HIPAA compliant, with a BAA

Measurement-Based Care for Colorado Behavioural Health Teams

For licensed behavioural health entities, integrated primary care teams, group practices and solo clinicians from Denver to Grand Junction. Send validated scales by email or QR code, have them scored on submission, and keep a running record of each client's progress toward the outcomes in their service plan. Customer data for US accounts stays in Google Cloud US regions.

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HIPAA compliant, with a BAA
US data hosting
SOC 2 Type II
Scored on submission
100+
validated assessments
BAA
for HIPAA covered entities
US
hosting regions for US accounts
$25
per month

Colorado Now Monitors Behavioural Health Performance

  • House Bill 22-1278 created the Behavioral Health Administration (BHA) in 2022 and required it to establish, by July 1, 2024, a performance monitoring system that tracks the capacity and performance of all behavioural health providers, including those contracting with managed care entities or behavioural health administrative services organizations. The BHA sets minimum performance standards for children, youth and adults that address access to care and quality of care, and it must publish results on public-facing accountability platforms.

    Those standards reach providers through the universal contracting provisions state agencies use when buying behavioural health services, which must cover minimum data collection and reporting, and through the BHA's licensing rules. Under 2 CCR 502-1, a licensed entity's screening records current symptoms with their severity and evaluates imminent risk, including suicide risk, and every service plan revision documents progress made in relation to planned treatment outcomes.

    The statute speaks of access, timeliness and triage and does not name a symptom scale, so no particular tool is required. For a care team, the same validated scale repeated through treatment is a plain way to show the progress those rules ask you to document. HiBoop sends the PHQ-9, GAD-7 and C-SSRS Screener, scores them on submission and charts each client's change, with exports for the individual record. It does not report to the BHA or to a regional accountable entity for you.

  • A Statewide Monitoring System

    Required of the BHA by House Bill 22-1278, covering behavioural health providers across public and private care

  • Symptoms and Risk at Screening

    Recorded each time someone is screened by an entity licensed under 2 CCR 502-1

  • Progress Toward Planned Outcomes

    Documented whenever a licensed entity revises a client's service plan

All regions

How HiBoop Supports Colorado Care Teams

  • Colorado licenses behavioural health entities through the BHA and runs Medicaid through Health First Colorado's regional accountable entities. HiBoop handles sending and scoring the scales, and the clinical decisions stay with your team.

  • Severity Scores Before the First Session

    Send the PHQ-9 or GAD-7 ahead of an intake and the scored result is ready when you meet. It adds information to your screening; the imminent-risk evaluation your licence calls for is still done by your qualified staff.

  • Progress With Numbers Behind It

    Each repeat of a scale adds a point to one chart per client, so a service plan review can cite how symptoms have moved. The scores inform clinical judgement and leave the decision with the clinician.

  • Score Histories for the Record

    Export a client's results as a PDF or CSV for the individual record, a plan revision or the data your contracts request. The whole account can be exported whenever you need it.

  • Primary Care and Behavioural Health in One Library

    Integrated teams can draw on depression, anxiety, trauma and substance use scales from the same place, which suits clients whose needs overlap.

  • One Account for Multi-Site Organizations

    Team and Network plans gather every clinician's caseload in a single account, and role-based access keeps each person to the client information their role requires.

  • Youth Scales From Age 12

    Colorado lets a minor aged 12 or older seek psychotherapy services on their own when the professional finds the request voluntary and the services clinically necessary. HiBoop offers the PHQ-A, the SCARED and the CRAFFT-2.1 for younger caseloads.

Mental health in Colorado

Research data

  • Each figure below links to the source it comes from.

  • 26.4%

    of Colorado adults had any mental illness in the past year (model-based estimate, 2023-2024 average)

    SAMHSA NSDUH, 2023-2024

  • 19.2%

    of Coloradans aged 12 to 17 had a major depressive episode in the past year (2023-2024 average)

    SAMHSA NSDUH, 2023-2024

  • 29.1%

    of Colorado adults received mental health treatment in the past year (2024)

    SAMHSA NSDUH, 2024

Research from Colorado

  • Depression care management in Medicaid

    At Colorado Access, a public sector health plan, 370 high-risk Medicaid members enrolled in a depression care management program after systematic screening; at 12 months, 56% had either a 50% reduction in PHQ-9 score or a PHQ-9 score below 10.

