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 Road to Transformation
|
|
The left-hand margin of the newsletter provides links that will allow you to learn more about CBMS Transformation:
- CBMS Transformation – Link to the Transformation page in the CBMS Community on the Portal. Learn about Transformation objectives, benefits, scope, and much more.
- Transformation Calendar – View the scope of meetings being held to shape the new User Interface.
- Questions? Comments? Suggestions? – Contact us at CBMS.Liaison@state.co.us.
The CBMS Transformation Team is scheduling
Regional County Visits
as part of our efforts to provide information to you regarding the CBMS Transformation project. We will plan to provide:
- Guided tours to walk-through the home page and Application Initiation (AI) pages.
- An opportunity for users to ask questions of Project Team and Training Staff.
Our goal is to provide you with ample exposure to the look and feel of the updated User Interface before Go-Live and to supplement the training activities that will be available in July. Below, please find the list of currently scheduled regional visits.
|
|
If you would like to attend one of these sessions, we recommend that you reach out to your management for approval before registering for an event via CO Learn.
To register for the regional CBMS Transformation Demonstrations,
log in to or create an account
on CO.Learn
. Once logged in, search for the title
CBMS Transformation Demonstrations
. If you have trouble accessing your account, please email the Staff Development Center at
SOC_StaffDevelopment@state.co.us
.
|
|
The Department is working closely with the RAEs, Health First Colorado Enrollment, DXC Technologies, outgoing contractors and other contractors to ensure a smooth transition of this substantial program transformation. We recognize there will be issues that arise with such a sizeable undertaking and are developing processes to prioritize and work through issues.
At this time, we ask that members, providers and other interested parties start by contacting their RAE if they have questions. In addition, interested parties can submit their questions to the Department using this
form
.
The Department will not be able to respond directly to all inquiries but will work closely with the RAEs and other contractors to address critical issues. The Department will continue to use the questions submitted to tailor upcoming communications and resources.
We ask for everyone's cooperation as we work to identify and resolve critical issues.
Contracting Guidance for Mental Health and Substance Use Disorder Providers
On July 1, 2018, the new RAEs will administer the capitated behavioral health benefit.
All behavioral health providers who want to receive reimbursement for providing mental health and substance use disorder services covered by the capitated behavioral health benefit must contract directly with the RAE(s).
Behavioral health providers must be enrolled as a Health First Colorado provider and will need to be contracted and credentialed by the RAE to receive reimbursement for providing capitated behavioral health services as of July 1, 2018. As behavioral health providers frequently care for members who live outside of their RAE region, behavioral health providers are encouraged to contract with multiple RAEs.
The RAEs are prepared to work with behavioral providers to ensure continuity of care if a provider's contracting and credentialing process is not complete by July 1.
Action Needed
- Contact a RAE immediately to begin the contracting and credentialing process. Behavioral health providers must contract with and be credentialed by a RAE to receive reimbursement for providing capitated behavioral health services after June 30, 2018.
- Continue billing your current BHO for capitated behavioral health benefit services through June 30, 2018.
For more information please see the follow resources:
What Physical Health Providers Must Do to Have Members Attributed
- Be validated by the Department and enrolled as a Medicaid provider in the Colorado interChange. Providers that successfully revalidated do not need to do so again.
- Contract with a RAE. Each site of a practice must be contracted with a RAE as a PCMP to receive attributions. For more information see our Primary Care Medical Provider Contracting Guidance Fact Sheet on CO.gov/HCPF/ACCPhase2.
- Use the correct site ID in billing. Submit claims with the right service location ID and address where services are rendered, so the member is attributed to the right location. For guidance, see our Multiple Service Locations Fact Sheet.
|
|
Updated Paper Application Webinars
|
|
The Department of Health Care Policy and Financing and Connect for Health Colorado will soon release an updated paper application for Medical Assistance, the
Application for Health Insurance & Help Paying Costs
. The application was updated to improve readability for applicants and members as well as to improve data entry efficiency for eligibility site workers. As with current paper application version, the Department will not print the updated paper applications for eligibility sites. The updated paper application will be posted by the beginning of June to the Department website in English and Spanish.
The Department will also host an informational webinar and post a desk aid to explain the updates made to the new paper application. This webinar will be offered twice with the same content. Space is limited, and the recording will be available online after the live sessions. Please register for this webinar by clicking the registration links below.
|
|
Federal Criminal Background Check
|
|
On May 1, 2018, DXC Technologybegan mailing official requests for fingerprint submissions from providers enrolled in a provider type with 'high' categorical risk.
Providers must send their fingerprints by June 1, 2018 or face termination of their enrollment.
