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County Incentives Program
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| FY16-17 County Incentives Program |
Reminder!
MEQIP Annual Report due March 31, 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 the County Grant Program, the Department will be performing a site visit to monitor the progress towards completion of funded projects.
The County Relations team reached out with preliminary site visit dates to all counties who received funding through the County Grant Program. Once the dates are finalized, the Department will provide a Site Visit Matrix for the county to prepare for the site visit.
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| County Training Opportunities |
Health Care and Economic Security Staff Development Center (SDC):
Expanding Foundations Long Term Care - Denver Metro
March 16, 2017 -
March 17, 2017
8:30am - 4:00pm
Expanding Foundations MAGI - Denver Metro
February 28, 2017 -
March 2, 2017
8:30am - 4:00pm
Expanding Foundations Non-MAGI - Denver Metro
March 7, 2017 -
March 8, 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:
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 February 2017 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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Notice: Colorado interChange scheduled for go-live on Wednesday, March 1, 2017
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Attention Health First Colorado and Child Health Plan Plus (CHP+) Providers
As Go Live approaches, we want to make sure you're prepared, and familiar with the available resources. Below, you can find links to our Guide to Go Live, our new Billing Manuals, a list of important dates, and training information for the new Provider Web Portal.
Download this Guide to Go Live!
It's very important that you
read this document. Please share it widely across your organization.
New Billing Manuals!
Important Dates & Deadlines for Claims, PARs, and More!
It's very important that you
read this document. Please share it widely across your organization.
Training sessions for the new Provider Web Portal - watch the webinar recordings now!
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Reminder! COGNOS Report for Medical Assistance Eligibility Spans
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COGNOS Report should be pulled daily
As part of implementation of the Department's new claims payment system, the interChange, the September 2016 CBMS build added a new COGNOS report titled
Medical Assistance Eligibility Span Error Report.
The
Medical Assistance Eligibility Span Error Report will include all errors with Medical Assistance (MA) Eligibility Spans that were sent to the interChange.
These errors could be caused by data entry discrepancies. CBMS Users will need to review this report daily, resolve errors and re-authorize eligibility timely. If the error cannot be resolved, a State Help Desk Ticket should be submitted.
- Report Title - Medical Assistance Eligibility Span Error Report
- Report Description - Report includes all MA Eligibility Spans that could not be processed due to an error caused by user data entry. The data entry will need to be corrected and eligibility authorized in order for the medical span to be resent to the interChange.
- Report Frequency - Daily
- Report Format - Excel, PDF, CSV
- Report Access - County/MA Site Supervisors, County/MA Site Worker, State Staff. County/MA Site will only have access to their portion of the report. State Staff will have access to the entire report.
- Report Field Columns - Client Last Name, First Name, State ID #, CBMS Case #, Error Span Begin Date, Error Span End Date, Error Code, Error Description, Error Type
- Report Location - Medical Span Folder
The types of errors that could be received, and an image of the report, are found below.
- Member last name missing
- Member first name missing
- Mailing address is missing
- Mailing city is missing
- Mailing state is missing or invalid
- Mailing zip code missing or invalid
- Phone number must be numeric or spaces
- Date of death cannot be before date of birth
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MA: Pend at RRR
Currently, when an MA redetermination is made, CBMS users are not able to systematically pend for verifications that are not verified via an electronic source, such as self-employment income, earned income from sources not reported to the Colorado Department of Labor & Employment (CDLE), Unearned Income Types such as Private Retirement, and resources specific to non-MAGI categories of MA. Functionality will be added to systematically pend prior to RRR, so current data can be collected and used for the next recertification period.
CBMS users will...
- Need to ensure they are updating received verifications for an MA RRR prior to auto reenrollment so to not negatively impact the clients' RRR approval.
- Need to update the date verified for received verifications on the applicable pages so that the system will recognize that information has been received.
- Have the ability to pend for additional verifications as needed prior to RRR.
- Be able to receive verifications and update the system if not received timely, and CBMS will reapprove individuals based on the date the verification is received.
MA: Client Correspondence Enhancements - IEVS
The IEVS Discrepancy letter template will be updated to make it easier for members to understand the notification and any action required. Updates to format, language and dynamic language will be made.
A new page will be created in PEAK to allow the member to respond to the IEVS Discrepancy letter: Response Needed about your income. Responses received on this page will be mapped to both the Reasonable Compatibility and Additional Information pages in CBMS.
