Second Regular Session
Seventy-third General Assembly
STATE OF COLORADO
REVISED
This Version Includes All Amendments Adopted
on Second Reading in the Second House
LLS NO. 22-0459.01 Carolyn Kampman x4959
HOUSE BILL 22-1173
House Committees Senate Committees
Appropriations Appropriations
A BILL FOR AN ACT
C
ONCERNING A SUPPLEMENTAL APPR OPRIATION TO THE DEPARTMENT101
OF HEALTH CARE POLICY AND FINANCING .102
Bill Summary
(Note: This summary applies to this bill as introduced and does
not reflect any amendments that may be subsequently adopted. If this bill
passes third reading in the house of introduction, a bill summary that
applies to the reengrossed version of this bill will be available at
http://leg.colorado.gov
.)
Supplemental appropriations are made to the department of health
care policy and financing.
Be it enacted by the General Assembly of the State of Colorado:1
SENATE
2nd Reading Unamended
February 16, 2022
HOUSE
3rd Reading Unamended
February 10, 2022
HOUSE
2nd Reading Unamended
February 9, 2022
HOUSE SPONSORSHIP
McCluskie, Herod, Ransom, Bacon, Bernett, Bird, Boesenecker, Cutter, Duran, Esgar,
Exum, Hooton, Jodeh, Kipp, Lontine, Michaelson Jenet, Mullica, Ricks, Snyder, Titone,
Valdez A., Woodrow, Young
SENATE SPONSORSHIP
Moreno, Hansen, Rankin
Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
Capital letters or bold & italic numbers indicate new material to be added to existing law.
Dashes through the words or numbers indicate deletions from existing law. SECTION 1. Appropriation to the department of health care1
policy and financing for the fiscal year beginning July 1, 2021. In2
Session Laws of Colorado 2021, section 2 of chapter 504, (SB 21-205),3
amend Part V as follows:4
Section 2. Appropriation.5
1173
-2- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
PART V 1
DEPARTMENT OF HEALTH CARE POLICY AND FINANCING 2
3
(1) EXECUTIVE DIRECTOR'S OFFICE 4
(A) General Administration 5
Personal Services
6
S
ERVICES
12a
7 44,938,868
8 47,459,421
9 (541.4 FTE)
10 (590.9 FTE)
Health, Life, and Dental
11
D
ENTAL
12b
12 6,863,806
13 7,208,595
1173
-3- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Short-term Disability
1
D
ISABILITY
12c
2 102,458
3 106,047
S.B. 04-257 Amortization 4
Equalization Disbursement
5
D
ISBURSEMENT
12d
6 2,360,586
7 2,472,763
S.B. 06-235 Supplemental 8
Amortization Equalization 9
Disbursement
10
D
ISBURSEMENT
12e
11 2,360,586
12 2,472,763
Salary Survey 13 1,273,930
PERA Direct Distribution 14 1,077,009
Workers' Compensation 15 160,589
1173
-4- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Operating Expenses
1
E
XPENSES
12f
2 2,600,669
3 2,873,637
Legal Services 4 1,172,759
Administrative Law Judge 5
Services 6 807,180
Payment to Risk 7
Management and Property 8
Funds 9 173,686
Leased Space
S
PACE
12g
10 2,790,748 11 3,017,349
Capitol Complex Leased 12
Space 13 651,086
Payments to OIT 14 8,470,924
15 8,174,764
1173
-5- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
CORE Operations 1 112,780
General Professional 2
Services and Special 3
Projects
13
P
ROJECTS
13, 13a
4 20,596,523 5 51,453,397
6 96,514,187
36,013,200 10,655,931
a
2,392,563
b
47,452,493
(I)
7 130,667,755 27,732,713
a
64,529,279(I)
8
1173
-6- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
a
Of this amount, $17,076,782
SHALL BE FROM THE
H
OME
-
AND
C
OMMUNITY
-
BASED
S
ERVICES
I
MPROVEMENT
F
UND CREATED IN
S
ECTION
25.5-6-1805
(1),
C.R.S., $8,586,603 shall be 1
from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5- 4-402.4 (5)(a), C.R.S., $500,000 sha ll be from the Nursing Home Penalty Cash Fund created 2
in Section 25.5-6-205 (3)(a), C.R.S., $381,983 shall be from the Me dicaid Nursing Facility Cash F und created in Section 25.5-6- 203 (2)(a), C.R.S., $267,397 shall be from the Adult 3
Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., $257, 628 shall be from the Intellectual and Developmental Disab ilities Services Cash Fund created in Section 25.5-10-207 4
(1), C.R.S., $195,136 shall be from the Primary Care Fund cr eated in Section 24-22-117 (2)(b)(I), C.R.S., $166,355 shall be fro m the Children's Basic Health Plan Trust created in Section 5
25.5-8-105 (1), C.R.S., $76,467 shall be from an intergovernmental transfer from the University of Colorado School of Medicine, $64,784 shall be from the Service Fee Fund created 6
in Section 25.5-6-204 (1)(c)(II), C.R.S., $60,458 shall be from esta te recoveries,$51,310 shall be from the Colorado Autism Tre atment Fund created in Section 25.5-6-805 (1), C.R.S., 7
and $47,810 shall be from the Breast and Cervical Cancer Prevention and Treatment Fund created in Section 25.5-5-308 (8)(a)(I), C.R.S. 8
b
Of this amount, $890,057 shall be from statewide indirect cost recoveries, $845,835 shall be transferred from the Colorado Ben efits Management System, Health Care and Economic 9
Security Staff Development Center line item appropriation in this department, $435,291 shall be transferred from the Department of Higher Education from the Fee-for-service Contracts 10
with State Institutions for Speciality Education Programs line item, and $221,380 shall be transferred from the Department of H uman Services from the Health Care and Economic Security 11
Staff Development Center line item appropriation. 12
13
14
15
1173
-7- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(B) Transfers to/from Other Departments 1
Transfer to Department of 2
Education for Public School 3
