On October 31, 2017, the Department of Health Care Policy and Financing (Department) released a formal Request for Information (RFI) to gather information and prepare for the Request for Proposal (RFP) solicitation for Single Entry Point (SEP) administration.

 

Based on the RFI feedback and additional work that needs to occur to align case management services across the State, the Department will not post a RFP to solicit new vendors to perform SEP functions.

 

The Department will contract with all the current SEP contractors for a two-year contract term of July 1, 2018 through June 30, 2020 under a Sole Source procurement method. The contracts will include the current payment methodology/rates and updated language to accurately reflect statutory requirements, contractor general provisions, deliverable requirements and overall general language cleanup and clarification.

 

  Read the Full Single Entry Point Issue Brief.

When a COLA and/or PNA adjustment happens, it results in a change in the patient payment to the nursing facility, which needs to be updated. This has historically been done using the 5615 form. 

A report called the COLA5615 is generated each year to help expedite the process of notifying nursing facilities of the new patient payment amounts for their Medicaid residents. The COLA5615 report may be sent to the nursing facility in lieu of the 5615 form as long as the eligibility site has verified information within the report.

 

Since the COLA5615 report helps expedite the process, the Department strongly encourages using this report instead of the individual 5615 forms. Please continue to communicate and work with the nursing facilities on processing patient payment updates.

 

  For full instructions, read the 5615 Report Operational Memo.

All Counties - This is a reminder from the Department's Eligibility Section.

 

Please review the following daily report and take action if necessary - data entry corrections, submit Help Desk Tickets, etc.

 

Report Name: Medical Assistance Eligibility Span Error Report

 

Opt-In to Received AVP E-mail Notifications

Opting in to receive the AVP email notifications will inform the caseworker that the AVP has received liquid asset information related to a CBMS case. It serves as a reminder for the caseworker to go back into the case and review the AVP response and take action on the response if required.

 

For complete instructions, read the AVP Memo.

 

Take the Asset Verification Program Training

 

The Health Care and Economic Security Staff Development Center (SDC) has released the training for the Asset Verification Program (AVP) project. The project will be implemented in CBMS on December 17, 2017.This is an eligible training for the HCPF Fiscal Year 2107-18 County Incentives Program.

 

This training consists of two web-based modules and a desk aid to help CBMS users understand the changes related to this project.

 

This training can be access by  logging into your CO.Learn account  and searching for Asset Verification Program Training.

 

 

If you have questions or concerns regarding this email, please contact us at  [email protected].