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Legislative Year: 2021 Change

Bill Detail: SB21-278

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Title Reimbursement For Out-of-home Placement Services
Status Governor Signed (06/25/2021)
Bill Subjects
  • Children & Domestic Matters
  • Human Services
House Sponsors L. Herod (D)
Senate Sponsors D. Moreno (D)
House Committee Appropriations
Senate Committee Health and Human Services
Date Introduced 05/18/2021

Joint Budget Committee. The bill makes several changes to the
current child welfare system, including:
  • Ensuring that out-of-home placements in the division of
youth services align with the requirements of the federal
Family First Prevention Services Act to qualify for Title

IV-E reimbursement for such placements;
  • Ensuring appropriate capacity for out-of-home placements
in Colorado;
  • Authorizing a county to negotiate rates above the base
anchor rates established by the state department with
licensed out-of-home placement providers serving children
in higher acuity cases;
  • Requiring the department of human services (department)
to contract with a vendor to update the existing actuarial
analysis to include division of youth services out-of-home
placement providers and new out-of-home placement
provider options under federal law, and to update and fully
implement the existing rate methodology with the updated
provider rates by September 30, 2021;
  • Commencing with the 2022-23 fiscal year, requiring the
department to contract with an independent vendor every
3 years to conduct a new actuarial analysis of all provider
rates for licensed out-of-home placement providers,
including the division of youth services providers, to
update the rate-setting methodology to reflect the new
actuarial analysis, and to implement any adjusted provider
rates by July 1, 2024, and by July 1 of each fiscal year
immediately following the fiscal year in which a new
actuarial analysis results in adjusted rates; and
  • Requiring the use of a portion of the federal Family First
Transition and Support Act funding to be used to support
the transition of current providers to a placement option
that meets the needs of the child or youth and maximizes
federal Title IV-E and medicaid reimbursements.
The bill appropriates $250,000 to the department for use by the
child welfare division for provider rate actuarial services.

Committee Reports
with Amendments
Full Text
Full Text of Bill (pdf) (most recent)
Fiscal Notes Fiscal Notes (09/13/2021) (most recent)  
Additional Bill Documents Bill Documents
  • Past bill versions
  • Past fiscal notes
  • Committee activity and documents
  • Bill History
Lobbyists Lobbyists
Audio [This feature is available by subscription.]  
Votes House and Senate Votes
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