HB 18-1431 Summary

• Consolidates and reorganizes Colorado's Medicaid managed care provisions by repealing obsolete statutory language and creating a unified statewide managed care system framework aligned with federal regulations.

• Establishes required features for managed care entities (MCEs) including non-discrimination protections, network adequacy standards, culturally competent care delivery, grievance/appeal procedures, and quality assessment programs.

• Implements a statewide system of community behavioral health care with capitated rates for community mental health services, including prevention, treatment, and recovery services for behavioral health disorders.

• Promotes the medical home model of care as a focal point for comprehensive primary care and coordination with specialty providers to improve outcomes and reduce costs.

• Takes effect August 8, 2018, subject to voter approval if a referendum petition is filed within 90 days after final adjournment.