Code of Colorado Regulations
2505 - Department of Health Care Policy and Financing
2505 - Medical Services Board (Volume 8; Medical Assistance, Children's Health Plan)
10 CCR 2505-10-8.700 - MEDICAL ASSISTANCE - SECTION 8.700 Federally Qualified Health Centers, Women's Health Services
Section 10 CCR 2505-10-8.762 - CASE MANAGEMENT - MENTAL HEALTH
Current through Register Vol. 47, No. 5, March 10, 2024
.10 Case Management Services - Mental Health are a Medicaid benefit statewide when provided in accordance with the provisions of the following sections.
.20 DEFINITION
Case Management Services are defined as those services which will assist mentally ill individuals eligible under the state plan, in gaining access to needed medical, social educational, and other services. These services are separate from those services defined under the clinic options services in Section 8.750.
.30 DETERMINATION OF CLIENT ELIGIBILITY
In addition to Medicaid eligibility, individuals must be determined by the community mental health centers to be mentally ill (see section 8.400 b.) and in need of case management services as defined above.
.40 PROVIDER ELIGIBILITY
Only community mental health centers and clinics designated by the Department of Institutions and licensed by the Department of Health shall be reimbursed for case management services under these provisions.
.50 REIMBURSEMENT
Reimbursement shall be on a prospective fee for services basis in accordance with Federal requirements at 42 CFR 447.321 and Section 8.752.