Colorado interChange: Resources for your Membership
Week of November 16, 2017
We'll use this newsletter to provide you with updates on the implementation of the Colorado interChange, including topics you might be hearing from your members as well as content for your membership newsletter and general updates on progress.
Provider Buzz
Here's a look at hot topics for providers and others:
You may have been hearing a lot about "the Bridge" from case managers. The Bridge is a system used by case managers for Home and Community Based Services (HCBS) to submit Prior Authorization Requests (PARs)-- the Bridge is not used for medical PARs. Only after a PAR is approved is it transmitted to the Colorado interChange for processing. It takes at least one day, after the PAR is approved in the Bridge, to appear in the Colorado interChange and be available for claims processing.
In early October, the Department made initial awards for seven Regional Accountable Entities (RAEs) for the next iteration of the Accountable Care Collaborative (ACC). Following those awards the Department received formal protests. In accordance with State procurement rules, the Department is prohibited from discussing the solicitation, contract awards and negotiations until all protests and appeals are resolved. The Department is continuing to prepare for the implementation of the next phase of the ACC as these protest are resolved. Read more about implementation goals and timeline.
If Congress fails to act on funding for the Children's Health Insurance Program, or Child Health Plan Plus (CHP+) in Colorado, the program will end on January 31, 2018. Prior to that, families using the program will begin receiving information about the potential program end in late November. As of today, there are no changes to CHP+ benefits and providers are urged to keep serving CHP+ members at their practices. Even if Congress does not act to renew CHP+ funding, enrollment and redetermination of CHP+ members will continue through the planned program end on January 31, 2018. Resources are available to help providers communicate with their CHP+ patients about the status of the program.