Regional Accountable Entitites (RAEs)

​RAE Stakeholder Meetings:  Mental Health Advocates Are Anxious to Try Them Out

What We Like About the Regional Accountable Entities Model
  • It's More Inclusive of People with Disabilities
  • It's Data Driven
  • It has some sticks, and a lot of carrots

It's Always Amazing the Talent that Exists within CO State Government -- 
  • Both to accomplish exceedingly worthy goals; and
  • Resist Complying with the LAW when they don't feel like complying with the LAW.

So we are bringing up RAEs because Mental Health Advocates are bringing up RAEs.

We understand that there is an upcoming stakeholder meeting for Region 4 and 5 through Colorado Access.
  • So we think some mental health advocates may try to address the "Too Dangerous To Treat" vs. "Too Difficult To Treat" issue at a RAE Stakeholder Meeting.
  • There is also interest in seeing the issue addressed in the upcoming contracts.
  • And as previously stated we think the issue needs to be addressed in regulation.

Question:  Is an RAE Stakeholder Meeting an appropriate venue to bring up CO Medicaid's Compliance with Olmstead?

See CRS 25.5-5-419 
Accountable Care Collaborative

(3) On or before December 1, 2017, and on or before December 1 each year thereafter, the state department shall prepare and submit a report to the joint budget committee, the public health care and human services committee of the house of representatives, and the health and human services committee of the senate, or any successor committees, concerning the implementation of the accountable care collaborative.

Notwithstanding the provisions of section 24-1-136 (11)(a)(I), the report required pursuant to this subsection (3) continues indefinitely.

At a minimum, the state department's report must include the following information concerning the accountable care collaborative:

(a) The number of medicaid clients enrolled in the program;

(b) Performance results with an emphasis on member health impacts;

(c) Current administrative fees and costs for the program;

(d) Fiscal performance;

(e) A description of activities that promote access to services for medicaid members in rural and frontier counties;

(f) A description of the state department's coordination with entities that authorize long-term care services for medicaid clients;

(g) Information on any advisory committees created, including the participants, focus, stakeholder feedback, and outcomes of the work of the advisory committees;

(h) Future areas of program focus and development, including, among others, a plan to study the costs and benefits of further coverage of substance use disorder treatment; [How Does this Relate to the Mental Health Parity & Addiction Equity Act?] and

(i) Information concerning efforts to reduce medicaid waste and inefficiencies through the accountable care collaborative, including:

(I) The specific efforts within the accountable care collaborative, including a summary of technology-based efforts, to identify and implement best practices relating to cost containment; reducing avoidable, duplicative, variable, and inappropriate uses of health care resources; and the outcome of those efforts, including cost savings, if known;

(II) Any statutes, policies, or procedures that prevent regional entities from realizing efficiencies and reducing waste within the medicaid system; and

(III) Any other efforts by regional entities or the state department to ensure that those who provide care for medicaid clients are aware of and actively participate in reducing waste within the medicaid system.