§ 26-1-132. Department of Human Services – Rate Setting – Residential Treatment Service Providers – Monitoring and Auditing – Report

1. In conjunction with the group of representatives convened by the state department pursuant to section 26-5-104 (6)(e), (6)(g), and (6)(i) to review the rate-setting process for child welfare services, the state department shall develop a rate-setting process consistent with medicaid requirements for providers of residential treatment services in Colorado. The department of health care policy and financing shall approve the rate-setting process for rates funded by medicaid. The rate-setting process developed pursuant to this section may include:
   1. A range that represents a base-treatment rate for serving a child who is subject to out-of-home placement due to dependency and neglect, a child placed in a residential child care facility pursuant to the “Children and Youth Mental Health Treatment Act”, article 67 of title 27, or a child who has been adjudicated a delinquent, which includes a defined service package to meet the needs of the child;
   2. A request for proposal to contract for specialized service needs of a child, including but not limited to: Substance use disorder treatment and recovery services, sex offender services, and services for the intellectually and developmentally disabled; and
   3. Negotiated incentives for achieving outcomes for the child as defined by the state department, counties, and providers.
2. In auditing residential treatment providers, the state department shall apply compliance requirements and monitoring functions consistently across all division and monitoring teams.
3. The rate-setting process developed by the state department, counties, and providers and approved by the department of health care policy and financing pursuant to subsection (1) of this section shall include a two- or three-year implementation timeline with implementation beginning in state fiscal year 2008-09.
4. 1. Repealed.
   2. The department of health care policy and financing and the state department, in consultation with the group of representatives convened by the state department pursuant to section 26-5-104 (6)(e) to review the rate-setting process for child welfare services, shall review the rate-setting process every two years and shall submit any changes to the joint budget committee of the general assembly.

Source: L. 2005: Entire section added, p. 115, § 1, effective August 8. L. 2006: (1), (3), and (4) amended, p. 1992, § 19, effective July 1. L. 2007: (1)(a), (3), and (4) amended, p. 618, § 3, effective August 3. L. 2010: (1)(a) amended, (SB 10-175), ch. 188, p. 802, § 71, effective April 29. L. 2016: IP(1), (1)(a), and (4) amended, (SB 16-201), ch. 171, p. 541, § 1, effective May 18. L. 2017: (1)(b) amended, (SB 17-242), ch. 263, p. 1331, § 214, effective May 25; (4)(a) amended, (SB 17-234), ch. 154, p. 521, § 7, effective August 9. L. 2018: (1)(a) amended, (HB 18-1094), ch. 343, p. 2044, § 11, effective June 30. L. 2021: IP(1) amended, (SB 21-278), ch. 344. p. 2244, § 5, effective June 25; (1)(b) amended, (HB 21-1021), ch. 256, p. 1511, § 8, effective September 7.

Editor’s note: Subsection (4)(a)(II) provided for the repeal of subsection (4)(a), effective January 2, 2020. (See L. 2017, p. 521 .)

Cross references: For the legislative declaration in SB 17-242, see section 1 of chapter 263, Session Laws of Colorado 2017.