Health Services 4 193,926 96,962(M) 96,964
Transfer from Department 5
of Human Services for 6
Nurse Home Visitor 7
Program 8 3,010,0001,505,000
a
1,505,000(I)
Transfer to Department of 9
Local Affairs for Host 10
Home Regulation 11 133,445 66,722(M) 66,723
Transfer to Department of 12
Local Affairs for Home 13
Modifications Benefit 14
Administration 15 296,989 148,495(M) 148,494
1173
-8- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Transfer to Department of 1
Public Health and 2
Environment for Facility 3
Survey and Certification 4 8,507,461 3,163,819(M) 5,343,642
Transfer to Department of 5
Public Health and 6
Environment for Prenatal 7
Statistical Information 8 5,887 2,944(M) 2,943
Transfer to Department of 9
Regulatory Agencies for 10
Nurse Aide Certification 11 324,041 147,369(M) 14,652
b
162,020
Transfer to Department of 12
Regulatory Agencies for 13
Regulation of Medicaid 14
Transportation 15 103,503 66,00337,500(I)
1173
-9- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Transfer to Department of 1
Regulatory Agencies for 2
Reviews 3 3,750 1,875(M) 1,875
4 12,579,002
5 a
This amount shall be transferred from the Department of Huma n Services from the Nurse Home Visitor Program line item appropria tion. 6
b
This amount shall be transferred from the Department of Regulatory Agencies from the Payments to Department of Health Care Poli cy and Financing line item appropriation. 7
8
(C) Information Technology Contracts and Projects 9
Medicaid Management 10
Information System 11
Maintenance and Projects
12
P
ROJECTS
13b
13 89,189,774
15,254,694 6,694,114
a
12,204
b
67,228,762
(I)
14 99,897,467 12,047,960
a
72,582,609(I)
1173
-10- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Colorado Benefits 1
Management Systems, 2
Operating and Contract 3
Expenses
14, 15
4 47,868,322 10,862,506(M) 5,553,164
c
1,637
b
31,451,015
Colorado Benefits 5
Management Systems, 6
Health Care and Economic 7
Security Staff Development 8
Center
14
9 2,005,074 634,715(M) 354,194
d
73
b
1,016,092
Office of eHealth 10
Innovations Operations 11 6,465,845 3,372,367 3,093,478(I)
12(3.0 FTE)
All-Payer Claims Database 13 3,795,498 2,962,231833,267(I)
14 149,324,513
15 160,032,206
1173
-11- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
1
2
a
Of this amount, $5,860,968 shall be from the Healthcare Affordab ility and Sustainability Fee Cash Fund created in Section 25.5 -4-402.4 (5)(a), C.R.S., $5,353,846
SHALL BE FROM THE
3
H
OME
-
AND
C
OMMUNITY
-
BASED
S
ERVICES
I
MPROVEMENT
F
UND CREATED IN
S
ECTION
25.5-6-1805
(1),
C.R.S., $711,203 shall be from the Children's Basic Health Plan Trust created in 4
Section 25.5-8-105 (1), C.R.S., and $121,943 shall be from the Department of Health Care Policy and Financing Cash Fund created in Section 25.5-1-109, C.R.S. 5
b
These amounts shall be transferred from the Old Age Pension State Medical Program line item appropriation in the Other Medical Services division of this department. 6
c
Of this amount, $5,096,032 shall be from the Healthcare Affordab ility and Sustainability Fee Cash Fund created in Sec tion 25.5-4-402.4 (5)(a), C.R.S., and $457,132 shall be from 7
the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S. 8
d
Of this amount, $333,908 shall be from the Healthcare Affordability and Sustainab ility Fee Cash Fund created in Section 25.5-4-402. 4 (5)(a), C.R.S. and $20,286 shall be from the 9
Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S. 10
11
(D) Eligibility Determinations and Client Services 12
Contracts for Special 13
Eligibility Determinations 14 5,890,755 1,129,071(M) 1,269,068
a
3,492,616
County Administration 15 103,297,536 15,285,529(M) 22,530,491
b
65,481,516
1173
-12- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Medical Assistance Sites 1 1,531,968 402,984
c
1,128,984(I)
Administrative Case 2
Management 3 869,744 434,872(M) 434,872
Customer Outreach 4 3,461,071 1,393,915(M) 336,621
c
1,730,535
Centralized Eligibility 5
Vendor Contract Project 6 5,053,644
1,745,342
c
3,308,302
(I)
7 6,332,292 2,384,666
c
3,947,626(I)
Connect for Health 8
Colorado Eligibility 9
Determinations 10 9,653,251
3,798,350
d
5,854,901
(I)
11 11,919,481 5,345,159
d
6,574,322(I)
Eligibility Overflow 12
Processing Center 13 1,853,731 277,689(M) 185,744
c
1,390,298
Returned Mail Processing 14 3,298,808 985,808(M) 244,919
e
111,942
f
1,956,139
1173
-13- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Work Number Verification 1 3,305,114 1,089,815(M) 545,013
c
1,670,286
2 138,215,622
3 141,760,500 4
a
Of this amount, $1,264,068 shall be from the Healthcare Affordab ility and Sustainability Fee Cash Fund created in Section 25.5 -4-402.4 (5)(a), C.R.S., and $5,000 shall be from the 5
Colorado Autism Treatment Fund created in Section 25.5-6-805 (1), C.R.S. 6
b
Of this amount, $16,671,232(I) shall be from local funds and $5,859,259 shall be from the Healthcare Affordability and Sustain ability Fee Cash Fund created in Section 25.5-4-402.4 7
(5)(a), C.R.S. 8
c
These amounts shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)( a), C.R.S. 9
d
This amount represents public funds certified as expenditures incurred by Connect for Health Colorado that are eligible for fe deral financial participation under the Medicaid program. 10
e
Of this amount, $206,183 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4 -402.4 (5)(a), C.R.S. and $38,736 shall be from the 11
Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S. 12
