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HB24-1086

Operation of Denver Health & Hospital Authority

Concerning the operation of the Denver health and hospital authority.
Session:
2024 Regular Session
Subject:
Health Care & Health Insurance
Bill Summary

Current law requires the department of health care policy and financing (department) to offer to enter into a direct contract with the managed care organization (MCO) operated by or under the control of the Denver health and hospital authority (Denver health) until Denver health ceases to operate a medicaid managed care program or until June 30, 2025. The bill removes the option for the department to enter into a direct contract until June 30, 2025, and instead requires the department to enter into the contract until Denver health ceases to operate a managed care program from July 1, 2025, until June 30, 2032, as long as the MCO meets all MCO criteria required by the department . If the department designated a managed care entity (MCE) other than the MCO operated by Denver health to manage behavioral health-care services, the bill requires Denver health to collaborate with the MCE during the term of the contract.

The bill prohibits the MCO from reimbursing contracted medicaid providers at rates that are higher than the department's medicaid fee for service rates unless the provider enters into a quality incentive agreement with the MCO. The bill requires the MCO's contract to provide physical and behavioral health-care services to the population it serves.

For the 2023-24 state fiscal year, the department distributed money appropriated for a supplemental state payment to Denver health. The bill authorizes the department to continually distribute any money appropriated for payment to Denver health.

(Note: Italicized words indicate new material added to the original summary; dashes through words indicate deletions from the original summary.)


(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)

Status

Introduced
Under Consideration

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Bill Text

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