The Medicaid Behavioral Health Network is complex with different entities involved. As an independent provider, it can be easy to feel isolated and confused by the system and not fully understanding where the independent provider network fits in to the overall Medicaid behavioral health picture. On this page you'll find historical reports from the various entities involved in the Medicaid behavioral health system so that you can better understand where COMBINE has been and where we're going.
Health First Colorado Member Access to Care
Access Monitoring Review Plan 2019 (on page 111 , HCPF is saying they won't include RAE access data in their Access Monitor Review)
COMBINE Response: Stakeholders suggested including data from Regional Accountable Entities (RAE) and Behavioral Health Organizations (BHO) in this report to provide a full picture of behavioral health access in Colorado.
The Department agrees that reporting on fee-for-service behavioral health alone does not provide a true picture of behavioral health access in Colorado. However, the Department does not believe that including non-fee-for-service data in this report is appropriate. The Department does measure access to behavioral health services through the management of its RAE and BHO contracts and is working on measures to track and report on access to behavioral health services across both fee-for-service and managed care populations.
Questions/Responses from 3.9.22 IPN and HCPF Meeting