Medicaid State Plan Amendments

Covers targeted case management for children, youth, and young adults ages 0-21 with either a serious mental illness (SMI), serious emotional disturbance (SED), or intellectual/developmental disability (I/DD), and their families.

Provides authority to move parent support partner services to EPSDT from the behavioral health 1915.

This plan amendment proposes to provide a 2.84% COLA for OASAS freestanding outpatient services, Part 820 residential services, freestanding residential medically supervised withdrawal, and freestanding residential rehabilitation.

This plan amendment proposes to increase the CFTSS Children’s Medicaid rates by 2.84% for the Cost of Living Adjustment (COLA).

This Amendment approves the newly implemented iServe electronic application.

This plan amendment will continue to provide periodic supplemental payments in Fiscal Year 2025 to Medicaid-enrolled physician groups.

This amendment adopts provisions governing incurred medical and remedial care expenses in the determination of financial eligibility for the Medical Assistance Program in order to deduct expenses incurred for necessary medical and remedial care, subject to the reasonable limits, from the individual's income when calculating patient liability to an institution and to limit the time institutions have to report these expenses.

This amendment defines and authorize reimbursement for Community Health Workers (CHW) by Health First Colorado as providers of CHW services.

This plan amendment is updating the reimbursement re-basing schedule for Federally Qualified Health Centers.

This amendment waives the Recovery Audit Contractor (RAC) Program.