    Waxmonsky et al., Depression Research and Treatment, 2012 PMID 23133748

  • Integrated behavioural health in primary care

    In the Colorado State Innovation Model initiative, 334 primary care practices received transformation support; 78% had onsite behavioural health integration by the end, and practices improved on depression screening and monitoring and on maternal depression screening.

    Dickinson et al., Journal of the American Board of Family Medicine, 2025 PMID 40268319

  • PHQ-2 and PHQ-9 with young people

    Across 2,183 routine preventive visits by patients aged 12 to 25 at the adolescent and young adult clinic of Children's Hospital Colorado, a PHQ-2 score of 2 or more had 89% sensitivity and 83% specificity for moderate or greater symptoms on the PHQ-9.

    Pitts et al., Journal of Adolescent Health, 2023 PMID 37125985

  • Collaborative care uptake

    In Colorado claims for Medicare, Medicare Advantage and commercially insured patients in 2018-2019, a mean of 12 percent of eligible patients used collaborative care among the 193 clinicians who billed for it, and the median out-of-pocket cost was $8.35.

    Cliff et al., Medical Care, 2024 PMID 38986112

  • PHQ-9 response and remission

    Across 5,554 psychotherapy episodes at Kaiser Permanente Colorado and Kaiser Permanente Washington that began with a PHQ-9 of 10 or more, 46% met response (a drop of at least 50%) and 22% reached remission (a score below 5) at follow-up 14 to 180 days later.

    Coley et al., Psychiatric Services, 2020 PMID 31847739

The Colorado Rules and Programs Around Measurement

  • HiBoop is independent of the BHA, Health First Colorado and the bodies below, and it does not connect to state systems. This is the landscape your licensing reviewer and regional entity work within.

  • BHA Performance Monitoring

    House Bill 22-1278

    The BHA must track the capacity and performance of behavioural health providers and set minimum standards covering availability of services, timeliness, capacity tracking, and quality of care, including appropriate triage based on client need. It works with the Department of Health Care Policy and Financing to align metrics, enforces the standards through contracts, licensing and the designation of administrative services organizations, and reports results publicly.

    Minimum standardsPublic reportingChildren, youth and adults

  • BHA Licensing Rules

    2 CCR 502-1

    Behavioural health entities licensed by the BHA follow 2 CCR 502-1, in a version effective January 1, 2026. A screening must capture the reason for seeking services, current symptoms with severity, duration and effect on functioning, medical concerns, and an evaluation of imminent risk. Progress notes record progress toward each client's treatment goals.

    ScreeningService plansProgress notes

  • Health First Colorado

    Medicaid

    Colorado's Medicaid program works through the Accountable Care Collaborative. Phase III began on July 1, 2025 and reduced the regions served by regional accountable entities (RAEs) from seven to four. Each RAE coordinates care and maintains a behavioural health provider network for the members in its region.

    ACC Phase IIIFour regionsProvider networks

  • Crisis Line and Clinic Funding

    988 and CCBHC

    Senate Bill 21-154 created a 988 crisis hotline enterprise funded by a 988 surcharge that the enterprise sets each year, capped at 30 cents per month, for the hotline and for crisis outreach, stabilization and acute care. House Bill 24-1384 directed the state to apply for a federal planning grant for certified community behavioural health clinics by February 1, 2025.

    988 surchargeCrisis servicesCCBHC planning

Colorado Care Teams, Front Range to Western Slope

  • HiBoop works in a web browser, so a Denver group practice and a clinician serving mountain towns by telehealth use the same check-ins.

  • Denver Metro

    Colorado Access is the regional accountable entity for Health First Colorado members in Adams, Arapahoe, Denver and Douglas counties under ACC Phase III.

  • Colorado Springs and Pueblo

    Clinics along the southern Front Range can collect scores between visits by email link, so clients need not come in for each check-in.

  • Fort Collins and Greeley

    Northern Colorado practices with more than one office can share a single scale library and client list on a Team plan.

  • Western Slope

    From Grand Junction to Montrose, clinicians covering long distances can pair telehealth sessions with scales clients complete at home.

  • Mountain Towns

    In high-country communities, a QR code in the waiting room lets residents and seasonal workers check in on their own phones.

  • Eastern Plains

    Elbert County moved to Northeast Health Partners as its regional accountable entity in Phase III, and across the plains email check-ins spare clients long drives.