If you receive any emails from providers with questions about Fingerprinting, please forward them to the attached email inbox,
HCPF_Fingerprinting@state.co.us
, and Department staff will reach out to the provider.
|
|
HCPF Department Updates - Informational
|
|
Update from Executive Director
|
|
Dear County Partners,
Last week, we held the kick-off press conference for the Lift the Label opioid anti-stigma event. More than one hundred press and industry leaders joined us. The speakers included me, Larry Wolk, executive director and chief medical officer at the Department of Public Health and Environment; Reggie Bicha, executive director at the Department of Human Services; Governor Hickenlooper and two Coloradans sharing their personal stories of addiction and recovery.
At the peak of opioid overprescribing, there were enough opioids prescriptions written to have 1 bottle of narcotics in every household in America. Clearly, we had work to do to reverse these destructive trends.
Through our collaborative efforts, over the last three years we have seen a cumulative 30 percent reduction in both the number of pills prescribed to Colorado’s Medicaid members and the number of our members taking opioids. This is outstanding progress in preventing addiction going forward. I know you and your provider members are committed to help prevent and reverse the damage opioid overuse and addiction is causing in our community. We thank you for that partnership.
While we continue to drive improved prescribing patterns to prevent addiction, we need to increase our energy and focus on helping our members who are addicted to opioids through their journey to recovery. You are critical to our continued progress on that front. Our Medicaid members account for nearly 29 percent of opioid overdose deaths in Colorado. That is devastating, but it is just one indicator of the catastrophic impact that opioids are having on individuals and families across our community.
I ask you to help us stand strong to support Medicaid/Health First Colorado members struggling through opioid addiction. The first barrier to their recovery is the stigma attached to addiction. Help us show our Medicaid members and all those struggling with opioid addiction that there is no shame in reaching out for help - that it is the critical first step to recovery. Please join us in communicating that it would be our joint privilege to provide the treatment, care and support that our members need to transition out of this destructive chapter and to thrive through the months and years to come.
Labels are for packages. They’re not for people. For more information about the kick-off event and the campaign to reduce the stigma associated to opioid addiction, please visit
LiftTheLabel.org
Thanks,
Kim
|
|
- Opportunity for input to the Crisis Steering Committee from Coloradans who are using or have used the mental health system and/or the substance abuse system.
- Updates to waiver waiting list
- Feedback opportunity for Case Management Agency and case manager Qualifications pursuant to House Bill 17-1343 and the Redesign of Case Management in Colorado
- The Department has issued an Agency Letter regarding Returned Mail for Health First Colorado and Child Health Plan Plus. This Agency Letter provides updates on the revised Medical Assistance returned mail process.
|
|
Updates on Legislative Session
|
|
County Grant & County Incentives Programs
|
|
County Incentives Contract amendments will be sent to county directors in
late May
Contract amendments are due to the Department by June 15
- If your county needs additional time, reach out to the County Team; Option Letters will be issued to all counties who have not submitted their amendments by June 15
- The Department will be holding a webinar for implementation of next year’s Incentives in June
- Operational Memos for each Incentive will be issued
|
|
FY 2018-19 County Grant Program
- Applications, Preferred Projects List, and Informational Memo were released on Monday, May 14th
- Completed applications are due by June 8; interviews for applicants will begin the week of June 18
- Project Summaries for current and past projects can be found on the County Administration website
FY 2017-18 County Grant Program Year End Report Out
- Counties will present the results of their grants at HCPF’s 303 E 17th Ave location on May 29th and May 30th
- County presentations and grant project contacts will be posted on the County Administration page
- Counties interested in applying for a grant in FY 2018-19 are encouraged to look at this year’s projects and their lessons learned
|
|
Timeliness for April 2018
|
|
Timeliness for all Medical Assistance
applications
was measured at
96.24 percent
. The Department and its county partners have registered 46 consecutive months above 95 percent timeliness.
|
|
Timeliness for all Medical Assistance
redeterminations
was measured at
99.29 percent
. The Department and its county partners have registered 26 consecutive months above 95 percent timeliness.
|
|
Connect for Health Colorado
|
|
Connect for Health's new eligibility system is generating a lot of anticipation among stakeholders. C4 has added a
new page
to the web site to answer questions, report progress and to take comments and questions.
As a reminder, the new system will be funded, developed and maintained entirely by Connect for Health Colorado and ready for the next Open Enrollment Period. We are undertaking this work to:
- Streamline the customer experience
- Continue to meet federal compliance obligations
- Control system enhancements and to add speed and flexibility to troubleshooting
|
|
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
|
|
|
|
|
|
|