The State Relay language within the Non-Discrimination section of the NOA template will be updated to the following: If you are deaf, hard of hearing or have a disability that affects your speech and use a TTY, you can contact State Relay by dialing 711.
MA: Income Calculation Enhancements
Marketplace programs do not currently use income records for any source except for self-attested income, including IEVS records. This can cause individuals who received an IEVS interface record to terminate in Medicaid and then be force-passed back onto Medicaid due to their self-attested income record being within the MA federal poverty (FPL) limits.
Additionally, self-employment expenses continue to be deducted after the self-employment has ended when a Marketplace determination is made, which incorrectly force-passes individuals into Medicaid. This project will ensure that individuals will not roll back to Medicaid when determined ineligible due to an interfaced income. This project will also update PEAK and CBMS to help ensure that the Annualized Self-Employment Income and Expenses are correct when they are end-dated.
CBMS users will see a pop-up message reminding them to review Annualized Income and APTC Expense Summary pages when end-dating self-employment records.
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Pend at Redetermination (RRR): Presentation Slides now available
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Webinar Slides Now Available
On February 9, the Department held a meeting with county partners to discuss the upcoming CBMS March Build which includes changes that may significantly impact county processing of RRR packets.
Current CBMS functionality requires county departments to manually pend certain redeterminations, such as those without Social Security Numbers, those reporting self-employment, or Non-MAGI cases with resources, utilizing reports from COGNOS. Through the CBMS March Build, the functionality will be modified to automatically request these verifications from members without the requirement to manually pend the case. However, the modified functionality will require timely action be taken by the county department on member verifications to ensure the case is not discontinued in error.
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PEAK Technical Support Call Center Now Available
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Now Taking Calls!
The PEAK Technical Support Call Center, housed in the Governor's Office of Information Technology (OIT), provides direct customer assistance for technical issues related to the use of Colorado's Program Eligibility & Application Kit (PEAK).
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Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)
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Now available on PEAK and PEAKHealth
The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides healthy foods, nutrition education, breastfeeding support and other services free of charge to Colorado families who qualify.
Pregnant woman and children under 5 years of age who are enrolled/eligible for Health First Colorado are income-eligible for WIC.
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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.
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Timeliness for January 2017
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Timeliness numbers for the month of January 2017 are in!
Timeliness for all Medical Assistance
applications for the month was measured at
98.15 percent.
The Department and its county partners have registered 31 consecutive months above 95 percent timeliness.
Timeliness for all Medical Assistance redeterminations for the month was measured at
97.95 percent.
The Department and its county partners have registered 12 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 January 2017.
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Applications
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Redeterminations
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| Archuleta - 86.40% |
Archuleta - 93.41% |
| Bent - 92.31% |
Broomfield - 93.34% |
| Conejos - 88.89% |
Costilla - 93.09% |
| Dolores - 91.30% |
Crowley - 92.27% |
| Las Animas - 88.12% |
Elbert - 94.03% |
| Routt - 94.71% |
Fremont - 94.71% |
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Jackson - 89.66% |
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Lake - 87.22% |
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Larimer - 94.78% |
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Moffat - 92.57% |
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Otero - 94.75% |
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Prowers - 91.23% |
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Rio Grande - 94.57% |
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Routt - 91.36% |
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Process Improvement and Collaboration
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| Incarcerated Individuals: Cost Savings for Local Governments |
From Alejandro Vera, Special Projects Coordinator
The Department would like to highlight efforts made by El Paso County Department of Human Services and the El Paso County Sheriff's Office to enroll eligible individuals upon release or for hospital stays exceeding 24 hours.
By focusing on these enrollment processes, the county has billed approximately
$1.5 million in medical expenses to Health First Colorado, instead of absorbing those costs into the county budget.
In addition, the Department convenes a workgroup focusing on the jail-involved population; all county departments of human/social services are invited to attend.
For more information on this initiative or to participate in the Workgroup for Jail-Involved Population, contact Alejandro Vera.
Back to Top
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| Accountable Care Collaborative (ACC) Phase II Update |
ACC Phase II: Draft Request Comments
The next Phase of the Accountable Care Collaborative seeks to leverage the proven successes of Health First Colorado's (Colorado Medicaid's program) programs to enhance the member and provider experience. The goals of the Accountable Care Collaborative Phase II are to improve health and life outcomes of members while using state resources wisely.
Learn more about ACC Phase II.
