Quick Links for Clinic Directors (April 2026)

Health First Colorado Managed Care Provider (RAE) Complaint Form

HCPF Complaint form for COUNTY LEVEL complaints (enrollment, etc)

Division of Insurance Parity Provider complaint form for COMMERCIAL plans (2023)

Colorado Medicaid Standards for Supervision of Unlicensed Professionals

Attestation for Supervision of Unlicensed Professionals and/or Pre-licensed Clinicians

HCPF's Independent Provider Network Forum webpage

MHPAEA PARITY

The Division of Insurance regulates commercial payers.  Read their 2023 policy letter regarding Parity here.

Is Colorado Medicaid subject to federal and state Parity laws?

Yes, Medicaid in Colorado is subject to federal and state Parity laws (MPHAEA) 

See the Executive Summary here from CMS 2017. And see Colorado's state law HB19-1269. 

So Medicaid members are not protected from MHPAEA Parity violations but members of commercial insurance are... ???

What are the Mental Health "Parity" laws all about?

"MHPAEA prohibits covered plans from imposing financial requirements and treatment limitations that are more restrictive for MH/SUD services when compared to medical/surgical." 

Colorado Department of Insurance booklet. Know your rights!

Commissions: Medical (HCPF), Health (DHE), DOI bulletin drafts

DOI Bulletin Drafts for public comment

DOI Notice of Rulemaking Hearings

DOI Page for Providers with Commercial Contracts
(with directions for filing a complaint)

September 2023 DOI advisory: 

"The Division of Insurance strongly encourages providers to respond to its most recent bulletin and the associated website for Behavioral Health Providers. They need your complaint data. Pay close attention to the following directions to make your response as efficient and productive as possible.

1. All responses/complaints must be organized and individualized by insurance company, not issue. This helps DOI best process these as they process directly with each company, instead of having to cull through issue-focused emails to identify which payer is in violation on which issue(s).

Do not send a complaint about "supervisory billing" or "rates" or "credentialing" or "denied claims." Instead, organize your issues by insurance company and send an individual response or complaint for each insurance company. For example, you would have one complaint containing all of your Anthem issues, another one containing all of your United issues, etc.

2. All issues MUST be addressed in one of the following two contexts:

• Evidence of a parity violation between behavioral health and physical health OR

• Evidence of a contradiction between what an insurance company self-attested to the DOI and what a provider or member actually experienced. This second reason is why the DOI made the self-attestations public, so that providers and members can report things that directly violate that which the insurance companies self-attested.

Note: The Division of Insurance does not have the authority to interfere with carrier-provider disputes. It would take a legislative directive to make changes to the DOI's authority. At this time, the DOI's authority exists in two places: (1) Enforcing parity between behavioral health and physical health policies and procedures, and (2) Protecting consumers by pursuing resolutions to complaints made that validate an insurance company is committing a parity or self-attestation violation.

This means that they cannot directly address rates, credentialing, auditing, contracting, claims issues, or any other single issue or topic with an insurance company unless it relates to a parity violation or self-attestation violation.

If so, you can submit your complaint via  https://doi.colorado.gov/for-consumers/file-a-complaint

In 2022, HCPF disclosed that the IPN (COMBINE clinics) provides over 1/2 of outpatient service and more service than the CMHC Centers combined.