Bill > HB1213

This bill proposes several updates to Colorado's Medicaid and healthcare programs. The bill modifies definitions related to qualified individuals, exempts assisted living residences from certain facility guidelines (except during new construction or major renovations), and requires the state department to review and update the general billing manual annually to ensure comprehensive CPT (Current Procedural Terminology) code coverage. It establishes new requirements for the Healthcare Affordability and Sustainability Enterprise, including provisions for public fund transfers and state-directed payment programs. The bill also mandates that managed care entities (MCEs) disclose their payment amounts and medical loss ratios annually, with the state department required to publish this information. Additionally, the bill addresses long-term care for members with permanent disabilities by ensuring continuity of treatment during service changes, limits signature requirements for therapy service plans, and modifies the system of care for children and youth with complex behavioral health needs by adjusting the roles of leadership and implementation teams. The bill aims to improve transparency, efficiency, and service delivery in Colorado's healthcare and Medicaid systems.