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Benefits Collaborative

Background

 

Colorado Medicaid established the Benefits Collaborative in 2008, in an effort to define its covered services. The Benefits Collaborative serves as the Department's formal coverage standard development process. The Benefits Collaborative is a stakeholder driven process for ensuring that benefit coverage standards are based on the best available clinical evidence; outline the appropriate amount, duration,and scope of Medicaid services and set reasonable limits upon those services; and promote the health and functioning of Medicaid clients.

 

Description

 

To be successful, the Benefits Collaborative must be inclusive and work with all stakeholders in a collaborative manner. In order to be as transparent and inclusive as possible, there has been a dedicated committment to indentifying all possible stakeholders with an interest in helping Colorado Medicaid shape its coverage standards. Since the Benefits Collaborative aims to produce evidencen-based policies guided by best practices, we seek to invite a diverse group of stakeholders - providers, administrators, clients, advocates, policy makers, etc.

 

By looking to nationally accepted clinical guidelines, Colorado Medicaid's benefit coverage standards align with national practice guidelines and promote standards of care and appropriate utilization. The Benefits Collaborative had begun to attact local and national attention as an inclusive way to define coverage services. As a result, we have received feedback and input from and developed working relationships with professional associations, corporations, individual providers, advocates, clients, policy makers, administrators, etc.

 

Process Summary

 

Benefits Collaborative Process Summary  

 

Details 

 

  • The Department will send out electronic invitations to clients, advocates, providers, and other interested stakeholders to participate through public forums and email communications. Please feel free to forward these invitations to other interested individuals. 
  • To track the progress of any Benefit Coverage Standard, please refer to Benefit Coverage Standard Tracker. The Benefit Coverage Standard Tracker will be updated periodically to reflect the progress of coverage standards through the Benefits Collaborative process. 
  • Reasonable accommodations for the meetings will be provided upon request for persons with disabilities.  Please contact the Board Coordinator at least one week prior to the scheduled meeting if you need special arrangements.

 

Contact

 

For information concerning the Benefits Collaborative or to be added to the distribution lists, please contact:

 

Sheeba Ibidunni

Benefit Collaborative Project Manager

Medicaid Program Division

Department of Health Care Policy and Financing

Phone: 303-866-3510

Sheeba.Ibidunni@state.co.us