What's New

The Uniform Service Coding Standards Manual has been updated and has a new name: the State Behavioral Health Services Billing Manual. The new manual has incorporated new changes and focus from the BHA.  

The Quarterly SUD Utilization Management Report is complete. It can be referenced and reviewed on the SUD webpage.  

New Behavioral Health Crisis Services Provider Enrollment Type  

Effective July 1, 2023, The Behavioral Health Crisis Services, Mobile Crisis Response (MCR) specialty (provider type 95, specialty code 772) will be a new enrollment option available to providers. Providers approved by the Behavioral Health Administration (BHA) to provide MCR services and contracted with their Administrative Service Organization (ASO), and who intend to receive payment from Regional Accountable Entities (RAEs) for mobile crisis response services rendered to Health First Colorado members may enroll as this new provider type.

Please visit the Mobile Crisis Response Webpage for more information. 

Providers may begin the Health First Colorado provider enrollment process June 1, 2023, but MCR claims may not be submitted by Behavioral Health Crisis Services, MCR specialty providers until July 1, 2023, for services rendered on or after July 1, 2023. MCR services rendered prior to July 1, 2023, are not eligible for Health First Colorado reimbursement.  

Visit the Find Your Provider Type webpage and click the “Enrollment Information by Provider Type” button to review the enrollment requirements. Enroll via the provider portal. Contact the Provider Services Call Center with any questions.   

Take Note

Participation Needed July 5 at 2 p.m. for 1115 Waiver Mid-point Assessment 

Please join HCPF on Wednesday, July 5 at the next Quarterly SUD Provider Forum for SUD providers and stakeholders. This one-hour virtual session, led by independent evaluator TriWest, offers participants the opportunity to share feedback about the SUD benefit. A brief overview of the SUD benefit and mid-point assessment will be shared. Register today.

Debunking Myths & Misinformation About Health First Colorado

Did you know… While a license is NOT required to become a Peer Support Service provider, all services rendered to Medicaid members must be performed under the supervision of a licensed clinician in order to receive compensation under Medicaid capitation coverage.  

Other Things Happening in the SUD Space

ASAM Weekly recently reported: There have been improvements in screening for HIV and Hepatitis B/C in Medicaid enrollees receiving MOUD, but a majority are still not getting tested (Clinical Infectious Diseases). Screening for these infections and connecting individuals to treatment presents an opportunity to improve health inequities for members.    

HCPF encourages providers to visit and reference the SAMHSA Providers Clinical Support System (PCSS) page. Providers will find information on the payment program launch to improve access to buprenorphine-trained providers in rural areas. The article provides resources, data, and details related to this ongoing project.