OM 20-050
The purpose of this Operational Memo is to inform Providers and Case Management Agencies of temporary rate increases in response to the COVID-19 pandemic for Nursing Facilities and Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID). The service, corresponding rate increase, and any additional requirements to receive the increase will be found in this memo.
OM 20-049
The purpose of this Operational Memo is to inform Case Management Agencies (CMAs) of temporary operational changes to case management requirements based on Centers for Medicare & Medicaid Services (CMS) guidance for completion of functional eligibility paperwork, including the PMIP in response to the COVID-19 pandemic. This Operational Memo supersedes HCPF OM 20-019: Critical Incident Reporting for COVID-19. Updated information is in a separate section below.
OM 20-048
The purpose of this Operational Memo is to inform providers and CMAs of temporary rate increases in response to the COVID-19 pandemic for some home and community-based services (HCBS) waiver benefits. The service, corresponding rate increase and instructions on how to receive the increase are found below.
OM 20-047
The purpose of this Operational Memo is to inform Consumer Directed Attendant Support Services (CDASS) participants and CMAs of temporary changes to allow payments for sick time during the COVID-19 pandemic.
OM 20-046
The purpose of this Operational Memo is to inform Providers and Case Management Agencies of additional temporary changes in response to COVID-19 pandemic to HCBS waiver benefits and services offered through Health First Colorado. The updates and changes are in bold in the chart below. The Department is requiring all HCBS waiver providers to modify operations in response to health concerns related to the COVID-19 pandemic. Providers shall modify their operations to follow the most recent guidance from the Centers for Disease Control (CDC), the Colorado Department of Public Health and Environment (CDPHE) and the President’s Coronavirus Guidelines for America.
OM 20-045
The purpose of this Operational Memo is to inform Single Entry Points (SEPs), Community Centered Boards (CCBs) and CMAs of temporary operational changes to case management requirements for issuing a Notice of Action (LTC-803) for a member’s functional eligibility in response to the COVID-19 pandemic
OM 20-044
The purpose of this Operational Memo is to inform CMAs of Critical Incident Reporting (CIR) changes to the Benefits Utilization System (BUS), and to outline case manager reporting, service coordination and monitoring requirements for COVID-19. This Operational Memo supersedes HCPF OM 20-022: Case Management Additional Operational Changes in Response to COVID-19. Updated information is in a separate section below.
OM 20-043
The purpose of this Operational Memo is to inform Pre-Admission Screening and Resident Review (PASRR) stakeholders of temporary changes to the PASRR process. The PASRR process requires all applicants to Medicaid-certified Nursing Facilities be given a preliminary assessment (Level I) to determine whether they might have a Serious Mental Illness (SMI) and/or an Intellectual or Developmental Disability (IDD). Those individuals who test positive at Level I screen are then referred for a more indepth evaluation (Level II). The result of the Level II evaluation provides a determination of need, most appropriate setting, and a set of recommendations for services to inform the individual’s care plan (42 CFR 483.100-138). The audience for this communication includes eQHealth Solutions, PASRR Reviewers and Evaluators, Hospitals, Nursing Facilities, Single Entry Point agencies, Community Centered Boards, and all agencies and individuals involved in the PASRR process.
OM 20-042
The purpose of this Operational Memo is to provide guidance from the Business Process Reengineering (BPR) Project Learning Session to eligibility sites regarding RRR business processes.
OM 20-041
The purpose of this Operational Memo is to inform all County Departments of Human/Social Services, Single Entry Points (SEP) and Healthy Communities contractors that the Department is transitioning from wet signatures on all contracts to electronic signatures for all Department Contracts effective immediately. The program is called DocuSign and requires that each agency provide the Department with the email address for your agency's authorized Signor.
OM 20-040
The purpose of this Operational Memo is to provide direction to Transition Coordination Agencies (TCA) concerning requests for Targeted Case Management-Transition Coordination (TCM-TC) services that exceed the 240-unit cap outlined in 10 CCR 2505-10, 8.763.C. The memo will establish documentation and review standards based on health and welfare for consideration of requests by the Colorado Department of Health Care Policy & Financing (the Department). Targeted Case Management processes discussed in this memo only impact TCM-TC.
OM 20-039
The purpose of this Operational Memo is to update Home and Community-Based Services (HCBS) Providers and Case Management Agencies (CMAs) that retainer payments are now allowed for employment services offered through the Developmental Disabilities (DD) and Supported Living Services (SLS) waivers.
PLEASE NOTE: This memo also provides guidance to providers on adjusting claims submitted to date for retainer payments, as well as instructions on how to bill services going forward. These actions must be taken in order to receive retainer payments.
OM 20-038
The purpose of this Operational Memo is to inform Nursing Facilities of instructions for temporarily waiving certain training and certification requirements for nurse aides in nursing facilities.
OM 20-037
The purpose of this Operational Memo is to inform CCBs and SEPs of temporary changes to administrative requirements within the Fiscal Year 2019-20 CCB and SEP contracts, in response to the COVID-19 pandemic.
OM 20-036
The purpose of this Operational Memo is to inform HCBS providers and CMAs of the temporary suspension of in-person inspections for the Home Modification and Home Accessibility Adaptation benefits on the Brain Injury (BI), Children’s Extensive Supports (CES), Community Mental Health Supports (CMHS), Elderly, Blind, and Disabled (EBD), Spinal Cord Injury (SCI), and Supported Living Services (SLS) waivers, as well as the temporary suspension of in-person inspections for Individual Residential Support Services—Host Home (IRSS—Host Home) settings during the COVID-19 pandemic.
OM 20-035
The purpose of this Operational Memo is to inform providers and CMAs of guidelines that shall be followed in residential settings in response to the COVID-19 pandemic, including actions necessary where there is a suspected or confirmed case of the COVID-19 illness.
OM 20-034
The purpose of this Operational Memo is to inform CMAs of modifications to the temporary operational changes for face-to-face member contact and assessment authorizations.
OM 20-033
The purpose of this memo is to advise county departments of human/social services and Medical Assistance sites of the Medicare Savings Program (MSP) and Low Income Subsidy (LIS) income limits. MSP Categories include: Qualified Medicare Beneficiaries (QMB), Specified Low-income Medicare Beneficiaries (SLMB), Qualified Individuals (QI-1) and Qualified Disabled Working Individuals (QDWI). Please share this memo letter with anyone who works with these programs.
