10 Colo. Code Regs. § 2505-10-8.762

Current through Register Vol. 48, No. 1, January 10, 2025

Section 10 CCR 2505-10-8.762 - CASE MANAGEMENT - MENTAL HEALTH

.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.

10 CCR 2505-10-8.762