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Managed Service Organizations (MSO)

The MSOs received a number of questions regarding the 1287 application process and funding. Questions were due on May 8th, and answers to the questions received are being posted here for your reference. Please utilize the document to help answer questions you may have, or refer back to the application for additional guidance. Thank you.

MSO Rural Expansion 1287

What is a Managed Service Organization?

A Managed Service Organization (MSO) is an entity designated by the Colorado Behavioral Health Administration to manage substance use services for adults and adolescents who are uninsured or underinsured in a specific region of the state. The MSO provides systems and financial management, data and tracking systems, and quality assurance functions. MSOs may subcontract with provider agencies for a variety of direct services. Beginning January 2023 there will be three Managed Services Organizations (MSO) in Colorado (as listed below).

  • Rocky Mountain Health Plans (Substate Planning Areas, SSPA, 5 & 6) – Serving Archuleta, Delta, Dolores, Eagle, Garfield, Grand, Gunnison, Hinsdale, Jackson, La Plata, Mesa, Moffat, Montezuma, Montrose, Ouray, Pitkin, Rio Blanco, Routt, San Juan, San Miguel, and Summit Counties
  • Signal (SSPA 1,2,4, 7)– Serving Boulder, Cheyenne, Clear Creek, Conejos, Costilla, Crowley, Denver, Douglas, Elbert, Gilpin, Huerfano, Jefferson, Kiowa, Kit Carson, Larimer, Las Animas, Lincoln, Logan, Mineral, Morgan, Otero, Phillips, Prowers, Pueblo, Rio Grande, Saguache, Sedgwick, Washington, Weld, and Yuma Counties
  • Diversus (SSPA 3)- Serving Chaffee, Custer, El Paso, Fremont, Lake, Park, and Teller Counties

Note that SSPA 5&6 are currently administered by West Slope Casa who was unable to maintain their contract with the state of Colorado after 1/1/23 (due to recent Colorado conflict of interest legislation). RMHP was awarded the contract through a competitive bid process.

What do Managed Service Organizations do?

  • Promote access to substance use services and help people locate care
  • Fund substance use services for people who are low income and uninsured
  • Contract with providers (often through capacity funding arrangements) to offer withdrawal management (detox), residential treatment, medication assisted treatment and outpatient treatment to individuals with substance use conditions who are unable to pay for care
  • Monitor quality and access to care
  • Fund recovery support services such as recovery living, peer support and community organizations supporting recovery
  • Fund substance use services for families involved with child welfare to enhance and complement substance use core services funding
  • Administer funds to build substance use treatment and recovery support capacity throughout their regions

Who are the providers currently contracted in SSPA 5 & 6?

RMHP is committed to maintaining funding for all current providers within the MSO program (within SSPA 5 and 6) and maintaining financial commitments that we made by the previous MSO. As RMHP and the BHA are able to expand funding opportunities, we will be identifying opportunities for exiting providers to expand their scope of services and for new providers who can receive MSO funding for the first time.

Axis North
Axis South
7 Cedars
Advocates for Recovery
Axis Health System
Colorado Counselor Training
Community Compassion Outreach

Front Range Clinic
Grand Junction Metro Treatment
In The Weeds
Kings & Priests (Discovery Café)
Memorial Regional Health
MidValley Family Health
Mind Springs Health
NW Colorado Community Health Partnership

Odyssey Training
Oxford House
Peer 180
Recovery Resources
River Valley Family Health Center
Summit County
The Recovery Center
Young People in Recovery

What are the MSO funding streams and service categories?

MSOs receive state and federal funding through a contract with the Colorado Behavioral Health Administration that is then used to fund local providers. Each program has different provider and Member eligibility and coverage requirements and often these programs receive other state, federal, and private funding. Many MSO funding agreements are on a capacity basis (meaning that funding is used to support the costs of maintaining program availability as opposed to fee-for-service funding models).

Services and Programs Funded by the State Funds and Block Programs
Involuntary Commitment Services HB19-1287 Building SUD Treatment Capacity in Rural and Frontier Colorado Grant Program
Medication Assisted Treatment and Overdose Prevention SB 16-202 - Increasing Access to Effective SUD Services Act
Offender Outpatient Services Coronavirus Response and Relief Supplemental Appropriations Act
Strategic Individualized Remediation Treatment (STIRT) Recovery Residences
Opioid Treatment Program High Risk Families Cash Fund
Outpatient Treatment Services Recovery Support Services
Residential Treatment Services Individualized Placement & Support
Special Connections Recovery Support Services in Treatment Programs
Treatment Enhancement Services Recovery Living Expansion
Withdrawl Management Services Workforce Expansion
Women's Treatment Services Peer Navigator for High Acuity Clients
Community-Based Circle Program Child, Youth, and Family Behavioral Health and SUD Care Navigation, Treatment, and Recovery Services
Southern Colorado Co-Occurring Program Substance Use Disorder Pre-Release Case Manager
Services & Programs Funded by the Stat Opioid Response (SOR) Grants
Medication Assisted Treatment Residential Treatment Services
Naloxone Distribution Individual Placement and Support (IPS)
Peer Navigators for Treatment Engagement Mobile Health Units for MAT
Peer Navigator Program Manager Recovery Residence Expansion
Family Services Recovery Residence Rent
Community Reinforcement Approach Peer Supports at Recovery Community Organizations (RCOs)

For questions, please contact RMHP MSO Support at RMHPMSOsupport@uhc.com, or by calling 970-822-4495.



In May 2019, Governor Jared Polis signed House Bill 19-1287 which created a grant program that appropriated funds to the Behavioral Health Administration (BHA) to increase substance use disorder capacity and services in rural and frontier communities through the MSO. As the MSO for substate planning areas 5 & 6, Rocky Mountain Health Plans seeks to contract with local governments, municipalities, counties, schools, law enforcement agencies, and primary care or substance use disorder treatment providers to receive grant funds to increase substance use disorder treatment services and capacity.

Below is the request for application timeline and link to the application: Building Substance Use Disorder Treatment Capacity in Rural and Frontier Colorado Grant Application Final Round 4 2023 

Activity Achieved by
Application Published May 8, 2023
Applications questions due May 15, 2023
Application responses to questions posted May 22, 2023
Application due June 15, 2023
Projected start date July 1, 2023

Supplemental resources:

HCPF and BHA Behavioral Health Accounting and Auditing Guidelines

Colorado Behavioral Health Administration capacity budget template

Colorado Behavioral Health Administration capacity budget protocol