The RAEs develop and maintain networks by contracting directly with behavioral health providers. Providers must first be validated with HCPF and credentialed by the RAE in accordance with national standards before providers can be reimbursed for covered behavioral health services. Reimbursement for services is governed by the contract executed by the RAE and the provider. RAEs contract with independent providers as well as community mental health centers, federally qualified health centers, hospitals, substance use disorder providers, rural health centers, non-physician provider groups and providers employed by a primary care medical provider
Provider Credentialing & Contracting in Colorado’s Medicaid Program
