Colorado Medicaid Behavioral Health Provider Network

COMBINE advocates for a diverse, competent, and sustainable behavioral healthcare workforce.

Counselors - Peers - Marriage and Family Therapists - Addiction Counselors - Psychologists - Social Workers - Pre-licensure Professionals - Interns


Join COMBINE today!

Contribute $49 for advocacy and committee voting rights. COMBINE is a registered nonpartisan nonprofit small donor political committee.  Your contribution is not tax deductible.   Email info@combinebh.org to subscribe to our list, no charge. 


Are you....

  • Part of the independent provider network (IPN) and feel frustrated and alone working within Colorado's Medicaid system? 
  • Interested in becoming part of the IPN, but feel overwhelmed by the process and the challenges your IPN colleagues face in working with Medicaid?

If so, you're in the right place. You are not alone.

Welcome to COMBINE

COMBINE: Colorado Medicaid Behavioral Health Provider Network brings together Coloradans concerned about the delivery of behavioral healthcare for the Medicaid population. COMBINE is a member driven nonpartisan registered small donor political committee advocating for a diverse, competent, and sustainable Medicaid behavioral healthcare workforce in Colorado.  

Members are both professionals that provide Medicaid behavioral healthcare and the public. COMBINE offers mutual aid to members of the IPN and empowers members to advocate for a behavioral healthcare system that includes the IPN. Join us!

What We're Doing

Advocacy

Medicaid members enjoy legal protections and payers and the state possess resources providers lack.  Together we can offer experience and commitment when advocating for the maintenance and improvement of mental healthcare delivery for Colorado.

Education

The world of public healthcare has history, tensions, and a future.  COMBINE educates members about opportunities, rules, policy, and the actors in Colorado that determine our Medicaid behavioral healthcare future. 

Read more about mental health in Colorado on our "News" page or news about insurance companies here.

Endorsements

Administered by both the federal and state governments, and managed by for-profit and non-profit corporations, state level legislators have influence over Medicaid policy.  COMBINE vets and endorses candidates and scores their actions as legislators.

If you're new to COMBINE and want to know more about what we're about, go to our "For New Members" page.

What We've Helped Accomplish

Below is a snapshot of what COMBINE has helped to accomplish. Go here to see a full list of what we've done.

  • We helped draft the Medicaid Rate Report (HB22-1268), introduced by Reps. Amabile and Holtorf, and "The Medicaid Mental Health Care Prior Authorization and Recoupment Regulation" bill (SB22-156) sponsored by Senate President Fenberg. SB22-156 provides protection for providers from recoupment of paid claims, and limits prior authorization for outpatient care.
  • Advocated for dual enrolled Medicaid/Medicare patients to receive care from LPCs, who cannot participate in Medicare. Approved January 2022.
  • HCPF is now meeting with small representative groups from the IPN.
  • HCPF put recoupment limits of 365 days into RAE contracts.
  • As of February 2022, we have established twice-a-month executive level meetings with CCHA, Colorado Access, and Rocky Mountain Health Plans.
  • CCHA stopped their prior authorization requirement, dropped recoupment, and amended their clawback period to 1 year from time of payment.
  • Automatic denials of F64 (gender dysphoria and associated codes) rescinded as of July 1, 2022, manually override of denials required Mar-July 2022.
  • Received clarification from CDPHE, HCPF, OBH, and RAEs, that not all mental healthcare clinics have to apply for expensive Behavioral Health Entity licensing.

What We're Working On

2022 is proving to be an active year for COMBINE. A few of our big campaigns for the 2022 Legislative Session is to pass the Audit Committee Audit Bill, the "Medicaid Rate Report" (HB22-1268) and "The Medicaid Mental Health Care Prior Authorization and Recoupment Regulation" bill. Read more here about what we're working on in 2022 and beyond. Learn how you can get involved by going to our projects table here.

Do you have a complaint for HCPF?

If so, you can submit your complaint via the Health First Colorado Managed Care Provider Complaint Form.


Advocacy Resources


COMBINE analyzed the recommendations in the Blueprint to seek common priorities with the task force.  The spreadsheet for tracking progress is public and displays comments and suggestions.

Events

Upcoming events

  • No upcoming events


Colorado Medicaid Behavioral Health Provider Network

3434 47th Street Suite 130 Boulder CO 80301

303 532 6780 info@combinebh.org


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