f Of this amount, $111,929 shall be transferred from the Department of Human Services from the Colorado Benefits Management Syst em, Ongoing Expenses line item and $13 shall 13
be transferred from the Old Age Pension State Medical Program line item appropriation in the Other Medical Services division of this department. 14
15
1173
-14- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(E) Utilization and Quality Review Contracts 1
Professional Services 2
Contracts 3 21,975,940 6,038,953(M) 1,503,937
a
14,433,050
4
a
Of this amount, $1,376,366 shall be from the Healthcare Affordab ility and Sustainability Fee Cash Fund created in Section 25.5- 4-402.4 (5)(a), C.R.S., $88,750 shall be from the Adult 5
Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., $36,875 shall be from the Me dicaid Nursing Facility Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S., and $1,946 shall 6
be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S. 7
8
(F) Provider Audits and Services 9
Professional Audit Contracts 10 5,122,382
1,858,780
(M)
622,963
a
2,640,639
11 4,972,382 1,809,280(M) 597,463
a
2,565,639
12
a
Of this amount, $404,395
$378,895 shall be from the Healthcare Affordability and Sustainab ility Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C .R.S., $103,160 shall be from 13
the Primary Care Fund created in Section 24-22-117 (2)(b)(I), C. R.S., and $102,988 shall be from the Children's Basic Health Pl an Trust created in Section 25.5-8-105 (1), C.R.S. and 14
$12,420 shall be from the Medicaid Nursing Facility Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S. 15
1173
-15- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
1
(G) Recoveries and Recoupment Contract Costs 2
Estate Recovery 3 700,000 350,000
a
350,000(I)
Third-Party Liability Cost 4
Avoidance Contract 5 16,787,286 5,539,804(M) 2,853,839
b
8,393,643
6 17,487,286
7
a
This amount shall be from estate recoveries. 8
b
This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S. 9
10
(H) Indirect Cost Recoveries 11
Indirect Cost Assessment 12 890,057 270,035
a
106,490
b
513,532(I)
13
1173
-16- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
a
Of this amount, $221,205 shall be from the Healthcare Affordability and Sustainability Fee Cash Fund created in Section 25.5-4- 402.4 (5)(a), C.R.S., $15,184 shall be from the Medical 1
Nursing Facility Cash Fund created in S ection 25.5-6-203 (2)(a), C.R.S., $10,635 shall be from the Adult Dental Fund created in Section 25.5-5-207 (4)(a), C.R.S., $8,998 shall be from 2
the Intellectual and Developmental Disabilities Services Cash F und created in Section 25.5-10- 207 (1), C.R.S., $7,838 shall be from the Primary Care Fund created in Section 24-22-117 3
(2)(b)(I), C.R.S., $2,205 shall be from the Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S., $2,042 shall be from the Colorado Autism Treatment Fund created in Section 4
25.5-6-805 (1), C.R.S., and $1,928 shall be from the Breast and Cervical Cancer Prevention and Treatment Fund created in Sectio n 25.5-5-308 (8)(a)(I), C.R.S. 5
b
Of this amount, $66,615 shall be from transferred from the Colorado Benefits Management System, Health Care and Economic Secur ity Staff Development Center line item 6
appropriation in this department, $22,605 shall be transferred from the Department of Higher Education from the Fee-for-service Contracts with State Institutions for Speciality 7
Education Programs line item, and $17,270 shall be transferred from the Department of Human Services from the Health Care and E conomic Security Staff Development Center 8
line item appropriation. 9
10
11 442,108,989
12 490,365,128 13 14 15
1173
-17- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(2) MEDICAL SERVICES PREMIUMS 1
Medical and Long-Term 2
Care Services for Medicaid 3
Eligible Individuals
4
I
NDIVIDUALS
15a
5 10,003,435,624
1,595,590,299
(M)
865,284,199
a
1,137,856,496
b
93,549,998
c
6,311,154,632
6 9,874,916,611 1,493,249,682(M) 1,176,323,220
b
92,814,399
c
6,247,245,111
7
a
This amount shall be from the General Fund Exempt Account created in Section 24-77-103.6 (2), C.R.S. 8
1173
-18- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
b
Of this amount, $842,130,412
$860,482,154 shall be from the Healthcare Affordability and Sustai nability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a ), C.R.S.,$72,663,833
1
$76,033,048 shall be from recoveries and recoupments, $62,174,980
$62,393,703 shall be from the Health Care Expansion Fund created in Section 24-22-117 (2)(a)(I), C.R.S., 2
$55,009,785
$52,674,382 shall be from the Medicaid Nu rsing Facility Cash Fund created in Section 25.5-6-203 (2)(a), C.R.S., $27,436,097
SHALL BE FROM THE
H
OME
-
AND
3
C
OMMUNITY
-
BASED
S
ERVICES
I
MPROVEMENT
F
UND CREATED IN
S
ECTION
25.5-6-1805
(1),
C.R.S., $29,571,304
$24,352,104 shall be from the Adult Dental Fund created in Section 4
25.5-5-207 (4)(a), C.R.S., $29,346,986
$30,459,249 represents public funds certified as expenditures incurred by public emergency medical transportation providers, $ 26,495,300
5
$21,592,068 represents public funds certified as expenditures incurred by public hospitals and agencies that are eligible for f ederal financial participation under the Medicaid program, 6
$11,488,599 shall be from an intergovernmental transfer from the University of Colorado School of Medicine, $2,545,187
$3,391,977 shall be from the Medicaid Buy-In Cash Fund 7
