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Upcoming Events and Helpful Resources
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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 July 2017 edition of At a Glance!
Thank you for your interest!
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The Future of Child Health Plan Plus Planning Resources
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Unless Congress acts, federal funding for the Children's Health Insurance Program (known as Child Health Plan
Plus, or CHP+, in Colorado) ends September 30, 2017. Due to this uncertainty, the Department has started to plan the steps it may need to take.
At this time, there are no changes to CHP+ eligibility or the CHP+ Program.
If Congress does not pass legislation to continue federal funding, CHP+ will be affected beginning October 1, 2017.
Please visit
Colorado.gov/HCPF/future-child-health-plan-plus-chp
for more information. We will update this web page whenever new information is available for providers, stakeholders, eligibility partners and CHP+ members. Please check this page for updates.
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ALERT: PEAK Security Update May Impact Users
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Beginning
August 5, 2017
, PEAK users will only be able to access Colorado.gov/PEAK if both their web browser and operating system meet certain
requirements. This change is being implemented as an important security measure by the platform that supports PEAK. This security update will
help ensure that personal information continues to be protected as much as possible from cyber security threats.
A scrolling banner on the PEAK homepage is currently notifying users of this upcoming change. The banner includes a
link where users
may test their web browser and access further information.
The PEAK Technical Support Call Center is also ready, willing and able to provide support! The Call Center can be reached at 1-800-250-7741
(Monday-Friday from 7:30 a.m. to 5:15 p.m.), or via email at
[email protected]
.
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PEAK Transport Layer Security Upgrade Rescheduled
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The PEAK Transport Layer Security (TLS) upgrade originally scheduled for July 22, 2017, has been moved to Saturday, August 5, 2017.
Salesforce originally had PEAK slated for a July 22 implementation, but we were recently informed that PEAK will be upgraded in the second Salesforce wave occurring on August 5.
Per the request on Friday to update the PEAK URL on county, CBO, and other partner websites, stakeholders can now plan to update the link from https://coloradopeak.secure.force.com/ to Colorado.gov/PEAK on August 5.
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New Member Videos Available
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| New videos are now available for Health First Colorado members on these important topics:
Please share these with members and feel free to air them in waiting rooms, county offices, eligibility sites--anywhere members may see them. Thank you for helping us communicate these important messages to Health First Colorado members! |
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Colorado interChange Update
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The Colorado interChange has processed approximately 17 million claims and paid providers more than $3 billion since the March 1, 2017, Go Live date.
The Department continues to work with its fiscal agent,
DXC Technology (DXC) to resolve issues as they are identified.
Any struggling providers can call the Provider Services Call Center at 1-844-235-2387 and select option 2 to "speak with an agent" and then option 4 to learn about interim payment options. Interim payments are meant to provide temporary relief to providers until their claims are processed correctly, not to pay an outstanding balance.
We cannot issue an interim payment to non-enrolled providers.
The Department has published step-by-step instructions for common functions in the Provider Portal.
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New Supplemental Resources: Long-Term Services & Supports and Behavioral Health Organizations
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| New resources are available about Long-Term Services and Supports and Behavioral Health Organizations for anyone who would like to learn the basics of these important benefits. Also available:
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PEAK User Survey for Health First Colorado Members--Please Help Spread the Word
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Eligibility and Enrollment Colleagues:
Please help share an online survey with PEAK customers that will inform future system improvements and measure year-over-year progress. Thank you!
Dear PEAK Users,
The State of Colorado wants to hear from you! If you have used PEAK, we invite you to take a short survey to tell us your thoughts: www.surveymonkey.com/r/COPEAK.
As a reminder, Colorado.gov/PEAK is the fast and easy way to complete an application and manage your benefits online. By getting helpful feedback from customers like you, we can continue to improve the website used by thousands of Coloradans each month.
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Web Resources for ACC: Access KP Program End
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Health First Colorado members previously enrolled in the Access KP Program will be automatically enrolled in Colorado Access on August 1, 2017.
This change in health plan enrollment will not change a member's benefits or services.
No action is needed by Health First Colorado members. Additionally, members can continue receiving their care through Kaiser Permanente.
Members were notified of this change by letter from Health First Colorado Enrollment.
Members should contact Colorado Access with
questions about this change,
their
health plan, benefits or
if they
want to change
their
provider at
1-855-4MY-RCCO.
Frequently asked questions for members are available
here
on Colorado.gov/hcpf and
here
on HealthFirstColorado.com. Provider frequently asked questions are available
here
.
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Colorado Health IT Roadmap Public Forums
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The Governor's Office and Office of eHealth Innovation invites you to join us for our Colorado Health IT Roadmap public forums.
We value your input and feedback on the proposed initiatives that represent the framework of Colorado's emerging Health IT Roadmap.
Please register
at this
link
, but if you forget to register, you are still welcome to join us!
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Primary Care Payment is Changing--Live Webinar August 23
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The Department will be holding a
live webinar on Wednesday, August 23, 2017 at 1:00 p.m. to provide additional information on the implementation of the Alternative Payment Model (APM) for primary care. The webinar will be especially useful for primary care practice or office managers and any office staff responsible for clinical quality improvement activities including registries and policy/process improvement.
