County Connections Newsletter
|
|
This newsletter is designed for the Department to inform county directors, management and staff about county performance, policy changes, process updates, upcoming due dates, and more.
|
|
High-Impact Policy and Process Updates
|
|
CBMS Transformation Update
|
|
REMINDER – CBMS and PEAK/PEAK
Pro
Maintenance – Phase 1
Phase 1 will go live on Monday, September 24. In order to move Phase 1 into Production, CBMS and PEAK/PEAK
Pro
will be down on Saturday, September 22, and Sunday September 23.
START
: 5:30 p.m. September 21, 2018
END
: 7:00 a.m. September 24, 2018
The key enhancements for Phase 1 include updated Home Page, Application Initiation (AI), and Clearance screens in the updated CBMS interface.
In addition, the User Practice Area (UPA) now reflects the Phase 1 changes to Home Page, Application Initiation (AI), and Clearance screens. Please access UPA and get accustomed to the new look and feel to prepare for Phase 1 Go Live.
The CBMS Command Center will be open on Monday, September 24, and Tuesday, September 25, from 8:00 a.m. to 4:00 p.m. for you report any issues following Phase 1 Go Live.
To connect to the Command Center:
Call the Access Number:
720-279-0026 (Local) or 1-877-820-7831 (Long Distance)
Enter the Participant Passcode:
349141#
Reminder:
If you are not a Resident Expert or a County Tester
and do go into the system during Go-Live weekend, be aware that there is no guarantee that your work will be saved.
Phase 0 and Phase 1 Login Process
Phase 0 is live! From September 6 - 9, the CBMS Transformation team successfully completed the Phase 0 transition to Amazon Web Services (a secure cloud services platform). From Monday, September 10, at 7:00 a.m. until Friday, September 21, at 5:30 p.m., you will be able to log in to CBMS with your normal username and password, and it should look identical to the way CBMS looked on Thursday, September 6.
Starting after the Phase 1 Go-Live on Monday, September 24, at 7:00 a.m., you will be required to follow two different login processes in order to complete all of the functions within CBMS:
- You will log in to updated CBMS via Google Chrome to access the Home page, Application Initiation (AI), and Clearance screens. Information entered and saved in the updated user interface will feed through to the current CBMS system.
- You will log in to current CBMS via Internet Explorer to access all other CBMS screens and complete non-Application Initiation (AI) CBMS tasks. This part of the process will not change from how you currently log in to CBMS.
- Why the Process is Changing
- Phase 0 Login Process
- Phase 1 Login Process
- CBMS Login Process FAQs
- COGNOS Login Process
Phase 1 Go-Live Checklist
With the immediate focus areas and overall feedback in mind, the CBMS Transformation team has created a
Phase 1 Go-Live Checklist
to help prepare for the changes coming on Monday September 24. These changes include the updated Home page, Application Initiation (AI), and Clearance screens in CBMS. The checklist graphic covers tasks for communications, learning, system requirements, and support.
Over the next two weeks, we ask that you review the checklist and complete the recommended activities.
Resident Experts: Phase 1 UPA Environment Now Available
The CBMS Transformation User Practice Area (UPA) Environment is now available for Resident Experts to access and prepare for Phase 1 Go-Live. This UPA Environment will be the best environment to practice in moving forward.
You will be able to log in with your current CBMS user name and password. We recommend setting aside some time to practice in the environment to get familiar with navigating in the updated CBMS user interface and get used to the Home Page, Application Initiation (AI), and Clearance screens. You can practice using the steps laid out in the process manuals or you can click around to practice any other steps you may be curious about.
Note: The data in the UPA environment is masked – do not enter any client data.
This UPA Environment is the best environment to practice in moving forward. All other CBMS users will have access to this UPA Environment as well.
Your access to the SIT-01 Environment that you had previously been working in will be revoked sometime in the near future, so we highly encourage you to transition to the UPA Environment.
We encourage you to continue speaking with CBMS users in your counties about the CBMS Transformation Project.
|
|
Implementation Updates: Known System, Policy & Other Issues
The Department has developed a section of its
Provider & Stakeholder Resource Center
dedicated to
Implementation Updates
on known system, policy and other issues related to the launch of ACC Phase II. The content on the page is not intended to be an all-inclusive list of ACC Phase II topics but will reflect known system, policy and other issues that have been identified; as well as solutions or workarounds that have been developed where applicable. We encourage providers, stakeholder and other interested parties to check back often for updates.