Data sovereignty

Why Colorado clinics choose HiBoop

  • Built for Colorado Practice

    • Customer data for US accounts stays in Google Cloud US regions, encrypted at rest and in transit
    • SOC 2 Type II certified and HIPAA compliant, with a BAA ready for covered entities
    • Every view or export of client information is logged, and access follows each person's role
    • Care is $25/month, billed month to month, and no credit card is needed to begin
    • Clients respond on their own device from an emailed link or a QR code at the front desk

  • USD pricing & support

    Transparent pricing in USD with flexible payment options for clinics of every size.

    Care
    A single clinician, billed monthly
    $25
    USD/month
    Team
    From this price, unlimited clinicians
    $200
    USD/month
    Network
    For organizations with several sites
    Custom
    Enterprise pricing

100+ validated scales for Colorado clinics

  • Validated scales grouped by what they measure, each with its scoring and source. Public programmes often call this routine outcome monitoring (ROM), or patient-reported outcome measures (PROMs): the same practice of giving a validated scale at regular points and reading the scores over time.

  • Symptoms and Suicide Risk

    • PHQ-9 (Depression)
    • C-SSRS Screener (Suicide Risk)
    • GAD-7 (Anxiety)

  • Trauma and Substance Use

    • PCL-5 (PTSD)
    • PC-PTSD-5 (PTSD Screen)
    • ASSIST (Substance Involvement)

  • Young People 12 and Older

    • PHQ-A (Adolescent Depression)
    • SCARED (Child Anxiety)
    • CRAFFT-2.1 (Youth Substance Use)
Browse all assessments

Colorado Rules on Records, Screening and Minors

  • HIPAA applies nationwide. The BHA's licensing rules add record and screening duties for licensed behavioural health entities, and Colorado law sets its own age for a minor to seek psychotherapy. None of this certifies software. The obligations rest with your organization, and HiBoop supplies tools that help you carry them out.

  • What Colorado asks of care teams

    • Keep a confidential individual record for each person served, holding screenings, assessments and reassessments, service plans, consents and progress notes, with no protected health information about other clients (2 CCR 502-1, part 2.11)
    • Screen in person unless that is contraindicated, recording the clinical rationale when a screening happens by telehealth, and repeat the imminent-risk evaluation at every screening even when other recent results can be reused (part 2.12.1)
    • Let a minor aged 12 or older obtain psychotherapy services on their own when the professional judges the request knowing, voluntary and clinically necessary, and notify a parent or guardian if the minor communicates a clear and imminent threat of suicide (House Bill 19-1120)
    • Meet HIPAA's safeguard and breach notification duties, with a business associate agreement in place for each vendor that handles protected health information

  • Where HiBoop fits

    • A business associate agreement for HIPAA covered entities
    • Hosting in Google Cloud's US regions, with stored and transmitted data encrypted
    • Score histories you can export as PDF or CSV into the individual record
    • Access logs and role-based permissions, backed by the SOC 2 Type II controls on our trust page

  • Bringing HiBoop to your Colorado organization?

    The trust page sets out our hosting, encryption, access controls and SOC 2 Type II certification. Ask us for a BAA or for help with your security review.

    Open the trust centre

Grants & funding for Colorado mental health clinics

Funding Guide

  • Public and private funding programs that support measurement-based care implementation.

  • Colorado Behavioral Health Administration (BHA)

    Behavioral Health Administration — Practice Improvement Grants

    Tech eligible

    Colorado’s Behavioral Health Administration periodically issues practice improvement grants for providers implementing evidence-based practices, care integration, and digital health tools. Measurement-based care infrastructure qualifies.

    VariesLearn more

  • SAMHSA — Substance Abuse and Mental Health Services Administration

    Certified Community Behavioral Health Clinic (CCBHC) Expansion Grants

    Tech eligible

    SAMHSA’s CCBHC grants fund detailed behavioral health services including the infrastructure, staffing, and technology required to meet CCBHC standards. Outcome measurement and digital assessment platforms are explicitly eligible as required infrastructure for CCBHC certification.

    $1M–$5M/yearLearn more

  • SAMHSA

    Mental Health Block Grant (MHBG)

    Tech eligible

    States receive federal MHBG funds and redistribute them to community mental health organizations. Technology, quality improvement, and workforce development are eligible uses. Contact your state mental health authority to understand how MHBG flows in your state.

