Contact Regional Accountable Entities (RAEs) and Managed Services Organizations (MSOs)
In order to receive Medicaid reimbursement for residential and inpatient SUD services in Colorado, providers must be contracted and credentialed with the Regional Accountable Entities. The Department encourages treatment providers to contact the RAEs and Managed Services Organizations to initiate contracting at this time if they have not already done so. MSOs will oversee the reimbursement process for room and board charges associated with SUD services.
Resources and training opportunities for treatment providers
Program staff are finalizing a Provider Manual and revising the Uniform Service Coding Standards Manual to include coding pages for the new SUD residential and inpatient services that will be billable in 2021. The Department and RAEs will also be offering training opportunities for providers this fall. These trainings will include information on how to enroll with Health First Colorado as a residential/inpatient SUD provider, how to bill for the new services, how to use the American Society of Addiction Medicine (ASAM) Criteria to document medical necessity and other topics. Please watch this space for announcements about upcoming training.