created in Section 25.5-6-1404 (3)(b), C.R.S., $2,027,445
$1,996,170 shall be from the Tobacco Tax Cash Fund created in section 24-22-117 (1)(a), C.R.S., and meets the requirement 8
to appropriate a portion of the revenues collected from the imposition of additional state cigarette and tobacco taxes to the O ld Age Pension program for health related purposes pursuant 9
to Section 21 of Article X of the State Constitution, $1,541,757
$1,491,308 shall be from the Colorado Autism Treatment Fund created in Section 25.5-6-805 (1), C.R.S., $1,103,297
10
$774,750 shall be from the Breast and Cervical Cancer Prevention and Treatment Fund created in Section 25.5-5-308 (8)(a)(I), C. R.S., $857,151 shall be from the Tobacco Education 11
Programs Fund created in Section 24-22-117 (2)(c)(I), C.R.S.,$700,000 shall be from an intergovernmental transfer from Denver H ealth, and $200,460 shall be from the Service Fee 12
Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S. 13
c
Of this amount, $82,509,561
$81,808,761 shall be transferred from the Department of Higher Ed ucation from the Fee-for-service Contracts with State Institu tions for Speciality 14
Education Programs line item, $9,882,263
$9,847,464 shall be transferred from the Old Age Pension State Medical Program line item appropriation in the Other Medical Se rvices division 15
of this department, and $1,158,174 shall be transferred from Public School Health Services line item in the Other Medical Servi ces division of this department. 16
1173
-19- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
1
(3) BEHAVIORAL HEALTH COMMUNITY PROGRAMS 2
Behavioral Health 3
Capitation Payments 4 983,572,421
227,833,272
(M)
69,037,834
a
686,701,315
5 1,082,206,910 241,687,254(M) 77,960,445
a
762,559,211
Behavioral Health 6
Fee-for-service Payments 7 15,151,534
2,923,821
(M)
1,037,775
a
11,189,938
8 16,852,110 3,103,619(M) 839,837
a
12,908,654
9 998,723,955
10 1,099,059,020 11
a
Of these amounts, $70,040,257
$78,770,052 shall be from the Healthcare Affordability and Sustai nability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a) , C.R.S. and $35,352
12
$30,230 shall be from the Breast and Cervical Cancer Prevention and Treatment Fund created in Section 25.5-5-308 (8)(a)(I), C.R .S. 13
14
15
1173
-20- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(4) OFFICE OF COMMUNITY LIVING 1
(A) Division of Intellectual and Developmental Disabilities 2
(1) Administrative Costs 3
Personal Services 4 3,469,613 1,603,367(M) 255,113
a
1,611,133
5 (37.5 FTE)
Operating Expenses 6 281,510 112,261(M) 52,375
a
116,874
Community and Contract 7
Management System 8 137,480 89,362(M) 48,118
Support Level 9
Administration 10 59,984 29,658(M) 255
b
30,071
11 3,948,587
12
a
These amounts shall be from the Intellectual and Developmenta l Disabilities Services Cash Fund created in Section 25.5-10-207 (1), C.R.S. 13
b
This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S. 14
15
1173
-21- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(2) Medicaid Programs
16
1
Adult Comprehensive 2
Services
S
ERVICES
16a
3 587,780,599 4 624,532,652
Adult Supported Living 5
Services
S
ERVICES
16b
6 76,430,552 7 83,936,285
Children’s Extensive 8
Support Services
9
S
ERVICES
16c
10 36,844,096
11 41,540,014
Children's Habilitation 12
Residential Program
13
P
ROGRAM
16d
14 9,328,155
15 11,737,177
1173
-22- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Case Management for 1
People with Disabilities
2
D
ISABILITIES
16e
3 98,633,608
4 91,780,356
5 809,017,010
318,982,389
a
7,080,904
b
482,953,717
6 853,526,484 296,941,695
a
48,367,922
b
508,216,867
7
a
Of this amount, the (M) notation applies to $315,933,602.
$294,430,036. 8
b
Of this amount,
$23,522,777
SHALL BE FROM THE
H
OME
-
AND
C
OMMUNITY
-
BASED
S
ERVICES
I
MPROVEMENT
F
UND CREATED IN
S
ECTION
25.5-6-1805
(1),
C.R.S. $6,280,903
$5,716,149 9
shall be from the Healthcare Affordability and Sustainability F ee Cash Fund created in Sectio n 25.5-4-402.4 (5)(a), C.R.S., $80 0,000
$19,128,995 shall be from the Intellectual and 10
Developmental Disabilities Services Cash Fund created in Sectio n 25.5-10-207 (1), C.R.S., and $1 shall be from the Health Care Expansion Fund created in Section 24-22-117 (2)(a)(I), 11
C.R.S. 12
13
(3) State-only Programs
17
14
Family Support Services 15 7,679,672
1173
-23- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
State Supported Living 1
Services 2 10,174,870
State Supported Living 3
Services Case Management 4 2,475,277
Preventive Dental Hygiene 5 66,460
Supported Employment 6
Provider and Certification 7
Reimbursement 8 303,158
Supported Employment 9
Pilot Program 10 575,000
11 21,274,437 19,407,847
1,866,590
a
1219,332,833 1,941,604
a
13
a
This amount shall be from the Intellectual and Developmenta l Disabilities Services Cash Fund created in Section 25.5-10-207 (1 ), C.R.S. 14
15
1173
-24- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
1
2 834,240,034
3 878,749,508 4
(5) INDIGENT CARE PROGRAM 5
Safety Net Provider 6
Payments 7 257,909,481
119,466,874
a
138,442,607
(I)
8 227,071,084 79,321,378
a
147,749,706(I)
Pediatric Specialty Hospital 9 10,764,010 5,048,321
(M)
5,715,689
104,714,637(M) 6,049,373
Appropriation from 11
Tobacco Tax Cash Fund to 12
the General Fund 13 420,001 420,001
b
Primary Care Fund Program 14 25,373,115 25,373,115
c
1173
-25- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Children's Basic Health Plan 1