    State-distributedLearn more

  • SAMHSA

    Primary and Behavioral Health Care Integration (PIPBHC)

    Tech eligible

    SAMHSA’s PIPBHC program funds integration of primary and behavioral health care, including the technology infrastructure needed to coordinate care across disciplines. Outcome measurement platforms and digital assessment tools are eligible as integration infrastructure.

    $500K–$900K/yearLearn more

  • HRSA — Health Resources and Services Administration

    Rural Health Network Development Program

    Tech eligible

    HRSA funds rural health networks to develop shared infrastructure including technology platforms, telehealth systems, and outcome measurement tools. Mental health-focused networks in rural areas can use this to fund shared digital assessment and measurement platforms.

    $250K–$500K/yearLearn more

  • HRSA

    Behavioral Health Workforce Development Program

    Tech eligible

    Supports expanding the behavioral health workforce through training, clinical placements, and technology-supported care delivery. Technology platforms that support supervision, measurement, and case management are eligible uses.

    $250K–$1MLearn more
View all grants & funding

Resources for Colorado practitioners

  • Billing guides, compliance documentation, and clinical practice resources.

  • DepressionPHQ-9 Clinical Guide

    Scoring, severity bands and how to read change between administrations

  • Suicide riskC-SSRS Screener Guide

    What the screener asks and where it sits beside a clinician's own risk evaluation

  • YouthChild and Youth Measurement

    Scales and workflows for teams that see adolescents and their families

  • LibraryFull Assessment Library

    Each scale HiBoop describes, with its validation references

Colorado Legislation, Rules and Medicaid Resources

Latest in mental health in California

Crisis and urgent help lines

More crisis lines

Measurement-based care

…starts with what we measure, and how long.

Frequently Asked Questions

  • Does Colorado require measurement-based care?

    There is no general mandate. We found no Colorado statute or rule that requires outpatient providers to use standardized symptom scales. What is in place: the BHA must monitor provider performance against minimum standards for access and quality under House Bill 22-1278, and BHA-licensed entities must record symptom severity and imminent risk at screening and document progress toward planned outcomes when they revise a service plan. Your regional accountable entity or BHA contract may add its own expectations.

  • Can HiBoop's scales replace the screening our BHA licence requires?

    No. The licensing rules set what a screening must collect and require an imminent-risk evaluation, suicide risk included, every time someone is screened, in person unless that is contraindicated. A PHQ-9 or C-SSRS Screener completed through HiBoop can add scored information to that process and to the record, while your qualified staff complete and review the screening itself.

  • At what age can a young person consent to therapy in Colorado?

    Under House Bill 19-1120, a minor aged 12 or older may seek and obtain psychotherapy services without a parent's consent when the mental health professional finds the minor is seeking them knowingly and voluntarily and the services are clinically necessary. With the minor's consent the professional may inform a parent or guardian, and must notify them if the minor communicates a clear and imminent threat of suicide. Confirm the details with your counsel; HiBoop's role-based access lets you limit who sees a young client's scores.

  • Is HiBoop HIPAA compliant for Colorado practices?

    Yes. HiBoop is HIPAA compliant and offers a business associate agreement to covered entities. Colorado's licensing rules for behavioural health entities sit on top of HIPAA, and whether a given disclosure is allowed depends on your circumstances, so check with your counsel.

Official sources for Colorado

  • Health authorities

    1. 1.Colorado HCPF (Health First Colorado) · Medicaid agency
    2. 2.Colorado Behavioral Health Administration · behavioural health agency

    Billing and payment routes

    1. 1.CMS MLN909432: Behavioral Health Integration Services · public program · codes 99484, 99492, 99493, 99494, G2214, G0323 (read in the document on 2026-11-01)
    2. 2.CMS Physician Fee Schedule look-up · fee schedule
    3. 3.SAMHSA: Certified Community Behavioral Health Clinics (CCBHC) · public program

    Fee codes and amounts are set by each payer and change; check the linked schedule before you bill. HiBoop does not submit claims.

    Regulators and licensing

    1. 1.ASPPB: psychology licensing boards · psychologists
    2. 2.ASWB: social work regulatory boards · social workers
    3. 3.Counseling Compact · counsellors
    4. 4.Social Work Licensure Compact · social workers

    Data and statistics

    1. 1.SAMHSA: NSDUH state reports
    2. 2.HRSA: HPSA Find (mental health shortage areas)
    3. 3.NIMH: mental illness statistics

    Listed for reference so you can find the official source. HiBoop is not affiliated with, and is not endorsed by, any of these organizations.