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Upcoming Events and Helpful Resources
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| Health First Colorado videos for use in waiting rooms and other areas members visit are available for download on our website. |
New to PEAK or Need a Refresher?
The Intro to PEAK and Application Walk-Through recorded webinars are available anytime. For more information and trainings, visit the
PEAK Outreach Initiative website.
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Public Rule Review Opportunities
Anyone interested in a one-on-one discussion with Department staff about upcoming rules is invited to attend the Department's
Public Rule Review Meeting. Information is available on the
Public Rule Review Meetings web page.
For more information, or to be added to the Medical Services Board email distribution list, please contact
Chris Sykes.
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Employment Opportunities
Applying for state government jobs is easy. Applications are electronic, you will receive updates, and you do not need to answer any written questions until it is determined that you meet the minimum qualifications.
Check out the
website for State of Colorado jobs including the Department of Health Care Policy and Financing jobs.
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Welcome to the October 2017 edition of At a Glance!
Thank you for your interest!
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| Future of Child Health Plan Plus Update |
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Federal funding for the Children's Health Insurance Program (known as Child Health Plan Plus, or CHP+, in Colorado) has ended.
At this time, there are no changes to CHP+ eligibility or the CHP+ program
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If Congress does not act, the program will end in Colorado on January 31, 2018. For more information, please visit
Colorado.gov/HCPF/FutureCHP.
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Eligibility Partners, We Need Your Help with Child Health Plan Plus Communications
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The Department needs your help to share important information with your staff and current and prospective CHP+ members about the potential end of the program.
Congress has not reauthorized federal funding for the CHP+ program. Unless Congress acts to restore federal funding, CHP+ in Colorado will end January 31, 2018.
What we need from you now: Beginning November 1, we ask that you utilize your existing communication vehicles, such as email and newsletters, to share the message below* with your staff.
We are working with partners across the state to disseminate this information including, Counties, PE, CAAS and MA eligibility sites, Family Health Coordinators, CHP+ health plans, and Connect for Health Colorado. Our goal is to reach as many people as possible with this important information about the future of CHP+.
Thank you for your help! We appreciate your willingness to get this vital information to the people who need it.
*Child Health Plan Plus Update
As you may know, Congress has not reauthorized federal funding for the Children's Health Insurance Program, known as Child Health Plan
Plus (CHP+) in Colorado. Unless Congress acts to restore federal funding, CHP+ in Colorado will end January 31, 2018.
HCPF has made available resources to help you answer questions from CHP+ applicants and members. The Department will update this page regularly and post a recorded webinar in late November. Visit
CO. gov/HCPF/FutureCHP and click the Eligibility Partner button.
Thank you for your help in communicating this important information to our CHP+ members and applicants.
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Contrary to what you may have heard,
financial help is still available for 2018. You may have heard that the current administration has decided to end Cost-Sharing Reduction payments. These payments are reimbursements to health insurance companies. It does NOT affect Cost-Sharing Reductions for our customers who receive them.
In fact,
customers receiving financial help through Connect for Health Colorado will likely pay less in 2018 than in 2017. They will see the premium that they pay (full premium minus the Premium Tax Credit amount) go down by 20 percent on average in 2018.
Open Enrollment is November 1 - January 12.
To avoid a gap in coverage and have a plan start on January 1, individuals must enroll in a plan by December 15
. After January 12, individuals will not be able to buy health insurance unless they experience a Qualifying Life Change Event such as losing coverage through an employer, getting married, or having a baby.
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Providers: Please Update Your Information for the Provider Search Tool
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The new Health First Colorado Provider Web Portal makes it easy to keep provider contact information up to date. Providers who want to make changes to their listing on the Department's provider search tool, which members use to find a provider, must make those changes through the provider portal.
For detailed instructions on how to make these updates, refer to this Quick Guide.
Please note these updates require manual review and will not be effective immediately. Email addresses and provider search tool updates are made monthly.
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Colorado interChange Virtual Training Sessions
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The Department is working with stakeholders to bring important information to providers about the new the Colorado interChange.
This critical information will come in two different forms:
- Quick Guides to assist billers with common billing issues, and
- Virtual forums by provider type.
Quick Guide
The first of these Quick Guides is included with this message.
This Quick Guide is helpful for individuals beginning a revalidation application, are having difficulties with the process, or are receiving claim denials for EOBs 0091, 1025, 1026, 1205 or 3040.
Virtual Forums
The Department will also be hosting virtual forums by provider type. The purpose of these virtual meetings is to provide training, resources or updates about top issues and for providers to bring issues to the Department that have not yet been identified.