Administration 2 5,033,274
1,652,424
(H)
d
3,380,850
3 5,147,447 1,688,662(H)
d
3,458,785
Children's Basic Health Plan 4
Medical and Dental Costs 5 170,754,875
20,639,364
420,001
e
35,628,900
(H)
f
114,066,610
6 161,976,673 15,288,255 37,883,046(H)
f
108,385,371
7 470,254,756
8 430,752,330 9
a
This amount shall be from the Healthcare Affordability and Su stainability Fee Cash Fund creat ed in Section 25.5-4-402.4 (5)(a) , C.R.S. 10
b
This amount shall be from the Tobacco Tax Cash Fund created in Section 24-22-117 (l)(a), C.R.S. This appropriation partially m eets the requirement to appropriate a portion of the 11
revenues collected from imposition of additional state cigarette and tobacco taxes to the General Fund pursuant to Section 21 o f Article X of the State Constitution. 12
c
This amount shall be from the Primary Care Fund created in Section 24-22-117 (2)(b)(I), C.R.S. 13
d
Of this amount, $1,645,814
$1,682,052 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8- 105 (1), C.R.S., and $6,610 shall be from the Healthcare 14
Affordability and Sustainability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a), C.R.S. 15
1173
-26- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
e
This amount shall be from General Fund Exempt pursuant to Section 24-22-117 (1)(c)(I)(B), C.R.S., and is not subject to the st atutory limitation on General Fund appropriations imposed 1
by Section 24-75-201.1, C.R.S. 2
f Of this amount, $23,844,726
$25,606,238 shall be from the Healthcare Affordability and Sustai nability Fee Cash Fund created in Section 25.5-4-402.4 (5)(a) , C.R.S., $11,316,598
3
$11,810,207 shall be from the Children's Basic Health Plan Trust created in Section 25.5-8-105 (1), C.R.S., $367,575
$366,600 shall be from the Colorado Immunization Fund created 4
in Section 25-4-2301, C.R.S., $100,000 shall be from recoveries and recoupments, $1 shall be from the Health Care Expansion Fun d created in Section 24-22-117 (2)(a)(I), C.R.S. 5
6
(6) OTHER MEDICAL SERVICES 7
Old Age Pension State 8
Medical Program 9 10,000,000 10,000,000
a
Senior Dental Program 10 3,990,358 3,962,510 27,848
b
Commission on Family 11
Medicine Residency 12
Training Programs 13 9,400,725 4,197,890
(M)
211,050
c
4,991,785
143,920,418(M) 197,100
c
5,283,207
1173
-27- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Medicare Modernization 1
Act State Contribution 2
Payment 3 193,398,121
193,398,121
4 197,201,203 197,201,203
Public School Health 5
Services Contract 6
Administration 7 2,000,000 1,000,000(M) 1,000,000
Public School Health 8
Services 9 167,386,604 79,454,838
d
87,931,766
(I)
1074,208,965
d
93,177,639(I)
Screening, Brief 11
Intervention, and Referral to 12
Treatment Training Grant 13
Program
18
14 750,000 750,000
e
1173
-28- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
A
MERICAN
R
ESCUE
P
LAN
1
A
CT
H
OME
-
AND
2
C
OMMUNITY
-
BASED
3
S
ERVICES
S
TATE
-
ONLY
4
P
ROGRAMS
18a
5 13,260,976 13,260,976
f
6 (4.0 FTE)
7 386,925,808
8 403,989,866 9
a
This amount shall be from the Old Age Pension Health and Medical Care Fund created in Section 25.5-2-101 (2), C.R.S. 10
b
This amount shall be from the Department of Health Care Policy and Financing Cash Fund created in Section 25.5-1-109, C.R.S. 11
c
This amount shall be transferred from the Department of Highe r Education from the Fee-for-service Contracts with State Institu tions for Speciality Education Programs line item. 12
d
This amount represents funds certified as public expenditures incurred by school districts or boards of cooperative educationa l services that are eligible for federal financial 13
participation under Medicaid. 14
e
This amount shall be from the Marijuana Tax Cash Fund created in Section 39-28.8-501 (1), C.R.S. 15
1173
-29- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
f T
HIS AMOUNT SHALL BE FROM THE
H
OME
-
AND
C
OMMUNITY
-
BASED
S
ERVICES
I
MPROVEMENT
F
UND CREATED IN
S
ECTION
25.5-6-1805
(1),
C.R.S. 1
2
(7) DEPARTMENT OF HUMAN SERVICES MEDICAID-FUNDED PROGRAMS 3
(A) Executive Director's 4
Office - Medicaid 5
Funding
19
6 14,794,888 7,397,445(M) 7,397,443
7
(B) Office of Information 8
Technology Services - 9
Medicaid Funding 10
Regional Centers Electronic 11
Health Record System 12 680,382 340,191(M) 340,191
13
(C) Division of Child Welfare - Medicaid Funding 14
Administration 15 65,019 32,509(M) 32,510
1173
-30- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Child Welfare Services 1 13,421,808 6,294,828
(M)
7,126,980
25,878,752(M) 7,543,056
3 13,486,827
4
(D) Office of Early Childhood - Medicaid Funding 5
Division of Community and 6
Family Support, Early 7
Intervention Services 8 7,968,022 3,737,003
(M)
4,231,019
93,489,993(M) 4,478,029
10
(E) Office of Self Sufficiency - Medicaid Funding 11
Systematic Alien 12
Verification for Eligibility 13 28,307 14,153(M) 14,154
14
15
1173
-31- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(F) Office of Behavioral Health - Medicaid Funding 1
Community Behavioral 2
Health Administration 3 514,476 257,238(M) 257,238
Children and Youth Mental 4
Health Treatment Act 5 128,478 60,256
(M)
68,222
656,274(M) 72,204
High Risk Pregnant Women 7
Program 8 1,865,775 875,048
(M)
990,727
9817,210(M) 1,048,565
Mental Health Institutes 10 8,219,072 3,854,745
(M)
4,364,327
113,599,955(M) 4,619,117
12 10,727,801
13
14
15
1173
-32- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
(G) Services for People with Disabilities - Medicaid Funding 1
