Coact 4.0 - colorado behavioral health administration (BHA), has extensive experience providing behavioral health programming to address the needs of children and youth across the state

This includes prevention, intervention, and programs to address youth with serious and complex needs like youth and families in behavioral health crises. We administer programs to serve youth and families in the home, community, residential settings, and all tiered settings in between. Colorado is a vast landscape of varying communities, from mountain to frontier to plains and populated urban settings; colorado is also home to two federally recognized tribes: the UTE mountain UTE and southern UTE indian tribes. These complex geographic and cultural conditions require a flexible and effective approach to integrating behavioral health care for youth and families; high fidelity wraparound (HFW) is a promising practice that meets these needs. BHA is currently in its third iteration of HFW with coact (coact 3.0). This narrative proposes a fourth iteration of coact (coact 4.0), which will continue to address the needs of youth who are at risk of out-of-home placement, returning from out-of-home placement, and those who may have complex behavioral health needs or be multi-system involved. Coact 4.0 will expand HFW access to all of our vendor partners, in preparation for the statewide rollout of HFW as a medicaid benefit. To prepare our vendor partners for statewide HFW, we are building the provider network, credentialing capacity, statewide education, and knowledge of HFW, as well as overall community readiness for immediate implementation when the HFW medicaid benefit goes live in one year. BHA will ensure quality care in coact 4.0 by tracking and monitoring client outcomes, program fidelity, responsible spending, and provider credentialing within the HFW model. With the preparation this grant provides, we are assuring families across the state have little to no wait time, barriers, or lack of prepared providers to receive this promising practice now, and as a medicaid benefit in 2025.