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County Incentives Program
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| FY16-17 County Incentives Program |
Reminder: Reporting Period 1 ends on December 31, 2016
Reporting Period 1 of the FY 2016-17 County Incentives Program, covering July 1, 2016 - December 31, 2016, ends on December 31, 2016. Deliverables for Reporting Period 1 are due on January 5, 2017. See the Incentives below for deliverables that are required.
Timeliness -
no deliverable required. If the benchmark is not met, a Timeliness/ Backlog Exemption Form may be submitted.
Backlog -
no deliverable required.If the benchmark is not met, a Timeliness/Backlog Exemption Form may be submitted.
MEQIP -
no deliverable required. Next Quarterly Report due February 1, 2017. Annual Reports due March 31, 2017.
Training -
no deliverable required. All training hours must be completed by June 30, 2017.
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FY 2016-17 County Grant Program
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Upcoming Site Visits
As part of the Conditions of Funding for accepting funding through the County Grant Program, the Department will be performing a site visit to monitor the progress towards completion of the proposed project.
The County Relations team will begin to reach out to county grant recipients to schedule site visits for February and March 2017. Several site visits will be done in junction with those in neighboring counties, so specific dates will be provided to those grant recipients.
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| County Training Opportunities |
Health Care and Economic Security Staff Development Center (SDC):
Expanding Foundations MAGI - Denver Metro
January 3, 2017 -
January 5, 2017
8:30am - 4:00pm
Expanding Foundations Non-MAGI - Denver Metro
January 11, 2017 -
January 12, 2017
8:30am - 4:00pm
Expanding Foundations Long Term Care - Denver Metro
January 24, 2017 -
January 25, 2017
8:30am - 4:00pm
Online through TrainColorado:
Building Effective Relationships
Civil Rights
Client ID State ID
Colorado Address Confidentiality Program
IRS 1095-B Health Coverage Video
Medicaid Buy-In
PEAK
Health App
Single Streamlined Applications (SSAp) 101
Understanding Poverty
Your Road to Resources
Department of Health Care Policy and Financing:
Annualized Income Webinar
Other training not mentioned above may qualify for the HCPF Training Incentive. Contact the County Relations team for more information on the Training Incentive.
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Quick Links and Resources
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Medicaid and CHP+ Rules and Guidance
Volume 8 - Rules - direct link to Secretary of State
HCPF Forms and Rules
HCPF Agency and Directors Letters
HCPF FAQs and Training
HCPF County Relations
CBMS Enhancement Sheets - Governor's Office of Information Technology (OIT)
Staff Development Center (SDC)
Training Calendar
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Welcome to the December 2016 edition of County Connections!
The content in this newsletter is designed to inform county directors, management and staff in areas such as county performance, process improvement, collaboration, policy updates, upcoming due dates and more.
The content will continue to evolve. We encourage our county partners to give us your content suggestions. Feedback can be sent to the
HCPF County Relations team.
Please feel free to share
County Connections
with your colleagues by selecting
forward this email
at the bottom of this page.
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Breaking News - Policy and Process Updates |
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December 2016 Build for CBMS and PEAK
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Updates made to CBMS and PEAK in December 2016
Several updates to CBMS and PEAK were implemented on December 18, 2016, to improve the overall eligibility partner and consumer experience.
Breast and Cervical Cancer Program (BCCP) Update - Age Decrease
Currently, the age criteria for the Medical Assistance (MA) Breast and Cervical Cancer Program (BCCP) are ages 40-65 (can be eligible from the month in which they turn 40 through the month in which they turn 65). New federal policy has decreased the age requirement to ages 21-65 (can be eligible from the month in which they turn 21 through the month in which they turn 65) for those clients who have a diagnosis of cervical cancer.
This policy is effective January 1, 2017. As part of the BCCP PE approval process, OIT BCCP Presumptive Eligibility users will need to confirm the client's cancer diagnosis of either breast, cervical, or both with the authorized BCCP provider.
Emergency Medical Services (EMS) Update
Users will need to ensure that
Doctor Statement is provided when determining whether an individual is eligible for EMS.
Refugees as Optional Qualified Aliens after Seven Years
New CMS guidance indicates that refugees and other Mandatory Qualified Aliens treated identical to refugees who have been in the United States for seven years from their date of entry should be considered as Optional Qualified Aliens. Users will no longer see refugees and Other Mandatory Qualified Aliens fail for Medical Assistance after seven years if they have one of the following non-citizen statuses:
- CRSP Refugee
- Refugee
- Asylee
- Cuban-Haitian
- Deportation Withheld
- Amerasian
- Afghani Special Immigrant
- Iraqi Special Immigrant
- Victims of Trafficking
Click here to view the Department's Agency Letter on Refugees and Medical Assistance.
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Behavioral Health Organization (BHO) Grievance Contact Information
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Who to contact when a Health First Colorado (Colorado's Medicaid Program) member has a complex care coordination issue
If you are working with a Health First Colorado member who is experiencing a mental health or substance use crisis and the member's provider or BHO cannot be reached, call:
Colorado Crisis Services at 1-800-273-TALK (800-273-8255). You can call 24 hours a day, every day of the year.
If you are working to coordinate behavioral health care for a Health First Colorado member, please reach out to the
customer service line at the member's BHO. If you are working with a complex case, and you are not able to coordinate services through the customer service line, please reach out to the complex care coordinator contact at the member's BHO. Please report any continued concerns to the BHO's grievance line.