Regional Centers 2 54,771,068 23,798,727
(M)
1,888,903
a
29,083,438
322,100,825(M) 30,781,340
Regional Center 4
Depreciation and Annual 5
Adjustments 6 691,725 324,420
(M)
367,305
7302,976(M) 388,749
8 55,462,793
9
a
This amount shall be from the Service Fee Fund created in Section 25.5-6-204 (1)(c)(II), C.R.S. 10
11
(H) Adult Assistance 12
Programs, Community 13
Services for the Elderly - 14
Medicaid Funding 15 1,001,800 500,900(M) 500,900
1173
-33- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
1
(I) Division of Youth 2
Services - Medicaid 3
Funding 4 1,161,560
557,302
(M)
604,258
5 770,196 337,346(M) 432,850
6
(J) Other 7
Federal Medicaid Indirect 8
Cost Reimbursement for 9
Department of Human 10
Services Programs 11 500,000500,000(I)
a
Department of Human 12
Services Indirect Cost 13
Assessment 14 17,863,051 8,931,526(M) 8,931,525
15 18,363,051
1173
-34- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
1
a
This amount reflects estimated Medicaid federal indirect cost re imbursements for Department of Human Services programs, and is shown for informational purposes only. 2
3
4 123,675,431
5 123,284,067 6 7
TOTALS PART V 8
(HEALTH CARE 9
POLICY AND 10
FINANCING)
20
11 $13,259,364,597
$2,558,622,911
$865,704,200
a
$1,551,766,954
b
$97,905,609
$8,185,364,923
c
12 $13,301,116,530 $2,443,072,685 $1,635,071,635
b
$97,156,060 $8,260,111,950
c
13
a
Of this amount, $865,284,199 shall be from the General Fund Exempt Account created in Section 24-77-103.6 (2), C.R.S., and $42 0,001 shall be General Fund Exempt pursuant to 14
Section 24-22-117 (1)(c)(I)(B), C.R.S. Said $420,001 is not subject to the statutory limitation on General Fund appropriations imposed by Section 24-75-201.1, C.R.S. 15
1173
-35- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
b
Of this amount, $16,671,232 contains an (I) notation. 1
c
Of this amount, $358,180,592
$396,522,942 contains an (I) notation. 2
3
FOOTNOTES -- The following statements are referenced to the numbered footnotes throughout section 2. 4
5
12a
D
EPARTMENT OF
H
EALTH
C
ARE
P
OLICY AND
F
INANCING
,
E
XECUTIVE
D
IRECTOR
'S
O
FFICE
,
G
ENERAL
A
DMINISTRATION
,
P
ERSONAL
S
ERVICES
--
O
F THIS
6
APPROPRIATION
,
THE
$1,260,277
CASH FUNDS APPROPRIATED FROM THE
H
OME
-
AND
C
OMMUNITY
-
BASED
S
ERVICES
I
MPROVEMENT
F
UND REMAINS AVAILABLE
7
FOR EXPENDITURE UNTIL THE CLOSE OF THE
2023-24
STATE FISCAL YEAR
. 8
9
12b
D
EPARTMENT OF
H
EALTH
C
ARE
P
OLICY AND
F
INANCING
,
E
XECUTIVE
D
IRECTOR
'S
O
FFICE
,
G
ENERAL
A
DMINISTRATION
,
H
EALTH
,
L
IFE
,
AND
D
ENTAL
--
O
F THIS
10
APPROPRIATION
,
THE
$172,394
CASH FUNDS APPROPRIATED FROM THE
H
OME
-
AND
C
OMMUNITY
-
BASED
S
ERVICES
I
MPROVEMENT
F
UND REMAINS AVAILABLE
11
FOR EXPENDITURE UNTIL THE CLOSE OF THE
2023-24
STATE FISCAL YEAR
. 12
13
12c
D
EPARTMENT OF
H
EALTH
C
ARE
P
OLICY AND
F
INANCING
,
E
XECUTIVE
D
IRECTOR
'S
O
FFICE
,
G
ENERAL
A
DMINISTRATION
,
S
HORT
-
TERM
D
ISABILITY
--
O
F THIS
14
APPROPRIATION
,
THE
$1,794
CASH FUNDS APPROPRIATED FROM THE
H
OME
-
AND
C
OMMUNITY
-
BASED
S
ERVICES
I
MPROVEMENT
F
UND REMAINS AVAILABLE FOR
15
EXPENDITURE UNTIL THE CLOSE OF THE
2023-24
STATE FISCAL YEAR
. 16
1173
-36- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
12d
D
EPARTMENT OF
H
EALTH
C
ARE
P
OLICY AND
F
INANCING
,
E
XECUTIVE
D
IRECTOR
'S
O
FFICE
,
G
ENERAL
A
DMINISTRATION
,
S.B.
04-257
A
MORTIZATION
1
E
QUALIZATION
D
ISBURSEMENT
--
O
F THIS APPROPRIATION
,
THE
$56,088
CASH FUNDS APPROPRIATED FROM THE
H
OME
-
AND
C
OMMUNITY
-
BASED
S
ERVICES
2
I
MPROVEMENT
F
UND REMAINS AVAILABLE FOR EXPENDITURE UNTIL THE CLOSE OF THE
2023-24
STATE FISCAL YEAR
. 3
4
12e
D
EPARTMENT OF
H
EALTH
C
ARE
P
OLICY AND
F
INANCING
,
E
XECUTIVE
D
IRECTOR
'S
O
FFICE
,
G
ENERAL
A
DMINISTRATION
,
S.B.
06-235
S
UPPLEMENTAL
5
A
MORTIZATION
E
QUALIZATION
D
ISBURSEMENT
--
O
F THIS APPROPRIATION
,
THE
$56,088
CASH FUNDS APPROPRIATED FROM THE
H
OME
-
AND
C
OMMUNITY
-
BASED
6
S
ERVICES
I
MPROVEMENT
F
UND REMAINS AVAILABLE FOR EXPENDITURE UNTIL THE CLOSE OF THE
2023-24
STATE FISCAL YEAR
. 7
8
12f
D
EPARTMENT OF
H
EALTH
C
ARE
P
OLICY AND
F
INANCING
,
E
XECUTIVE
D
IRECTOR
'S
O
FFICE
,
G
ENERAL
A
DMINISTRATION
,
O
PERATING
E
XPENSES
--
O
F THIS
9
APPROPRIATION
,
THE
$136,484
CASH FUNDS APPROPRIATED FROM THE
H
OME
-
AND
C
OMMUNITY
-
BASED
S
ERVICES
I
MPROVEMENT
F
UND REMAINS AVAILABLE
10
FOR EXPENDITURE UNTIL THE CLOSE OF THE
2023-24
STATE FISCAL YEAR
. 11
12
12g
D
EPARTMENT OF
H
EALTH
C
ARE
P
OLICY AND
F
INANCING
,
E
XECUTIVE
D
IRECTOR
'S
O
FFICE
,
G
ENERAL
A
DMINISTRATION
,
L
EASED
S
PACE
--
O
F THIS
13
APPROPRIATION
,
THE
$113,300
CASH FUNDS APPROPRIATED FROM THE
H
OME
-
AND
C
OMMUNITY
-
BASED
S
ERVICES
I
MPROVEMENT
F
UND REMAINS AVAILABLE
14
FOR EXPENDITURE UNTIL THE CLOSE OF THE
2023-24
STATE FISCAL YEAR
. 15
16
1173
-37- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
13 Department of Health Care Policy and Financing, Executive Director's Office, General Administration, General Professional Ser vices and Special Projects 1
-- This line item includes $62,000 total funds, including $31,000 General Fund, the purpose of which is the autism waiver progr am evaluation required by 2
Section 25.5-6-806 (2)(c)(I), C.R.S. It is the General Assembly's intent that the Department also use the $62,000 total funds t o evaluate the new behavioral 3
therapy benefit through the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program. 4
5
13a
D
EPARTMENT OF
H
EALTH
C
ARE
P
OLICY AND
F
INANCING
