C133415DF2B10754872584FD0067D764 Hearing Summary

Laurel Karabatsos, Deputy Medicaid Director, Department of Health Care Policy and Financing (HCPF), presented on the Accountable Care Collaborative (ACC) and Regional Accountable Entities (RAE) and distributed a handout (Attachment D) to the committee.  She summarized Colorado's Medicaid program and eligibility.  Ms. Karabatsos described how the Medicaid program provides behavioral health services to clients.  She discussed the structure, goals, and objectives of the ACC, including joining physical and behavioral health under one entity.

Ms. Karabatsos described the differing payments structures for physical and behavioral health Medicaid providers.  She discussed Medicaid initiatives regarding prevention support and resources, condition management, and complex care management.  Ms. Karabatsos explained the Medicaid cost trends and health outcome metrics that HCPF tracks.

Ms. Karabatsos explained how the RAEs coordinate primary care medical providers and behavioral health networks, and how the RAEs reimburse providers.  She described the capitated Medicaid behavioral health benefit criteria and the specific services offered through the benefit.  Ms. Karabatsos briefly discussed the Medicaid managed care plans that are available in ten counties in the state.  She described financial performance incentives that are available to RAEs.

Ms. Karabatsos responded to committee questions regarding Medicaid behavioral health provider rates.