C.R.S. Section 27-50-108
Systemwide behavioral health grievance system

(1)

Intentionally left blank —Ed.

(a)

On or before July 1, 2024, the BHA shall create and implement a process for collecting, analyzing, and addressing behavioral health system grievances across payers, behavioral health administrative services organizations, managed care entities, and providers at a systemic level that leverages and does not duplicate existing grievance resolution programs. The BHA shall analyze grievances to identify and address service delivery gaps and to inform statewide behavioral health system policy.

(b)

The BHA shall, at a minimum, track grievances by behavioral health provider, topic, region, managed care entity, behavioral health administrative services organizations, payer source, service, or diagnosis and aggregate demographic data. In order to promote transparency, accountability, and system collaboration, the BHA shall publish, at least annually, aggregated and anonymized data on grievances on a public-facing website.

(c)

The BHA shall implement a plan to streamline grievance resolution programs, promote transparency, improve consumer experience, and promote clarity and transparency.

(2)

On or before July 1, 2024, the BHA shall solicit input from the behavioral health administration advisory council created pursuant to section 27-50-701, the sub-committees created pursuant to section 27-50-703, and demographically diverse stakeholders to develop a process for addressing individual grievances when traditional grievance programs fail.

(3)

The BHA may refer individual grievances to the office of the ombudsman for behavioral health access to care, created pursuant to section 27-80-303, when an individual may require further intervention or support to resolve the grievance in accordance with the charge of the ombudsman.

(4)

On or before July 1, 2024, the BHA and state agencies shall execute formal data-sharing agreements addressing data sharing consistent with state and federal requirements, cooperation between the BHA and state agencies, and any other provisions necessary to implement this section. At a minimum, the BHA and the following entities shall execute such agreements:

(a)

The ombudsman for medicaid managed care, established in section 25.5-5-406.1;

(b)

The ombudsman for behavioral health access to care, designated pursuant to section 27-80-303; and

(c)

The child protection ombudsman, appointed pursuant to section 19-3.3-103. All data released by the ombudsman shall comply with section 19-3.3-103 (1)(a)(I)(B) and (3).

(5)

The BHA may promulgate rules as needed to implement this section.

Source: Section 27-50-108 — Systemwide behavioral health grievance system, https://leg.­colorado.­gov/sites/default/files/images/olls/crs2023-title-27.­pdf (accessed Oct. 20, 2023).

27‑50‑101
Definitions 27‑50‑102
Behavioral health administration - creation - coordination - health oversight agency 27‑50‑103
Behavioral health commissioner - appointment - powers, duties, and functions - subdivisions of the BHA 27‑50‑104
Powers and duties of the commissioner - rules 27‑50‑105
Administration of behavioral health programs - state plan - sole mental health authority - gifts, grants, or donations 27‑50‑106
Transfer of functions 27‑50‑107
State board of human services - rules 27‑50‑108
Systemwide behavioral health grievance system 27‑50‑201
Behavioral health system monitoring - capacity - safety net performance 27‑50‑202
Formal agreements - state agencies and tribal governments 27‑50‑203
Universal contracting provisions - requirements 27‑50‑204
Reporting 27‑50‑301
Behavioral health safety net system implementation 27‑50‑302
Requirement to serve priority populations - screening and triage for individuals in need of behavioral health services - referrals 27‑50‑303
Essential behavioral health safety net providers - approval to serve limited priority populations 27‑50‑304
Behavioral health safety net provider network - incentives - preferred status - rules 27‑50‑401
Regional behavioral health administrative services organizations - establishment 27‑50‑402
Behavioral health administrative services organizations - application - designation - denial - revocation 27‑50‑403
Behavioral health administrative services organizations - contract requirements - individual access - care coordination 27‑50‑404
Care coordination - responsibilities of behavioral health administrative services organizations - coordination with managed care entities 27‑50‑405
Behavioral health administrative services organizations - stakeholder input - report - rules 27‑50‑501
Behavioral health entities - license required - criminal and civil penalties 27‑50‑502
Behavioral health entities - minimum standard - rules 27‑50‑503
Licenses - application - inspection - issuance 27‑50‑504
License fees - rules 27‑50‑505
License - denial - suspension - revocation 27‑50‑506
Behavioral health licensing cash fund - creation 27‑50‑507
Employee and contracted service provider - criminal history record check 27‑50‑508
Enforcement 27‑50‑509
Purchase of services by courts, counties, municipalities, school districts, and other political subdivisions 27‑50‑510
Behavioral health entities - consumer information - reporting - release - rules 27‑50‑601
Department of health care policy and financing - behavioral health network standards 27‑50‑602
Division of insurance behavioral health network standards 27‑50‑603
State agency behavioral health network and program standards 27‑50‑701
Behavioral health administration advisory council - creation 27‑50‑702
Advisory council - membership 27‑50‑703
Advisory council - regional subcommittees - subcommittees - working groups 27‑50‑801
Veteran suicide prevention pilot program - rules - report - definitions - repeal 27‑50‑802
Study of health effects of felonizing fentanyl possession - repeal 27‑50‑803
Technical assistance to jails - appropriation - repeal 27‑50‑901
Short title 27‑50‑902
Definitions 27‑50‑903
Sixth through twelfth grade mental health screening program - created - rules
Green check means up to date. Up to date

Current through Fall 2024

§ 27-50-108’s source at colorado​.gov