,
E
XECUTIVE
D
IRECTOR
'S
O
FFICE
,
G
ENERAL
A
DMINISTRATION
,
G
ENERAL
P
ROFESSIONAL
S
ERVICES AND
6
S
PECIAL
P
ROJECTS
--
O
F THIS APPROPRIATION
,
THE
$15,280,357
CASH FUNDS APPROPRIATED FROM THE
H
OME
-
AND
C
OMMUNITY
-
BASED
S
ERVICES
I
MPROVEMENT
7
F
UND REMAINS AVAILABLE FOR EXPENDITURE UNTIL THE CLOSE OF THE
2023-24
STATE FISCAL YEAR
. 8
9
13b
D
EPARTMENT OF
H
EALTH
C
ARE
P
OLICY AND
F
INANCING
,
E
XECUTIVE
D
IRECTOR
'S
O
FFICE
,
I
NFORMATION
T
ECHNOLOGY
C
ONTRACTS AND
P
ROJECTS
,
M
EDICAID
10
M
ANAGEMENT
I
NFORMATION
S
YSTEM
M
AINTENANCE AND
P
ROJECTS
--
O
F THIS APPROPRIATION
,
THE
$5,353,846
CASH FUNDS APPROPRIATED FROM THE
H
OME
- 11
AND
C
OMMUNITY
-
BASED
S
ERVICES
I
MPROVEMENT
F
UND REMAINS AVAILABLE FOR EXPENDITURE UNTIL THE CLOSE OF THE
2023-24
STATE FISCAL YEAR
. 12
13
14 Department of Health Care Policy and Financing, Executive Dir ector's Office, Information Technology Contracts and Projects, C olorado Benefits Management 14
Systems, Operating and Contract Expenses and Colorado Benefits Management Systems, Health Care and Economic Security Staff Deve lopment Center -- 15
In addition to the transfer authority provid ed in Section 24-75-108, C.R.S., the Department is authorized to transfer up to 5.0 percent of the total appropriations 16
1173
-38- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
within the line items designated with this footnote. The Department is also authorized to transfer up to 5.0 percent of the tot al appropriations within the line 1
items designated with this footnote to line item appropriations within the Department of Human Services, Office of Information Technology Services, Colorado 2
Benefits Management System subsection. 3
4
15 Department of Health Care Policy and Financing, Executive Dir ector's Office, Information Technology Contracts and Projects, C olorado Benefits Management 5
Systems, Colorado Benefits Management Systems, Health Care and Economic Security Staff Development Center -- Of this appropriat ion, $2,500,000 remains 6
available for expenditure until the close of the 2022-23 state fiscal year. 7
8
15a
D
EPARTMENT OF
H
EALTH
C
ARE
P
OLICY AND
F
INANCING
,
M
EDICAL
S
ERVICES
P
REMIUMS
,
M
EDICAL AND
L
ONG
-T
ERM
C
ARE
S
ERVICES FOR
M
EDICAID
E
LIGIBLE
9
I
NDIVIDUALS
--
O
F THIS APPROPRIATION
,
THE
$27,436,097
CASH FUNDS APPROPRIATED FROM THE
H
OME
-
AND
C
OMMUNITY
-
BASED
S
ERVICES
I
MPROVEMENT
10
F
UND REMAINS AVAILABLE FOR EXPENDITURE UNTIL THE CLOSE OF THE
2023-24
STATE FISCAL YEAR
. 11
12
16 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, Medicaid Programs 13
- It is the General Assembly's intent that expenditures for these services be recorded only against the Long Bill group total f or Medicaid Programs. 14
15
16
1173
-39- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
16a
D
EPARTMENT OF
H
EALTH
C
ARE
P
OLICY AND
F
INANCING
,
O
FFICE OF
C
OMMUNITY
L
IVING
,
D
IVISION OF
I
NTELLECTUAL AND
D
EVELOPMENTAL
D
ISABILITIES
, 1
M
EDICAID
P
ROGRAMS
,
A
DULT
C
OMPREHENSIVE
W
AIVER
S
ERVICES
--
O
F THIS APPROPRIATION
,
THE
$17,098,856
CASH FUNDS APPROPRIATED FROM THE
H
OME
- 2
AND
C
OMMUNITY
-
BASED
S
ERVICES
I
MPROVEMENT
F
UND REMAIN AVAILABLE FOR EXPENDITURE UNTIL THE CLOSE OF THE
2023-24
STATE FISCAL YEAR
. 3
4
16b
D
EPARTMENT OF
H
EALTH
C
ARE
P
OLICY AND
F
INANCING
,
O
FFICE OF
C
OMMUNITY
L
IVING
,
D
IVISION OF
I
NTELLECTUAL AND
D
EVELOPMENTAL
D
ISABILITIES
, 5
M
EDICAID
P
ROGRAMS
,
A
DULT
S
UPPORTED
L
IVING
W
AIVER
S
ERVICES
--
O
F THIS APPROPRIATION
,
THE
$3,381,600
CASH FUNDS APPROPRIATED FROM THE
H
OME
- 6
AND
C
OMMUNITY
-
BASED
S
ERVICES
I
MPROVEMENT
F
UND REMAIN AVAILABLE FOR EXPENDITURE UNTIL THE CLOSE OF THE
2023-24
STATE FISCAL YEAR
. 7
8
16c
D
EPARTMENT OF
H
EALTH
C
ARE
P
OLICY AND
F
INANCING
,
O
FFICE OF
C
OMMUNITY
L
IVING
,
D
IVISION OF
I
NTELLECTUAL AND
D
EVELOPMENTAL
D
ISABILITIES
, 9
M
EDICAID
P
ROGRAMS
,
C
HILDREN
'S
E
XTENSIVE
S
UPPORT
S
ERVICES
--
O
F THIS APPROPRIATION
,
THE
$2,192,450
CASH FUNDS APPROPRIATED FROM THE
H
OME
- 10
AND
C
OMMUNITY
-
BASED
S
ERVICES
I
MPROVEMENT
F
UND REMAIN AVAILABLE FOR EXPENDITURE UNTIL THE CLOSE OF THE
2023-24
STATE FISCAL YEAR
. 11
12
16d
D
EPARTMENT OF
H
EALTH
C
ARE
P
OLICY AND
F
INANCING
,
O
FFICE OF
C
OMMUNITY
L
IVING
,
D
IVISION OF
I
NTELLECTUAL AND
D
EVELOPMENTAL
D
ISABILITIES
, 13
M
EDICAID
P
ROGRAMS
,
C
HILDREN
'S
H
ABILITATION
R
ESIDENTIAL
P
ROGRAM
--
O
F THIS APPROPRIATION
,
THE
$1,664
CASH FUNDS APPROPRIATED FROM THE
H
OME
- 14
AND
C
OMMUNITY
-
BASED
S
ERVICES
I
MPROVEMENT
F
UND REMAIN AVAILABLE FOR EXPENDITURE UNTIL THE CLOSE OF THE
2023-24
STATE FISCAL YEAR
. 15
16
1173
-40- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
16e
D
EPARTMENT OF
H
EALTH
C
ARE
P
OLICY AND
F
INANCING
,
O
FFICE OF
C
OMMUNITY
L
IVING
,
D
IVISION OF
I
NTELLECTUAL AND
D
EVELOPMENTAL
D
ISABILITIES
, 1
M
EDICAID
P
ROGRAMS
,
C
ASE MANAGEMENT FOR
P
EOPLE WITH
D
ISABILITIES
--
O
F THIS APPROPRIATION
,
THE
$848,207
CASH FUNDS APPROPRIATED FROM THE
2
H
OME
-
AND
C
OMMUNITY
-
BASED
S
ERVICES
I
MPROVEMENT
F
UND REMAIN AVAILABLE FOR EXPENDITURE UNTIL THE CLOSE OF THE
2023-24
STATE FISCAL YEAR
. 3
4
17 Department of Health Care Policy and Financing, Office of Community Living, Division of Intellectual and Developmental Disabi lities, State-only Programs 5
- It is the General Assembly's intent that expenditures for these services be recorded only against the Long Bill group total f or State-only Programs. 6
7
