Enhancing Children and Youth Behavioral Health Services

In accordance with Senate Bill 19-195, the Department of Health Care Policy and Financing (Department) will be working to enhance our children and youth behavioral health system. To better serve this population, the Department will be:
  1. Implementing high-fidelity wraparound services for eligible children and youth who are enrolled in Medicaid and at risk of out-of-home placement or in an out-of-home placement.
  2. Designing and recommending a child and youth integrated funding pilot program that addresses the challenges of fragmentation and duplication of behavioral health services.
  3. Participating in work lead by the Colorado Department of Human Services to develop a statewide screening, assessment, and single referral and entry point for children and youth at risk of out of home placement.

Updates

Stakeholder Forum Announcement

Our next stakeholder forum for SB19-195 will be held on March 9, 2020 from 2:00-3:30 pm. This forum will be co-hosted by the Department of Health Care Policy and Financing and the Office of Behavioral Health. The purpose of the meeting will be to present information on the bill, share updates, and facilitate dialogue of stakeholder input. Please register to attend using one of the methods below.

Option 1: Register to attend in person

Register for in person attendance here. The forum will be located at the Department of Health Care Policy and Financing, 303 E 17th Ave., 7th Floor, Conference Room 7ABC, Denver, CO 80203

Please note the meeting is at Health Care Policy and Financing’s 303 E 17th location and not the 1570 Grant location. Also, you have several options for nearby parking. We have free two-hour street parking, metered two-hour parking, and several pay to park lots nearby.

Option 2: Register to attend via webinar

Register for webinar attendance here. Upon registration you will receive a confirmation email with calendar invite that links to the webinar page and telephone call-in instructions.

Reasonable accommodations will be provided upon request for persons with disabilities.  Please notify Brett Snyder at brett.snyder@state.co.us or the 504/ADA Coordinator hcpf504ada@state.co.us at least one week prior to the meeting.

January 2020

  • The Department and the Office of Behavioral Health will jointly host the next SB19-195 stakeholder forum on Monday March 9, 2020 from 2:00-3:30 pm. Location, webinar options, and RSVP details to be announced shortly through the email list. Join the email list here. Links to the presentation materials from the last forum, a recording of the presentation, and meeting minutes noting public comments are available below.
  • The Department is conducting targeted outreach to an array of stakeholder groups. Meetings have occurred to date with: Colorado Department of Public Health and Environment; Colorado Department of Education; Colorado Department of Human Services (CDHS), Collaborative Management Program; CDHS, COACT Leaders; CDHS, Division of Youth Services.
  • Before our next stakeholder meeting, the Department will meet with: CDHS, Division of Child Welfare; County Department of Human Services Leaders; County Collaborative Management Program Leaders; Caregiver and/or youth advisory groups.
  • The Department is starting to gather and examine internally available data and has surveyed COACT leaders to better understand current utilization of services.
  • The Department’s SB19-195 team has been hired. The Department will revisit hiring for one additional position in Spring or Summer 2020. This time frame allows us to identify skills and assets needed in candidates for the final position, so that the team as a whole will bring the diverse skill set required for implementation of the bill.
  • We hope to have exciting updates in the next month about the Concept Paper, conversations with our federal partners, and the vendor procurement for development of the integrated funding model.

December 2019

  • The Department has filled four of the five positions appropriated through SB19-195. The Child and Youth Behavioral Health Specialist is starting in January and the Child and Youth Specialist for the Office of Community Living started this month.
  • The Department and the Office of Behavioral Health jointly hosted the first SB19-195 stakeholder forum on 12.9.19, which was attended by over 60 people. Presentation materials for this forum and a recording of the forum webinar are available below under “Links”.
  • The Concept Paper is expected to be ready to share with CMS and our stakeholders after the new year.
  • After attempting to use an expedited procurement process through the Department’s Project Based Health Care Contracts List, the Department has decided to pursue a lengthier Direct Quote process for procuring a vendor. By using the Direct Quote procurement process, the Department can engage a broader and more competitive vendor pool. The Department is currently developing the Statement of Work and timeline for this contract.
  • Over the past month the Department has conducted meetings with System of Care leaders from 5 other states as part of a national scan of high-fidelity wraparound services, which continues to further broaden the pool of data available to inform design and implementation processes for SB19-195.

Stakeholder Forum Announcement

We are pleased to announce the first stakeholder forum for SB19-195 has been scheduled for Monday, December 9, 2019 from 9 a.m. to 10:30 am at The Department of Health Care Policy & Financing, 303 E 17th Avenue, Denver, CO 80203 (11th Floor, Conference Room 11 B/C).

This forum will be co-hosted by the Department of Health Care Policy & Financing and the Office of Behavioral Health. If interested in attending in person or via webinar, please RSVP through this website

Reasonable accommodations will be provided upon request for persons with disabilities. Please notify Brett Snyder or the 504/ADA Coordinator at least one week prior to the meeting.

November 2019

  • The Project Coordinator and Stakeholder Engagement Specialist are both in place, and the Child and Youth Specialist is due to begin later this month. To lead the unit, the Department has promoted Susanna Snyder, who has served as the Maternal Health Policy Specialist at the Department. Hiring for two other positions continues.
  • The Department has written a Concept Paper, which will be a foundation for and guide to upcoming conversations. The Department is still working to procure a vendor to develop an Integrated Funding Pilot design. Meetings with vendors who submitted bids have started.
  • The Department continues to further broaden the pool of data available to inform design and implementation for SB19-195, including scheduling meetings with System of Care leaders from other states and conducting a Colorado landscape scan of existing services and systems.
  • Stakeholder engagement forums will begin shortly. Announcements about forums will be shared through the email list. Please enroll for our email list by signing up below.

September 2019

  • The Department continues to hire for positions appropriated through the bill. Our new Project Coordinator will begin in mid-September, and the remaining positions have been posted and closed.
  • Our federal partners at CMS received our letter declaring our intention to seek authority to implement high fidelity wraparound. A link to the letter can be found below. The Department will begin regular meetings with CMS after developing a concept paper for the new services.
  • Interviews for our stakeholder engagement specialist will begin in early September. Once hired, this position will be leading stakeholder work. Subscribe to our email list below to receive notifications on upcoming stakeholder meetings.
  • We have started work to procure a contractor that can support development of an integrated funding pilot, per section 25.5-5-804 of the bill.
  • The Department has begun conversations with the Department of Human Services and the Children’s Behavioral Health Subcommittee to ensure strong partnership and alignment across agencies and missions.

August 2019

  • The Department is currently hiring for the positions appropriated to the Department through the bill, which allocates funding for the positions in September 2019.  
  • The Department will be writing a letter to CMS that announces our intent to seek federal authorization to implement wraparound services.
  • The Department will begin stakeholder engagement in Fall 2019. To stay informed, we encourage you to sign up for updates on Children and Youth Behavioral Health Systems Enhancements.

Links

Legislative Bill
SB19-195 CMS Letter
Stakeholder Forum Presentation Slides 12.09.2019
Stakeholder Forum Webinar Recording 12.09.2019
Stakeholder Forum Meeting Minutes 12.09.2019

Stay Informed

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Questions

If you have questions regarding the implementation of Senate Bill 19-195, please complete our Enhancing Children and Youth Behavioral Health Questions Form