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TopAt a Glance
July 31, 2018                                                                                      
In This Issue
Quick Links
In June 2018 there were 1,291,770 Coloradans enrolled in Health First Colorado (Colorado's Medicaid Program) and 82,588 enrolled in
(CHP+).
Upcoming Events and Helpful Resources
Health First Colorado printed materials are available on our website
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.
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.
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.
Welcome to the July 2018 edition of At a Glance!

At a Glance is a Department of Health Care Policy and Financing publication which provides information on major initiatives including policy changes and program updates. Please feel free to share At a Glance with your colleagues. Previous editions of At a Glance are available on our website.

Thank you for your interest!

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Breaking News
Memo Series
To align policy guidance, operational, and informational communications, the Department has adopted the Memo Series for written communications in place of other types of communications such as Agency and Director Letters, Dear Administrator Letters, Communications Briefs, and others.

The Memo Series is designed to streamline and clarify the Department's policies and expectations of those who receive formal policy guidance.

Learn more at the Memo Series web page. Links to previous years' agency, director, and administrator letters and Office of Community Living Briefs are available on the web page as well.
Delivery Systems Innovation
Accountable Care Collaborative Phase II Resources
July 1 marked a big day for the Accountable Care Collaborative (ACC) program with the launch of Phase II. Health First Colorado members' physical and behavioral health are now managed by Regional Accountable Entities (RAEs). 

Please see the most recent newsletter for updated provider, stakeholder and member resources: 

 

ACC Phase II July 18, 2018 Stakeholder Update

Partnerships to Improve Population Health
Substance Use Disorder Services Stakeholder Engagement Opportunity
In the coming months, the Department will begin engaging stakeholders to design and develop the residential and inpatient substance use services as directed by HB18-1136All meetings will be open to the general public.

If you are interested in participating in these conversations, contact Natasha Brockhaus.  
 
Intellectual and Developmental Disabilities Waiver Renewal Stakeholder Meetings
The Department is preparing to hold a series of meetings in August and September concerning the renewal of these waivers:

Email hcbswaivers@state.co.us to be added to meeting invitations and the distribution list. Please indicate which waiver meetings  you want to attend.

 

For more information, see memo IM-18-015 on the Memo Series web page.


Children's Home and Community Based Services Waiver Parental Fees Stakeholder Meeting
The Department is preparing to hold meetings in August and September to invite stakeholders to provide feedback on the implementation of parental fees in the Children's Home and Community Based Services (CHCBS) waiver. 

During the 2018 legislation session, the General Assembly provided funding ( Budget Request R-08) to conduct a study of determining an appropriate fee scale for this waiver and to implement the needed systems changes. These stakeholder meetings will discuss the project plan for this effort and explain the Department's approach for developing the fee scale. 

Email hcbswaivers@state.co.us to be added to the meetings invitations and the distribution list.

For more information, see memo IM-18-017 on the Memo Series web page.

Operational Excellence
Updated Verification Checklist Webinar
The Department has been working with our partners on updating our Verification Check List (VCL) to be more person-centered with plain language.  The updated VCL will be released in October 2018. 

The Department will be hosting a webinar to provide further information on the updated VCL. The webinar will take place on Wednesday, Oct. 10, 2018, from 10 a.m. - 11 a.m. and from 1 p.m. - 2 p.m. 

Stay tuned for additional updates and training announcements in the coming weeks.

Income Eligibility Verification System Enhancements
In June 2018, the Colorado Benefits Management System (CBMS) implemented updates and enhancements to the Income Eligibility Verification System (IEVS) and its use of Reasonable Compatibility for Medical Assistance categories. This included implementing a reasonable compatibility check for Non-MAGI categories. This effort aligns system functionality with policy ensuring that Colorado Department of Labor and Employment (CDLE) income records are considered appropriately for both MAGI and Non-MAGI categories.
 
This project did not change the policy or rules for when an IEVS letter is sent. Members receive an IEVS letter when their self-reported income and the amount their employer reports to CDLE are significantly different or, more precisely, not reasonably compatible. The member is asked to provide an explanation of why the numbers are different, and/or to provide proof that the income received through IEVS is inaccurate.
 
For more information, see the IEVS and Reasonable Compatibility FAQs.

Modified Adjusted Gross Income Flowchart and Frequently Asked Questions
For Modified Adjusted Gross Income (MAGI) Medical Assistance programs, household composition is determined for everyone in the household based on federal tax rules. 

In most cases, this consists of tax filers and their tax dependents. However, there will be exceptions for some households. MAGI households are determined in three different ways: Tax Filer Rules, Tax Dependent Rules and Non-Tax Filer rules.
 
The Department has posted a Frequently Asked Questions (FAQs) sheet for household composition for Modified Adjusted Gross Income (MAGI) Medical Assistance Programs. These FAQs provide further guidance on determining MAGI household composition and Monthly Budget Units (MBU) and are based on Tax Filer Rules, Non-Tax Filer Rules, and Tax Dependent Rules. 
 
The Department has also posted the Household Composition MBU Flowchart to assist eligibility workers in determining household composition for MAGI Medical Assistance programs. 

Family First Prevention Services Act
The Family First Prevention Services Act (FFPSA) is a federal law passed and signed by the President on February 9, 2018. The bill aims to invest funding in prevention and family services to help keep children safe and supported at home, to ensure that children in foster care are placed in the least restrictive, most family-like, and appropriate settings, and to make additional changes to the child welfare system.

No formal federal guidance is yet available on the FFPSA. Federal guidance related to eligible prevention services and programs is estimated for release in October 2018.

The Department has assigned several expert staff to the FFPSA work groups led by the Department of Human Services. These, work groups and associated committees, are developing strategy for implementation of this federal law in Colorado.

The Department's experts who regularly attend FFPSA planning meetings include a System of Care Specialist, a Residential Child Care Facilities (RCCF) and Psychiatric Residential Treatment Facilities (PRTF) policy specialist, and an Early and Periodic Screening, Diagnostic and Treatment (EPSDT) policy specialist. These staff are also participating in FFPSA compression planning meetings throughout the summer.

For more information, see the Colorado Department of Human Services' Family First Prevention Act web page.
Nondiscrimination Policy
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.

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