18 Department of Health Care Policy and Financing, Other Medical Services, Screening, Brief Intervention, and Referral to Treatm ent Training Grant Program 8
-- It is the General Assembly's intent that this appropriation be used to sustain the grant program for screening, brief interv ention, and referral to treatment 9
for individuals at risk of substance abuse that is authorized in Section 25.5-5-208, C.R.S., in accordance with the requirement s set forth in that section. 10
11
18a
D
EPARTMENT OF
H
EALTH
C
ARE
P
OLICY AND
F
INANCING
,
O
THER
M
EDICAL
S
ERVICES
,
A
MERICAN
R
ESCUE
P
LAN
A
CT
H
OME
-
AND
C
OMMUNITY
-
BASED
S
ERVICES
12
S
TATE
-
ONLY
P
ROGRAMS
--
T
HIS APPROPRIATION REMAINS AVAILABLE FOR EXPENDITURE UNTIL THE CLOSE OF THE
2023-24
STATE FISCAL YEAR
. 13
14
15
16
1173
-41- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
19 Department of Health Care Policy and Financing, Department of Human Services Medicaid-Funded Programs, Executive Director's O ffice - Medicaid Funding 1
-- The appropriation in this Health Care Policy and Financing line item corresponds to the Medicaid funding in the Department o f Human Services, Executive 2
Director's Office, General Administration. As such, the appropr iation contains amounts that co rrespond to centralized appropria tion amounts in the Department 3
of Human Services. Consistent with the headnotes to the Long Bill, the Department of Human Services is authorized to transfer t he centralized appropriations 4
to other line item appropriations in the Department of Human Services. In order to aid budget reconciliation between the Depart ment of Health Care Policy 5
and Financing and the Department of Human Services, the Department of Health Care Policy and Financing is hereby authorized to make line item transfers 6
out of this appropriation to other Department of Human Services Medicaid-funded programs appropriations in this section (7) in amounts equal to the 7
centralized appropriation transfers made by the Department of Human Services for Medicaid-funded programs in the Department of Human Services. 8
9
20 Department of Health Care Policy and Financing, Grand Totals; Department of Higher Education, College Opportunity Fund Progra m, Fee-for-service 10
Contracts with State Institutions, Fee-for-service Contracts with State Institutions for Specialty Education Programs; and Gove rning Boards, Regents of the 11
University of Colorado -- The Department of Higher Education shall transfer $800,000 to the Department of Health Care Policy an d Financing for 12
administrative costs and family medicine residency placements asso ciated with care provided by the faculty of the health scienc es center campus at the 13
University of Colorado that are eligible for payment pursuant to Section 25.5-4-401, C.R.S. If the federal Centers for Medicare and Medicaid services continues 14
to allow the Department of Health Care Policy and Financing to make supplemental payments to the University of Colorado School of Medicine, the 15
Department of Higher Education shall transfer the amount approved, up to $81,709,561, to the Department of Health Care Policy a nd Financing pursuant to 16
1173
-42- APPROPRIATION FROM
ITEM &
SUBTOTAL
TOTAL GENERAL
FUND
GENERAL
FUND
EXEMPT
CASH
FUNDS
REAPPROPRIATED
FUNDS
FEDERAL
FUNDS
$$$$$ $ $
Section 23-18-304(1)(c), C.R.S. If permission is discontinued, or is granted for a lesser amount, the Department of Higher Educ ation shall transfer any portion 1
of the $81,709,561 that is not transferred to the Department of Health Care Policy and Financing to the Regents of the Universi ty of Colorado. In addition, 2
it is assumed that the University of Colorado School of Medicine will use clinical revenues to make an intergovernmental transf er in the amount approved, 3
up to $11,668,599 to the Department of Health Care Policy and Financing, including up to $180,000 for actual administrative cos ts. 4
1173
-43- SECTION 2. Appropriation to the department of health care1
policy and financing for the fiscal year beginning July 1, 2020.2
(1) For the 2020-21 state fiscal year, $887,397 is appropriated to the3
department of health care policy and financing and is for the payment of4
overexpenditures of line item appropriations contained in Part V of5
section 2 of chapter 326 (HB 20-1360), Session Laws of Colorado 2020,6
as follows:7
(a) $150,021 from the healthcare affordability and sustainability8
fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S., for9
behavioral health capitation payments;10
(b) $206,066 from the general fund for behavioral health11
fee-for-service payments;12
(c) $50,955 from the healthcare affordability and sustainability fee13
cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S., for behavioral14
health fee-for-service payments; and15
(d) $480,355 from the healthcare affordability and sustainability16
fee cash fund created in Section 25.5-4-402.4 (5)(a), C.R.S., for children's17
basic health plan medical and dental costs.18
(2) In accordance with section 24-75-109 (4)(a), C.R.S., all19
restrictions on funds for the department of health care policy and20
financing for the 2021-22 state fiscal year for the amounts and items of21
appropriation listed in this section are released.22
SECTION 3. Safety clause. The general assembly hereby finds,23
determines, and declares that this act is necessary for the immediate24
preservation of the public peace, health, and safety.25
1173-44-