The Department sought targeted comments between November 4, 2016 and January 13, 2017 on the
draft request for proposals (RFP)
from stakeholders. More than 255 comments were provided on the draft Accountable Care Collaborative Phase II RFP. These comments, coupled with the feedback the Department received from 16 in-person meetings across the state and 3 live-webinars is helping refine the content for the formal release of the RFP in the spring 2017
Respondents expressed appreciation of the process and the opportunity to provide comments. Some of the themes from the feedback include:
- Strong support for the focus on the integration of physical and behavioral health
- Mixed response to the proposed attribution methodology
- Requests for greater clarification regarding the six behavioral health visits that can be offered in primary care practices
- Suggestions for stronger incorporation of substance use disorder services into the program
- Recommendations that cannot be incorporated into the RFP, such as suggestions for expanding Health First Colorado benefits or alterations to federal managed care regulations
The Department is working to review all comments received and is making updates to the RFP that align with our agency authority, state and federal rules, and the goals of Accountable Care Collaborative Phase II.
The Department plans to release the final RFP in Spring 2017. Below is a high level timeline for the Accountable Care Collaborative Phase II.
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| Division for Intellectual and Developmental Disabilities, Office of Community Living |
From Joanne Svenningsen, Policy & Systems Operations Unit Manager
Communications Brief #1: Provide an Enrollment Overview regarding enrollments into the Home and Community Based Services for Persons with Developmental Disabilities (HCBS-DD) waiver.
Communications Brief #2:
Notify stakeholders that the Department is releasing the Statewide Transition Plan (STP) and Systemic Assessment Crosswalk for a 35-day Public Comment period.
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| From Oral Health Colorado |
Governor proclaims Children's Dental Health Month
For more information about Children's Dental Health Month, see the
American Dental Association
for resources to help children
"Choose Tap Water for a Sparkling Smile." Please join Oral Health Colorado in support of children's oral health.
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| From Sarah Brummett, Colorado Department of Public Health and Environment |
RFA #5538 - Office of Suicide Prevention Community Grant Opportunities
Apply:
Deadline is Wednesday March 22, 2017
Timeline:
RFA release date Feb. 15, 2017
Question period Feb. 15 to Feb. 24
RFA due date March 22, 2017 by midnight
Estimated funding start date July 1, 2017
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| From University of Colorado Denver, School of Public Affairs |
Registration Now Open!
Network Leadership Training Academy
April 26-28, 2017 -- Denver, CO
Do you engage in partnerships as part of your work? Are you a member of a community collaborative made up of organizations focused on a goal? Have you built up a network of partners to help you reach your organizational and professional goals? Are you looking for a place to learn more about how to do this kind of work effectively?
Many people today find themselves working within collaborative networks, but are struggling to find tools and a place to build skills for this new way of connecting across boundaries. The 5th Annual Network Leadership Training Academy (NLTA) is a 3-day interactive workshop offered by the Center on Network Science in the School of Public Affairs at the University of Colorado Denver. This learning opportunity is for network leaders and practitioners from across sectors to develop skills in order to build, manage, and evaluate collaborative networks.
The NLTA creates a space for conversations on network leadership, activities to learn and demonstrate ideas and skills, and practical tools to translate back to practice. Session topics include:
- Adaptive Network Leadership
- Affective Contagion in Networks-Evaluating Process Quality
- Asset Mapping for Network Leadership
- Community Organizing Approach to Network Leadership
- Evaluating Networks as Systems
- Facilitation Skills for Network Leadership
- Managing Networks
- Network Leadership for Collective Impact
- Network Way of Working: Building a Network Culture
- Tools for Assessing Personal and Community Networks
Visit the NLTA website to learn more about the workshop, agenda and trainers. There are also testimonials from past participants and a brief video on YouTube.
Early registration pricing ends Friday, March 17, and event registration will close April 17. Discounted rates and scholarships are available. Be sure to register early -- space is limited, and last year's NLTA was sold out one month before the event.
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| From Community Health Media Center (CHMC) |
The Community Health Media Center (CHMC) has free and low-cost advertisements and materials for use by state and local health departments. The advertisements and materials focus on built environment, nutrition, physical activity, obesity, and other chronic diseases or conditions.
Anyone can search the CHMC, and free consultation is available to help find and select advertisements or materials. Send an email to [email protected] with any questions or if you would like to share your advertisements or materials for consideration.
To learn more, go to CHMC.
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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: N
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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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