Data Analytics Portal Resources
To support the ACC's goal of improving member health and reducing costs, the Department has contracted with IBM Watson Health (formerly Truven) to host the
Data Analytics Portal (DAP)
, which replaces the former Statewide Data and Analytics Contractor (SDAC). This data analytics tool for PCMPs and RAEs includes population and performance information. See the
Data Analytics Portal resource page
for more information and user guides.
|
|
HCPF Member Contact Center Hours of Operation Effective October 1, 2018
|
|
Effective October 1, the Member Contact Center operational hours will be changing from 7:30 a.m. – 5:15 p.m.
to
8 a.m. – 4:30 p.m.
Over the past several months, the Department has done extensive analysis into how we can maximize the Member Contact Center’s efficiency and best serve our members. While this slight reduction in hours may seem counter-intuitive given our wait times, this change will allow us to have more agents on the phones, particularly at mid-day when our call volumes are at their highest.
In addition to having more agents on the phone throughout the day, this change will enable us to extend our call-back feature to 3:15 p.m. The call-back feature allows individuals on hold to request a call-back from us before the close of business without having to wait on the phone.
Over the coming days and weeks, the Department will be updating our websites and other communications to reflect this change.
|
|
HCPF Department Updates - Informational
|
|
From the Policy, Communications, and Administration office
From the Health Information Office
General Eligibility Policy Specialist
-
this
position serves as a specialist for various policies pertaining to Medical Assistance eligibility. Position conducts research to support eligibility activities and initiatives.
|
|
Memos and Department Communications
|
|
Policy Memos
–
None
Operational Memos –
OM 18-006
Implementation of the FY 2018-19 Child Welfare Incentive -
Corrected
OM 18-008
Implementation of FY 2018-19 Eligibility Timeliness and Backlog Incentive -
Corrected
OM 18-012
2018 Minimum Monthly Maintenance Needs Allowance (MMMNA)
OM 18-013
Home Maintenance Allowance Increase
OM 18-014
Case Management Agency Notification of 1915(I) State Plan Transition
Informational Memos –
IM 18-018
DXC CDASS Case Management Bridge Training
IM 18-019
Home and Community Based Services (HCBS) Children's Extensive Supports (CES) Waiver Spending Limits Increase
IM 18-020
Electronic Visit Verification Implementation Update
IM 18-021
Fact Sheets for HCBS-DD and SLS Waiver Dental Benefit
IM 18-022
July 25, 2018 IRSS Stakeholder Meeting Notes
IM 18-023
In-Home Support Services FAQ Update
IM 18-024
Environmental Survey on Current Technology Usage of HCBS Providers
IM 18-025
Public Notice for HCBS Waiver Amendments
IM 18-027
Business Utilization System Update Memo August 2018
IM 18-028
HCBS Settings Final Rule - PTP Training Announcement #1
IM 18-029
New HCBS Case Management Data System - Phase One
IM 18-030
No Wrong Door Quarterly Communication Feedback
IM 18-031
Senate Bill 18-231 Transitions Task Force Update
IM 18-032
FY 2018-19 County Incentives Webinar, Support Calls and FAQs
IM 18-033
Public Notice for HCBS Waiver Amendments
IM 18-034
Case Manager Recruitment for New Assessment and Support Plan Pilot
|
|
Public Rule Review Meeting
|
|
Public Rule Review meetings
are an opportunity for stakeholders to have one on one conversation with the Department's rule author regarding draft rules.
Public Rule Review meetings happen on the second Monday after the second Friday of each month. Stakeholders can attend in person or can e-mail feedback to the rule author before the rule goes to the Medical Services Board.
|
|
The Denver Indian Medical Assistance Site is closing from Wednesday-Friday October 4-6 to attend a conference.
Denver Indian Health & Family Services MA Site is located at:
2880 West Holden Place
Denver, CO 80204
303-953-6618
The site has prepared a communication plan of the closure through messaging, signage and their newsletters, etc. The clients will also have individuals at the facility to provide information as needed.
|
|
The Department has produced two Provider County Analysis Reports:
These reports provide information on the amount of Health First Colorado and Child Health Plan
Plus
claims paid during those timeframes, the number of providers enrolled and billing based on category, and the total number of claims paid and claims denied.
These reports have replaced the COLD Provider Analysis Reports and are based on claims data from the Colorado interChange claims payment system. This data can be utilized to help determine the economic impact of Health First Colorado/Child Health Plan
Plus
within your county.
Some information about the reports:
- These reports list claims paid within county boundaries; they do not include claims paid for county residents outside of county boundaries.
