Legislative Changes To Colorado Medicaid Rules
Provisions included in Colorado House Bill 21-1275, now require Colorado Medicaid (Health First Colorado) to allow pharmacy benefit reimbursement for long-acting injectable medications used for the treatment of serious mental illness or substance use disorder.1 Prior to the implementation of the pharmacy benefit, many providers found that the medical, (buy and bill) reimbursement pathway created unnecessary barriers for the use of these medications. Federally Qualified Health Centers also found themselves often unable to use long-acting injectable medications due to the …