Ensuring a Full Continuum of SUD Benefits

In accordance with House Bill 18-1136, the Department of Health Care Policy and Financing (Department) will be working to provide the full continuum of Substance Use Disorder (SUD) benefits to Health First Colorado (Colorado’s Medicaid program) members. The Department will be adding the inpatient and residential components, including withdrawal management, to the continuum of outpatient SUD services currently available. The Department’s objective is to make these services available for individuals who meet nationally-recognized evidence-based level of care criteria without shifting care from outpatient settings when they are more appropriate.

Section 1115 Waiver Demonstration Application
Summary of Public Comments for the Section 1115 SUD Demonstration Waiver

January 2020 Update

Section 1115 Substance Use Disorder (SUD) Waiver Demonstration Application

The Colorado Department of Health Care Policy and Financing is engaged with the Centers for Medicare and Medicaid Services (CMS) in discussion about the content of the State’s proposed Section 1115 Substance Use Disorder (SUD) waiver demonstration application. The Department is also in the process of amending the Colorado State Plan to include residential and inpatient SUD treatment and withdrawal management services. Tribal notice for the State Plan modifications concluded on January 15, 2020. The Department will submit the draft amendments during January. 

Regional Capacity Stakeholder Meetings 

The Department continues its series of Regional Capacity Meetings during January and February 2020. At these public meetings, the Department will be presenting information on SUD treatment capacity and hearing from community members about the needs in that local area. The regional meetings serve as opportunities for the public to provide input and ask questions about the implementation of coverage for residential and inpatient SUD treatment and withdrawal management services. Attendees may register for the regional meeting of their choice via the RSVP links provided on this webpage.

SUD Implementation Workgroup

The Department convened the SUD Implementation Workgroup on January 15, 2020. The Implementation Workgroup, comprised of representatives from Regional Accountable Entities (RAEs), Managed Services Organizations (MSOs), Colorado Office of Behavioral Health, and Department staff, will address various issues (utilization management, care coordination, provider enrollment/billing, capacity development, provider training and support, etc.) that need to be addressed prior to the introduction in July 2020 of Medicaid coverage for new SUD treatment benefits.

Note: Please be advised that the Department may cancel a meeting due to adverse weather, if anticipated attendance is less than five people, or other factors. Any meeting updates and information will be posted on this webpage.

Schedule of Regional Meetings

December 3, 2019
11:00 am - 1:00 pm
Smoky Hill Public Library
5430 South Biscay Circle
Centennial, CO 80015

RSVP Aurora/Centennial

January 7, 2020
12:30 pm - 2:30 pm
Fairplay Town Hall
901 Main Street
Fairplay, CO 80440

RSVP Fairplay

January 9, 2020
1:30 pm - 3:30 pm
Golden Hotel
800 11th Street
Golden, CO 80401

RSVP Golden

January 17, 2020
9:30 am - 11:30 am
Conference Room 11AB
303 East 17th Avenue, Denver, CO 80203
Call-in: 877-820-7831, Participant Code 946029#
RSVP Denver

January 22, 2020
1:00 pm - 3:00 pm
San Luis Valley Behavioral Health Group
8745 County Road 9 S
Alamosa, CO 81101
Call-in: 877-820-7831, Participant Code 946029#
RSVP Alamosa

January 23, 2020
10:00 am - 12:00 pm
Health Colorado Incorporated
1740 Eagleridge Boulevard, Suite 110
Pueblo, CO 81008
Call-in: 877-820-7831, Participant Code 946029#
Pueblo RSVP

Colorado Springs
February 5, 2020
12:00 pm - 2:00 pm
Pikes Peak Library District - East Library
5550 North Union Boulevard
Colorado Springs, CO 80918
Colorado Springs RSVP 

February 7, 2020
12:30 pm - 2:30 pm
DoubleTree Hotel Durango
501 Camino Del Rio
Durango, CO 81301
Call-in: 877-820-7831, Participant Code 946029#
Durango RSVP

Fort Morgan - CANCELLED
February 11, 2020
11:30 am - 1:30 pm

Fort Collins
February 13, 2020
1:00 pm - 3:00 pm
Hilton Fort Collins
425 West Prospect Road
Fort Collins, CO 80526
Call-in: 877-820-7831, Participant Code 946029#
Fort Collins RSVP

February 20, 2020
12:30 pm - 2:30 pm
Lincoln Community Hospital
111 6th  Street
Hugo, CO 80821

Steamboat Springs - RESCHEDULED
March 20, 2020
10:00am - noon
Commissioners' Hearing Room
522 Lincoln Avenue, 3rd Floor
Steamboat Springs, CO 80477
Call-in: 877-820-7831, Participant Code 946029#
Steamboat Springs RSVP 

Stay Informed        
We encourage you to sign up for updates on SUD Benefits.

If you have questions regarding the 1115 SUD Waiver, Substance Use Disorder benefits for inpatient/residential treatment, or any other topic relating to the SUD Waiver, please complete our SUD Waiver Question Form.