 3, Line 125.5-5-202.  Basic services for the categorically needy - optional

• Page 3, Line 2services - repeal. (5) (a)  No later than December 1, 2025, the state

• Page 3, Line 3department shall, in collaboration with the department of

• Page 3, Line 4human services, the behavioral health administration, and

• Page 3, Line 5relevant stakeholders, develop policies to transition qualified

• Page 3, Line 6residential treatment programs, as defined in section 26-5.4-102,

• Page 3, Line 7and psychiatric residential treatment facilities, as defined in

• Page 3, Line 8section 25.5-4-103, to the statewide managed care system, part

• Page 3, Line 94 of this article 5, for members who are in the care and custody

• Page 3, Line 10of a county department of human or social services. The policies

• Page 3, Line 11may include improving discharge planning, connection across

• Page 3, Line 12systems, standard utilization management policies, and step-down service plans.

• Page 3, Line 13(b)  No later than July 1, 2026, the state department shall

• Page 3, Line 14implement the policies developed pursuant to subsection (5)(a) of this section.

• Page 3, Line 15(c)  This subsection (5) is repealed, effective July 1, 2027.

• Page 3, Line 16SECTION 3.  Safety clause. The general assembly finds,

• Page 3, Line 17determines, and declares that this act is necessary for the immediate

• Page 3, Line 18preservation of the public peace, health, or safety or for appropriations for

• Page 3, Line 19the support and maintenance of the departments of the state and state institutions.