Statewide Managed Care System | Midpage

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Colorado Revised Statutes (C.R.S.)

Part 4

Statewide Managed Care System

25.5-5-401Short title.25.5-5-402Statewide managed care system - rules - definitions - repeal.25.5-5-403Definitions.25.5-5-404Selection of managed care entities. (Repealed)25.5-5-405Quality measurements. (Repealed)25.5-5-406Required features of managed care system. (Repealed)25.5-5-406.1Required features of statewide managed care system.25.5-5-407State department recommendations - primary care physician program. (Repealed)25.5-5-407.5Prepaid inpatient health plan agreements - rules. (Repealed)25.5-5-407.7Disability care coordination organization - rules. (Repealed)25.5-5-408Capitation payments - availability of base data - adjustments - rate calculation - capitation payment proposal - preference - assignment of medicaid members - definition.25.5-5-409State department - privatization. (Repealed)25.5-5-410Data collection for managed care programs.25.5-5-411Medicaid community mental health services - legislative declaration - administration - rules. (Repealed)25.5-5-412Program of all-inclusive care for the elderly - services - eligibility - rules - legislative declaration - definitions.25.5-5-413Direct contracting with providers - legislative declaration. (Repealed)25.5-5-414Telemedicine - legislative intent.25.5-5-415Medicaid payment reform and innovation pilot program - creation - selection of payment projects - report - rules - legislative declaration.25.5-5-416Report concerning efficient contracting in managed care - legislative declaration - repeal. (Repealed)25.5-5-417Reducing unnecessary duplicative services in the accountable care collaborative program - repeal. (Repealed)25.5-5-418Primary care provider sustainability fund - creation - use of fund - repeal. (Repealed)25.5-5-419Accountable care collaborative - reporting - rules.25.5-5-420Advancing care for exceptional kids.25.5-5-421Parity reporting - state department - public input.25.5-5-422Medication-assisted treatment - limitations on MCEs - definition.25.5-5-423Independent review organization - review denial of residential and inpatient substance use disorder treatment claims - contract.25.5-5-424Residential and inpatient substance use disorder treatment - MCE standardized utilization management process - medical necessity - report.25.5-5-425Audit of MCE denials for residential and inpatient substance use disorder treatment authorization - report.25.5-5-426Managed care entities - behavioral health providers - disclosure of reimbursement rates.25.5-5-427Managed care entities - disclosure of payment and medical loss ratio - definition.