§ 25.5-5-509. Substance Use Disorder – Prescription Drugs
Notwithstanding any provisions of this part 5 to the contrary, for the treatment of a substance use disorder, in promulgating rules, and subject to any necessary federal authorization, the state board shall authorize reimbursement for at least one federal food and drug administration-approved ready-to-use opioid overdose reversal drug without prior authorization. Source: L. 2018: Entire […]
§ 25.5-5-510. Pharmacy Reimbursement – Substance Use Disorder – Injections
If a pharmacy has entered into a collaborative pharmacy practice agreement with one or more physicians pursuant to section 12-280-602 to administer injectable antagonist medication for medication-assisted treatment for substance use disorders, the pharmacy administering the drug shall receive an enhanced dispensing fee that aligns with the administration fee paid to a provider in a […]
§ 25.5-5-511. Reimbursement for Pharmacists’ Services – Legislative Declaration
The general assembly finds and declares that: Pharmacists are highly trained and educated doctorate-level health-care professionals specializing in the effective use of medications and their outcomes; Pharmacists provide health care throughout the entire health-care system, practicing in community pharmacies, hospitals, provider clinic offices, and specialty areas; With ninety percent of Americans living within five miles […]
§ 25.5-5-512. Pharmacy Benefit – Mental Health and Substance Use Disorders – Legislative Declaration
The general assembly finds and declares that: It is estimated that over one million Coloradans experience a mental health or substance use disorder each year, yet less than half of the adult population in this state receives the care it needs; It is well documented that access to appropriate treatments, including medication, can lead to […]
§ 25.5-5-801. Legislative Declaration
The general assembly finds and declares that: In order to provide quality behavioral health services to families of children and youth with behavioral health challenges, behavioral health services should be coordinated among state departments and political subdivisions of the state and should be culturally competent, cost-effective, and provided in the least restrictive settings; The behavioral […]
§ 25.5-5-802. Definitions
As used in this part 8, unless the context otherwise requires: “At risk of out-of-home placement” means a child or youth who is eligible for medical assistance pursuant to articles 4, 5, and 6 of this title 25.5 and the child or youth: Has been diagnosed as having a mental health disorder, as defined in […]
§ 25.5-5-803. High-Fidelity Wraparound Services for Children and Youth – Federal Approval – Reporting
Subject to available appropriations, the state department shall seek federal authorization from the federal centers for medicare and medicaid services to provide wraparound services for eligible children and youth who are at risk of out-of-home placement or in an out-of-home placement. Prior to seeking federal authorization, the state department shall seek input from relevant stakeholders […]
§ 25.5-5-804. Integrated Funding Pilot
Subject to available appropriations, the state department, in conjunction with the department of human services, counties, and other relevant departments, shall design and recommend a child and youth behavioral health delivery system pilot program that addresses the challenges of fragmentation and duplication of behavioral health services. The pilot program shall integrate funding for behavioral health […]
§ 25.5-5-502. Unused Medications – Reuse – Rules – Definition
As used in this section, unless the context otherwise requires, “medication” means prescription medication that is not a controlled substance. A pharmacist participating in the medical assistance program may accept unused medication from a licensed facility, as defined in section 12-280-135 (1)(b), or a licensed health-care provider for the purpose of dispensing the medication to […]
§ 25.5-5-503. Prescription Drug Benefits – Authorization – Dual-Eligible Participation
The state department is authorized to ensure the participation of Colorado medical assistance recipients, who are also eligible for medicare, in any federal prescription drug benefit enacted for medicare recipients. Prescribed drugs shall not be a covered benefit under the medical assistance program for a recipient who is eligible for a prescription drug benefit program […]