Please note the virtual forums will not provide individual support for provider issues. The best way for providers to address individual claim questions is to call the Provider Services Call Center at 1-844-235-2387, 7 a.m. - 5 p.m. Monday, Tuesday, & Thursday; 10 a.m. - 5 p.m. Wednesday & Friday.
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Partnerships to Improve Population Health
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Pharmacy and Therapeutics Committee Looking for New Members
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The Department is accepting curriculum vitae (CV) for the following positions on the Colorado Medicaid P&T Committee:
- Pharmacist (2 positions)
- Other Specialty Physician (3 positions)
- Member Representative (1 position)
If you are interested in serving, please submit a CV along with a completed
Conflict of Interest
form to:
Colorado Department of Health Care Policy and Financing
Attn: Brittany Schock, PharmD
1570 Grant Street
Denver, CO 80203
Or fax to 303-866-3590, Attn: Brittany Schock, PharmD.
We are accepting CVs until November 3, 2017 for open positions and plan to notify new members by mid December. The first upcoming meeting for new members is Tuesday, January 9 from 1:00-5:00 p.m. in Denver.
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Office of Health Equity Poll for Coloradans
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Community voices shape better solutions. The Office of Health Equity wants to hear directly from Coloradans about issues they care about the most and that are affecting minds, bodies and communities. We'll use this information to make decisions and better address the issues together.
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Delivery Systems Innovation
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Apply for Cohort 3: Last Chance to Participate in the State Innovation Model
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State Innovation Model: The Value of Integrated Behavioral and Physical Health Care
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Check out our new podcast
featuring a Health First Colorado patient which highlights the value of receiving integrated behavioral and physical health care.
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State Innovation Model: The Value of Being a SIM Provider
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Check out our new video
featuring a State Innovation Model provider explaining the value of participating in the Colorado SIM initiative.
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Report on Children with Intellectual or Developmental Disabilities and Exceptional Behavioral Support Needs
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In April 2017, the Department contracted with Health Management Associates to help identify resource and service delivery gaps, and make recommendations for systemic changes to better support children with intellectual or developmental disabilities and exceptional behavioral support needs.
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Alternative Payment Methodology Resources
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Implementation Workgroup
As the Department moves forward with the APM, a workgroup is forming to assist with the implementation of the APM. Similar to the process used to design the APM, the Department is looking for representation from primary care physicians, primary care practice coordinators, office managers, and Regional Care Collaborative Organization representatives. The group would provide feedback and input on how best to implement the APM and help the Department understand the impact of operational decisions.
The time commitment would be one 60-90 minute meeting every other month. A kick-off meeting will be held on November 20 from 12:00-1:00 p.m. and meetings will be scheduled every other month thereafter. There will be a call-in option for those unable to attend in person.
If you are interested in participating in the Implementation Workgroup please send an email to our APM inbox, [email protected].
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New Eligibility Dispute Resolution Conference Process
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The Department implemented a new county and Medical Assistance Site dispute resolution conference rule effective October 1, 2017
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Mental Health Parity and Addiction Equity Act Analysis
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We are also developing a webinar for stakeholders to provide an overview of the federal parity requirements and the process used by Department to perform its analysis. More information on this webinar will be provided at a later date.
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Health First Colorado Emergency and Non-Emergency Transportation
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The Colorado Code of Regulations,
10 CCR 2505-10 8.018 outlines Emergency Medical Transportation (EMT) services that can be provided under Health First Colorado.
The regulations allow inter-facility transfers between hospitals to be billed as EMT. These transfers can include transportation of people who are experiencing a mental health or substance use disorder crisis.
Hospitals can directly contact Health First Colorado EMT providers to perform inter-facility transports. The hospital must provide necessary medical documentation to the EMT provider justifying the need for medical care or supervision during transport.
Hospital discharges or pre-scheduled appointments cannot be billed as EMT. Transportation for discharges and pre-scheduled appointments are Non-Emergency Medical Transportation (NEMT) services and must be billed as NEMT and provided by an approved Health First Colorado NEMT provider. NEMT can only be used to transport a covered member to and/or from covered Health First Colorado appointments and services. The Colorado Code of Regulations, 10 CCR 2505- 10.8014 and the Non-Emergency Medical Transportation Benefits Collaborative Policy Statement outline NEMT services.
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The Colorado Department of Health Care Policy and Financing complies with applicable federal and state civil rights laws and does not discriminate on the basis of race, color, ethnic or national origin, ancestry, age, sex, gender, sexual orientation, gender identity and expression, religion, creed, political beliefs, or disability. Learn more about our Nondiscrimination Policy.
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-221-3943 (State Relay: 711).
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-800-221-3943 (State Relay: 711).
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At a Glance
