Substance Use Disorder Stakeholder Newsletter 
February 25, 2020
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This newsletter provides updates from the  Department of Health Care Policy & Financing (the Department) on implementation of House Bill (HB) 18-1136 and  is distributed periodically during the benefit development process .   

For more information about Substance Use Disorder (SUD) benefits, please email our team.

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Information for Providers - NEW!!
In upcoming newsletters, we will be highlighting information relevant to SUD providers that plan to offer residential and inpatient SUD services in Colorado through Medicaid funding. Information on enrollment with the Department and billing and coding information will be featured along with other important information about the new service coverage. Please look for this feature in upcoming SUD updates and newsletters.

RAE Communication

At this time, we encourage providers interested in receiving Medicaid reimbursement for residential and inpatient SUD treatment and withdrawal management services to reach out to the Regional Accountable Entities (RAEs) and Managed Service Organizations (MSOs) to discuss the credentialing and contracting process. Contact information for each RAE can be found on the Department's Accountable Care Collaborative Phase II webpage. Providers may choose to contact their local RAE or other RAEs throughout the state if they plan to serve populations state-wide. Please visit this webpage for MSO contact information. MSOs contract with providers to serve the non-Medicaid, indigent population in Colorado. Providers receiving Medicaid funding for residential SUD services will need to contract with RAEs to receive payment for treatment services and MSOs to receive payment for room and board cost associated with those stays.

ASAM Alignment and Training
Providers are also encouraged to acquaint, or reacquaint, their staff with the American Society of Addiction Medicine (ASAM) criteria. ASAM criteria will be utilized as the basis for the management of SUD benefits covered by Health First Colorado. Additionally, it is the foundation for the state's SUD treatment program licensure rules. The Colorado Office of Behavioral Health (OBH) is in the process of aligning its licensure rules more closely with ASAM criteria. Residential and inpatient providers are encouraged to review ASAM criteria and consider how their programs are aligned with the criteria in anticipation of licensure changes. Provider agencies should also ensure relevant staff are trained in the ASAM criteria. OBH partnered with Signal Behavioral Health to make ASAM training available at no cost for a limited number of staff in provider agencies. As of February, over 150 participants across the state have been registered in trainings. Training components #2 and #3 are scheduled to be offered in March. Providers are encouraged to enact plans to ensure that all staff needing ASAM training have completed relevant training by July 2020.

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Federal Approval Process Update
Prior to the opening of coverage for SUD residential and inpatient services, the state must receive approval from the Centers for Medicare and Medicaid Services (CMS) for three components that will authorize coverage for SUD services in residential and inpatient settings. Those authorities include the State Plan, 1115 waiver and 1915(b) waiver. Each item authorizes a component of the services or service delivery system. The State is engaged with CMS in discussion of each of those components and is working toward obtaining approval for all components in advance of the target benefit opening date of July 2020.

SUD Capacity Assessment and Planning
To date, the Department has completed nine of eleven Regional SUD Capacity Stakeholder Meetings scheduled through March 2020. At these public meetings, the Department is presenting information on SUD treatment capacity, hearing from community members about the needs in the local area, as well as collecting input from the public regarding the new benefits for residential and inpatient SUD treatment and withdrawal management services. The Department's data analytics unit also continues to develop maps to reflect supply and demand of SUD services across the state. After capacity assessment activities are concluded, a capacity expansion plan will be developed in conjunction with OBH, RAEs, MSOs and external consultants. This plan will document gaps in the SUD service continuum and propose plans for the use of existing resources to address deficiencies. Presentation slides for these meetings are available on our website.  Meeting minutes including participant input and feedback will be made available in the near future.

Nondiscrimination Policy
The Colorado Department of Health Care Policy & Financing complies with applicable federal and state civil rights laws and does not discriminate on the basis of race, color, ethnic or national origin, ancestry, age, sex, gender, sexual orientation, gender identity and expression, religion, creed, political beliefs, or disability. Learn more about our Nondiscrimination Policy.

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