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Senate Bill 16-190: Continuous Quality Improvement (CQI) Survey
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Colorado Department of Human Services (CDHS) releases Informational Memo regarding SB 16-190 CQI Survey
CDHS has released an Informational Memo regarding SB 16-190's requirement for a CQI program. CDHS and HCPF have collaborated on the CQI survey in conjunction with a third party vendor.
The due date for completion of the survey is January 13, 2017. Both Departments highly encourage as many county staff as possible to complete the survey; the goal is 100% county participation.
For questions regarding this Informational Memo, contact Samantha O'Neill-Dunbar.
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Frequently Asked Questions (FAQs) - Single Entry Point (SEP) Deferred Revenue Accounts
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Department releases guidance for spend down of deferred revenue accounts
Click here to download a FAQ document that explains the purpose of deferred revenue accounts for the SEP Agencies throughout the State of Colorado. Some SEPs may refer to this as a restricted funds balance, however a restricted funds balance serves the same purpose as a deferred revenue account.
The Department contracts with 21 county agencies and 3 private agencies to serve as Single Entry Points that administer Medicaid programs to the elderly and physically disabled.
For more information regarding this document, contact Bonnie Rouse Caputo, SEP Contract Administrator.
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Reminder! Provider Revalidation for Counties -
TIME SENSITIVE
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County Provider Revalidation must be completed before March 1, 2017
Counties must complete the revalidation and enrollment process to be approved as a Health First Colorado or CHP+ provider. Any county that bills the Department for services to our members must complete the application.
For more information on County Provider Revalidation, refer to the County Provider Revalidation Sheet.
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Timeliness for November 2016
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Timeliness numbers for the month of November 2016 are in!
Timeliness for all Medical Assistance
applications for the month was measured at
99.01 percent.
The Department and its county partners have registered 29 consecutive months above 95 percent timeliness.
Timeliness for all Medical Assistance redeterminations for the month was measured at
96.32 percent.
The Department and its county partners have registered 10 consecutive months above 95 percent timeliness.
This could not have been accomplished without the hard work of our county partners. Many thanks!
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The following counties were
below the 95.00 percent benchmark for the month of November 2016.
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Applications
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Redeterminations
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| Archuleta - 94.23% |
Denver - 94.25% |
| Lincoln - 90.91% |
Elbert - 92.49% |
| Sedgwick - 94.12% |
Kiowa - 90.48% |
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Lake - 90.94% |
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San Miguel - 89.74% |
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Sedgwick - 93.58% |
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Teller - 90.28% |
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Process Improvement and Collaboration
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| FY 2016-17 County Grant Program: Project Summaries |
Now Available: Project Summaries for County Grant Program
The FY 2016-17 County Grant Program has released a Project Summaries document that lists all grant applications that were funded in the current fiscal year.
The document can be viewed by clicking on the link below:
Back to Top
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| Communications Briefs from the Division for Intellectual and Developmental Disabilities, Community Living Office |
CLO releases information regarding National Core Indicators Intellectual/Developmental Disabilities (NCI-DD) face-to-face interviews and Maximum Room and Board amounts for CY 2017
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| From Brenda LaCombe, Connect for Health Colorado® |
Enrolling for January 1, 2017, after December 15, 2016
Connect for Health Colorado® will work to enroll customers who began an application for January 1 coverage but were unable to complete the enrollment before midnight on December 15. Any individual who experienced a PEAK or CBMS issue that delayed eligibility result can request a January 1 coverage start date. They should call our Customer Service Center at 855-752-6749 for that assistance before completing their enrollment.
Other important deadlines:
- Sign up by January 15 for February 1 coverage
- Sign up by January 31 for March 1 coverage
- Open Enrollment Ends January 31
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| From Felicia Fognani, Colorado Department of Public Health and Environment |
New resources to promote Medicaid benefits for quitting tobacco
The Colorado Department of Public Health and Environment is pleased to relaunch a statewide campaign in English and Spanish to educate Medicaid enrollees about the benefits available to help them quit smoking.
The "Quitting Smoking is Covered with Medicaid!" campaign will feature Facebook, online and mobile display ads, and radio targeted to Colorado counties with tobacco use of 20 percent or higher. The campaign will run from December 2016 to May 2017 with ads targeting the general Medicaid population as well as pregnant women. New downloadable resources are also available to support campaign messaging; State Tobacco Education and Prevention Partnership (STEPP) Grantees can access the new templates via
COHealthResources.org.
The mass media campaign is part of a larger effort to encourage physicians to educate patients about cessation benefits, such as counseling and medications, available to them as part of their health insurance with Medicaid.
For more information, contact Felicia Fognani.
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| From Hillary Jorgensen, Healthier Colorado |
Healthier Colorado and the Partnerships in Local Advocacy (PiLA) program
The first call for applications and campaign partnerships was a big success - so much so that we are opening another round!
We are once again inviting any interested community member or organization with a local policy change campaign idea in Colorado to request partnership support from us.
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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).
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1-800-221-3943 (State Relay: 711).
For further information about this policy, to request free disability and/or language aids and services, or to file a discrimination complaint, contact:
504/ADA Coordinator
1570 Grant St
Denver, CO 80203
Phone: 303-866-6010, Fax: 303-866-2828, State Relay: 711
Civil rights complaints can also be filed with the U.S. Department of Health and Human Services Office for Civil Rights electronically through the
Office for Civil Rights Complaint Portal
or by mail, phone, or fax at:
1961 Stout Street Room 08-148
Denver, CO 80294
Telephone: 800-368-1019, Fax: 202-619-3818, TDD: 800-537-7697
Complaint forms are available online
.
For more information, please visit our website at
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