10 Colo. Code Regs. § 2505-10-8.019

Current through Register Vol. 47, No. 16, August 25, 2024

Section 10 CCR 2505-10-8.019 - SECURE TRANSPORTATION

8.019.ADEFINITIONS

1. "Behavioral Health" means an individual's mental and emotional well-being and actions that affect an individual's overall wellness. Behavioral health issues and disorders include substance use disorders, serious psychological distress, suicide, and other mental health disorders, and range from unhealthy stress or subclinical conditions to diagnosable and treatable diseases. The term "behavioral health" is also used to describe service systems that encompass prevention and promotion of emotional health and prevention and treatment services for mental health and substance use disorders.

2. "Behavioral Health Crisis" means a significant disruption in a person's mental or emotional stability or functioning resulting in an urgent need for immediate assessment and treatment to prevent a further or serious deterioration in the person's mental or physical health.

3. "Secure Transportation" or "Secure Transportation Services" means urgent transportation services provided to individuals experiencing a Behavioral Health Crisis as further defined at 6 C.C.R. 1011-4: 2.22.

8.019.BCLIENT ELIGIBILITY

1. A Colorado Medicaid member is eligible for Secure Transportation Services if the member is in a Behavioral Health Crisis. A Behavioral Health Crisis may be established by an intervening professional as defined in Section 27-65-102(20), C.R.S.; skilled professional as defined in 2 C.C.R. 502-1; independent professional person as defined in Section 27-65-102(19), C.R.S.; certified peace officer as defined in 4 C.C.R. 901-1, Rule 1(k), Section 21.400.1; or by an Emergency Medical Services (EMS) provider as defined in 6 C.C.R. 1015-3:1, 2.22.

8.019.CPROVIDER ELIGIBILITY

1. A Medicaid enrolled provider that is licensed and meets all requirements set forth at to 6 C.C.R. 1011-4 may provide secure transportation services.

8.019.DCOVERED SERVICES

1. Secure Transportation includes:

a. Transportation of an individual from the community to a facility for treatment and evaluation pursuant to Section 27-65-103 or 27-65-105(1), C.R.S. and Article 65 of Title 27;

b. Transportation of an individual from any location to an approved treatment facility or to a walk-in crisis center that is in operation as part of the behavioral health crisis response system as described in Articles 81 and 82 of Title 27; Section 27-81-106, C.R.S.; or

c. An individual who is receiving transportation across levels of care or to a higher or lower level of care, transportation between any of the following types of facilities:

i. An emergency medical services facility;

ii. A facility designated by the Executive Director of DHS for the treatment and evaluation pursuant to Article 65 of Title 27;

iii. An approved treatment facility, as described in Section 27-81-106, C.R.S.;

iv. A walk-in crisis center that is operating as part of the behavioral health crisis response system; or

v. A behavioral health entity (BHE) licensed with a current twenty-four (24) hour endorsement pursuant to Section 25-27.6-106, C.R.S.

8.019.ENON-COVERED SERVICES

1. Secure Transportation does not include transportation services provided by law enforcement;

a. Except that any member of a co-responder team may provide Secure Transportation Services if that co-responder:

i. Is not law enforcement or personnel employed by or contracted with a law enforcement agency; and

ii. Holds a valid license for Secure Transportation by the county in which the Secure Transportation originates; and

iii. Provides Secure Transportation in a vehicle:

1) With a valid permit issued by the county in which the Secure Transportation originates; and

2) That meets the minimum requirements for Secure Transportation services set forth at 6 CCR 1011-4.

8.019.FPRIOR AUTHORIZATION REQUIREMENTS

1. Prior authorization is not required.

10 CCR 2505-10-8.019

46 CR 10, May 25, 2023, effective 6/15/2023