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In alignment with our mission, Mental Health Partners is dedicated to excellence, integrity, and accountability in all aspects of our operations and conduct. Our Compliance Program sets forth and describes policies and expectations about appropriate job-related conduct and client care. Compliance policies are intended to help employees and agents of MHP understand and fulfill their responsibilities, as well as prevent and detect violations.

Partnering to improve quality of life as a nonprofit organization dedicated to mental health and wellness 

Last updated: January 1, 2016

The Mental Health Center of Boulder County, Inc. d/b/a/ Mental Health Partners (“MHP”) is committed to complying with the laws and regulations governing the way we care for clients and conduct business. MHP developed a comprehensive compliance program to define and guide our business activities and to provide an effective framework for a policy of compliance with standards. It is a fundamental policy of MHP that its business and other practices be conducted in compliance with applicable laws and regulations of the United States, the State of Colorado, and other local laws and ordinances. This Compliance Plan and Program (the “Compliance Program”) has been carefully considered and formally adopted by our Board of Directors.

The Compliance Program is more than a set of policies that employees and agents must follow. It is the underpinnings of MHP’s culture, how we care for its clients, and meet regulatory demands that allow it to continue providing that quality care. Employees and agents must read and understand our Compliance Program and the obligations each of us has to follow regarding the requirements that govern the way we do business and care for our clients.

Mental Health Partners is committed to providing quality services related to its Mission for all persons and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status in any of its activities or operations. These activities and operations include, but are not limited to recruitment, hiring, and termination of staff, recruitment and selection of volunteers, selection of vendors and provision of services. We are committed to maintaining an environment that respects the dignity of each individual in our community. Prohibited discrimination in any form or context will not be tolerated.

Applicability and Definitions 

The Compliance Program applies to all employees and agents. The term ‘agents’ includes members of the Board of Directors, temporary staff, contractors, volunteers, and vendors of MHP.

Purpose of our Compliance Program 

The purpose of the Compliance Program is to provide reasonable assurance that MHP:

  • Sets forth standards that promote and encourage respect for clients and enhances quality of care;
  • Effectively fosters and promotes a culture of compliance throughout MHP; 
  • Assigns to management overall responsibility to oversee compliance with those standards; 
  • Authorizes compliance standards and procedures that are reasonably calculated to reduce the likelihood of violation of applicable laws or regulations, or criminal conduct by employees and agents or other forms of misconduct that may expose MHP to criminal or civil liability;
  • Empowers employees and agents to prevent, detect and resolve actions or behavior (such, as fraud, abuse, and waste) that do not comply with our Code of Conduct or applicable laws and regulations; 
  • Enhances communications with governmental entities with respect to compliance activities including promoting self-auditing, self-policing, and providing for the voluntary disclosure of violations of laws and regulations, and satisfies the conditions of participation with payers and the Medicaid integrity Plan as a Medicaid provider and Centers for Medicare and Medicaid;
  • Institutes reasonable steps to respond appropriately to offenses that have been detected and to prevent further similar offenses;
  • Establishes consistent disciplinary mechanisms to deal with violations of law or policy, or the failure to detect or report an offense. 

The Core Components of Compliance

Language Assistance 

As a Certified Community Behavioral Health Clinic (CCBHC), Mental Health Partners is committed to taking reasonable steps to provide meaningful access to our services – including language assistance for those with limited English proficiency and/or with language-based disabilities.

If you or your loved one do not speak English, language assistance services are available free of charge. Call 1-800-874-9426 (TTY: 1-888-225-6056). 

Notice Informing Individuals about Nondiscrimination and Accessibility Requirements 

Mental Health Partners complies with applicable Federal civil right laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Mental Health Partners does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. 

Mental Health Partners (MHP) provides no-cost aids and services to people with disabilities to communicate effectively with us, such as: 

  • Qualified sign language interpreters 
  • Written information in other formats (large print, audio, accessible electronic formats, other formats) 


MHP provides no-cost language services to people whose primary language is not English, such as: 

  • Qualified interpreters 
  • Information written in other languages 


If you need these services, contact our Civil Rights Coordinator at (303) 413-6387.

If you believe Mental Health Partners has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:

Civil Rights Coordinator 
1455 Dixon Avenue, Ste. 300 
Lafayette, CO 80026 
Phone: (303) 413-6387 

Fax: (720) 687-2752

You can file a grievance in person or by mail, phone, or fax. If you need help filing a grievance, our Civil Rights Coordinator is available to help you.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at  - or by mail or phone at: 

U.S. Department of Health and Human Services 
200 Independence Avenue, SW 
Room 509F, HHH Building 
Washington, D.C. 20201 

800-537-7697 (TDD) 

Organized Health Care Arrangement (OHCA) 

Mental Health Partners, Clinica Campasina, and Dental Aid have agreed to form and to enter into an organized health care arrangement (Integrated Care OHCA) for the purposes of treatment, payment, and health care operations in order to better address your health care needs.

How We Will Use and Give Our Your Health Information:

The Integrated Care OHCA members have agreed to participate as a clinically-integrated care setting where patients may receive health care services from more than one providers or in a joint arrangement conduct at least one of the following joint activities: 

  • Utilization review
  • Quality assessment and improvement activities, or
  • Payment activities. 


Under the HIPAA Privacy Regulation, clients may request an accounting of disclosures involving their Protected Health Information (PHI) made by Mental Health Partners for up to six years prior to the request. *See form for additional exceptions.

Protected Health Information (PHI) includes any information contained in a client's medical record or designated record set that can be used to identify them – and therefore it is protected under federal law. When completed and signed, this form allows MHP to release a client’s PHI with another individual or entity.