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Partnerships to Improve Population Health
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Children with Autism Waiver Amendment Public Comment Opportunity
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The Department is submitting a waiver amendment to the Centers for Medicare and Medicaid Services for the Children with Autism (CWA) waiver. The proposed amendment includes the schedule to phase out the CWA waiver due to behavioral therapy services moving to the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) program.
The Department has asked for an effective date of July 1, 2018 for the proposed amendment.
Public Comment Opportunity
Please visit
the Department's website to view the full draft waiver. You may also obtain a paper or electronic copy by calling Laura Russell at (303) 866-4648 or by writing or visiting the Department at 1570 Grant St, Denver, CO 80203.
You are welcome to provide public comment or request a paper or electronic copy of any materials via
- email at [email protected]
- phone at (303) 866-4648
- fax at (303) 866-2786 ATTN: CWA Waiver Amendment
- in-person at 1570 Grant Street, Denver CO 80203.
Please note that public comments will be accepted through August 18, 2017.
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Regulatory Efficiency Review Public Comment Period
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The Department has initiated a public comment period beginning July 31, 2017 and running through August 30, 2017, during which time the public may provide input on the following sections of rule, as part of the Department's ongoing regulatory efficiency review process.
- 8.200 Physician Services
- 8.201 Adult Dental Services
- 8.202 Dental Services for Children
- 8.220 Competitive Procurement and Selective Contracting
- 8.221 General Provisions
- 8.295 School-Based Health Center Benefit Coverage Standard Incorporation by Reference
- 8.660 Laboratory and X-Ray
More information can be found in the public notice, located on the Department's Regulatory Efficiency Review web page.
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Delivery Systems Innovation
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Medicaid Buy-In for Working Adults with Disabilities Expands
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The Medicaid Buy-In for Working Adults with Disabilities program allows people with disabilities to work and earn up to 450 percent of the Federal Poverty Level and maintain their Medicaid Home and Community-Based Services (HCBS).
The Department has been working to expand Medicaid Buy-In for Working Adults with Disabilities to additional HCBS waivers. Effective July 1, 2017, the Buy-In program was made available for two additional HCBS waivers, Persons with Brain Injury (HCBS-BI) and Spinal Cord Injury (HCBS-SCI).
The Department anticipates that this program will be implemented into the HCBS-Supported Living Services (HCBS-SLS) waiver in FY 2017-18.
The Buy-In program has been available since 2012 for people receiving services through the HCBS waivers for Elderly, Blind, and Disabled and Community Mental Health Supports.
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State Innovation Model Update
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Extending integrated care with the Colorado State Innovation Model (SIM) Cohort 2
We continue to move the needle toward helping Colorado become the healthiest state by integrating behavioral and physical health in primary care settings.
SIM is working with 92 primary care practice sites, which serve 321,543 patients, and we will soon expand that circle. On July 7, the team sent acceptance letters to 168 practices that applied for cohort 2, which will start its practice transformation work in September. Cohort 2 will start its work this September and the team will release its application for cohort 3, the last group of practices to participate in the initiative, this fall.
SIM, an initiative that is funded by the Centers for Medicare & Medicaid Services, will ultimately work with 400 primary care practice sites and four community mental health centers. Learn more about the initiative on the
website
and follow us on social media channels to get the latest information.
Time is Running out to Apply for TCPi
The Transforming Clinical Practice Initiative (TCPi), which helps healthcare providers succeed with alternative payment models through valuable coaching and guidance, is nearing capacity. More than 1,600 providers in the state are participating in the initiative, and the limit is 2,000.
Learn more about TCPi and
apply today before time runs out.
SIM Helps Four Community Mental Health Centers Deliver Whole-Person Care
SIM is helping patients access whole-person care in trusted settings. Learn about four community mental health centers that are integrating physical health into behavioral healthcare settings to improve patients' health in the
latest episode
of the
Innovation Insights
podcast.
SIM By the Numbers
Community Collaboratives Enhance Patient Health, Access
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Accountable Care Collaborative Enrollment Update
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As of July 2017, 1,033,298 Health First Colorado members were enrolled in the Accountable Care Collaborative. This number includes 37,738 who are members of the Accountable Care Collaborative Rocky PRIME program on Colorado's western slope.
Approximately 744,893 Accountable Care Collaborative members are attributed to a medical home.
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Second Stakeholder Meeting on Upcoming Asset Verification Program
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The Department is convening a second stakeholder meeting to discuss the Asset Verification Program (AVP) scheduled to be implemented in December 2017. The AVP will help streamline the eligibility determinations when an asset test is required for programs and waivers for individuals who are 65 and older, blind, or who have a disability.
This meeting will follow-up on questions raised at the April 2017 stakeholder meeting, and provide an update on the status of the project.
The meeting will be held at HCPF's office at 303 E. 17th Ave., Denver, CO 80203 on Thursday August 10 from 2:00 to 3:00 p.m. in Conference Room 11A & B. A webinar and conference line will be available for those who cannot not attend in person.
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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
