SB 25-294

Senate Bill 25-294 is a Colorado law that temporarily removes certain behavioral health services for Medicaid members from the state's managed care program. These services include residential treatment programs and psychiatric facilities, specifically for individuals under the care of county human or social services departments until July 1, 2026. The bill also requires the Department of Health Care Policy and Financing to develop policies by December 1, 2025, to integrate these services back into the managed care system starting in 2026. This affects Medicaid members receiving specialized behavioral health treatment through county social service programs. Since the bill has been signed into law, its provisions are now active and being implemented according to the specified timeline.

Official Summary

The act excludes from the statewide managed care program (program) services for medicaid members in a qualified residential treatment program or a psychiatric residential treatment facility and in the care and custody of a county department of human or social services until July 1, 2026. The act excludes from the program residential child health-care program services in counties that have a written agreement regarding services. No later than December 1, 2025, the act requires the department of health care policy and financing (HCPF), in collaboration with the department of human services, the behavioral health administration, and relevant stakeholders, to develop policies to transition qualified residential treatment programs and psychiatric residential treatment facilities to the statewide managed care system for medicaid members who are in the care and custody of a county department of human or social services (policies). The act requires HCPF to implement the policies no later than July 1, 2026. (Note: This summary applies to this bill as enacted.)

Votes