- Example: a client is referred from a provider in Alamosa County to Children’s Hospital in Denver County. The claim would not be listed in Alamosa County’s claims amount because it was not within the county’s boundaries.
- Not all providers bill for services at all times. Thus, some categories may not include data because there were no recent claims.
- Providers have up to 365 days to submit a claim, so data may not reflect delayed claims submissions. The data is subject to change in the future based on the timeframe to submit claims.
- There is an “Other” county that is inclusive of claims paid outside of Colorado counties.
- These reports were based on COLD Reports, but interChange captures new/additional fields not available in the Medicaid Management Information System (MMIS), from which the COLD Reports were produced. The Department welcomes feedback and recommendations for improvement.
The Department has not yet determined a regular production schedule for these reports, but will have further information on the regular availability of them at a later date.
|
|
The Department
of Health Care Policy & Financing
has a new Member Integrity Unit. This unit will investigate suspected client fraud in the
Health First Colorado
and C
hild
H
ealth
P
lan
Plus
medical assistance programs.
Please take this short survey so we can better understand how we can help you and your teams pursue Medicaid and CHP+ client fraud. You
r
responses will be anonymous unless you provide your contact information in the survey.
|
|
New Verification Checklist Webinar
|
|
On October 15, 2018, the Colorado Benefits Management System (CBMS) will begin sending a new Verification Checklist (VCL). The new VCL’s language and layout has been updated for improved readability. The Department worked in collaboration with the Colorado Department of Human Services, Connect for Health Colorado and stakeholders throughout the process. The new VCL was also consumer tested in English and Spanish and edited to incorporate feedback.
Join the Department for a webinar on the new VCL. This webinar will be offered twice with the same content. Space is limited, and the recording will be available online after the live sessions.
|
|
County Grant & County Incentives Programs
|
|
The Department has released guidance regarding implementation of the FY 2018-19 County Incentives Program:
- IM 18-032 FY 2018-19 County Incentives Webinar, Support Calls and FAQs
|
|
Quarter 1 Grant check in calls are taking place throughout September - contact the County Team if you do not know when your county's check in call will take place.
Please return the Quarterly Check In Matrix within one week of your check in call.
|
|
Timeliness for August 2018
|
|
Timeliness for all Medical Assistance
applications
was measured at
97.84 percent
. The Department and its county partners have registered 49 consecutive months above 95 percent timeliness.
|
|
Timeliness for all Medical Assistance
redeterminations
was measured at
98.85 percent
. The Department and its county partners have registered 29 consecutive months above 95 percent timeliness.
|
|
Connect for Health Colorado
|
|
Connect for Health - Open Enrollment Roadshow, New Eligibility System, and Building Better Health Conference
Connect for Health Colorado is going on the road to kick off Open Enrollment 6! The roadshow includes locations all over the state. A walkthrough of our New Eligibility System will be presented the first hour of each roadshow date with an opportunity to ask questions. The audience is largely assisters and brokers, so this is also an excellent networking opportunity. Please let Jessica Smith (
jsmith@c4hco.com
) know if you are interested in joining or sending staff members. Dates/ times/ locations are listed in the table below.
|
|
Webinars:
Connect for Health Colorado is providing four 30-minute webinar training opportunities for county workers on their New Eligibility System (NES) on September 26, 2018 and October 3, 2018. Webinars will be recorded and posted on CO.Learn for those who cannot attend on the dates the webinars are held. T
hese training hours will count towards the HCPF County Incentives.
Specific links/ call-in information for these webinars will be sent out via SDC training network, CBMS communication, and CHSDA Roundup emails the second week of September. Please reach out to Jessica Smith at
jsmith@c4hco.com
with any questions.
Building Better Health Conference:
C4HCO Building Better Health Schedule:
Monday October 15, 2018: 10:00 AM: NES Eligibility System Overview
Monday, October 15, 2018 at 11:15 AM: NES Eligibility System Overview
Tuesday, October 16, 2018 at 11:30 AM: NES Eligibility System Overview
Tuesday, October 16, 2018 at 11:30 AM: Renewals 101
Contributing on DOI session: Monday, October 15, 2018 at 10:00 AM: Qualifying Life Change Events
Contributing on DOI session: Monday, October 15, 2018 at 2:30 PM: Appeals 101
Contact:
Please feel free to reach out to Jessica Smith (
jsmith@c4hco.com
) with any questions.
|
|
Department Contacts & Resources
|
|
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).
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
|
|
Colorado Dept. of Health Care Policy & Financing
(303) 866-2993 | 1570 Grant Street, Denver, CO 80203
|
|
|
|
|
|
|
