The purpose of this Operational Memo is to provide guidance to eligibility sites regarding their responsibilities when responding to documentation requests and findings from the Medical Assistance Eligibility Quality Assurance (EQA) unit.

The purpose of this Memo is to inform county departments of human/social services of the processes for entering overpayments and overpayment interest into the Colorado Benefits Management System (CBMS) for Health First Colorado/Medicaid fraud investigations. This Memo will be available to all county staff working on investigations to advise on the reporting requirements for member/client fraud, county incentives for member/client fraud and how to code overpayments and interest. This Memo supersedes guidance issued in HCPF OM 19-002 and HCPF OM 21-002 and is the most current guidance available.

The term “member” and “client” will both be used in this document as “client” is the terminology used in CBMS and “member” is the term preferred by the Department of Health Care Policy and Financing (“Department”).

The purpose of this memo is to inform authorized individuals/entities, such as county departments of social/human services, Medical Assistance (MA) sites, Eligibility Application Partner (EAP) sites, anyone who processes applications for individuals that have disabling conditions, and other internal and external stakeholders, that:

The automated process will ensure that eligibility determinations and redeterminations are more efficient for Medical Assistance categories that require a disability determination by the State Disability Determination vendor.

Eligibility site responsibilities and agency letters have been updated.

The purpose of this Operational Memo is to inform Consumer Directed Attendant Support Services (CDASS) stakeholders of updated requirements to the background check process for CDASS attendant enrollments.

The purpose of this memo is to advise County Departments of Human/Social services and Medical Assistance sites of income changes to the Health First Colorado Buy–In Medicaid Program for Children with Disabilities (CBwD). Please share this memo with anyone who works with this program.

The purpose of this Operational Memo is to provide information to Home and Community-Based Services (HCBS) Day Habilitation provider agencies, Case Management Agencies (CMAs), members, and stakeholders on changes to Day Habilitation services. These changes include implementation of a 1:1 service delivery model for Specialized Habilitation (SH) and Supported Community Connections (SCC), and annual dollar caps only for members who choose to utilize the 1:1 option. This memorandum impacts the HCBS Developmental Disabilities (HCBS-DD) and Supported Living Services (HCBS-SLS) waivers.

The purpose of this Operational Memo is to inform Case Management Agencies (CMAs) of updated operational changes to case management documentation requirements for functional eligibility for long-term services and supports (LTSS) programs. This Operational Memo has been updated to reflect changes to Long Term Home Health (LTHH) and supersedes HCPF OM 21-013.

The purpose of this operational memo is to advise county departments of human/social services and Medical Assistance sites of income changes to the Health First Colorado Buy-In Program for Working Adults with Disabilities (WAwD). Please share this information with anyone who works with this program.

The purpose of this memo is to advise eligibility 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.

The purpose for this memo is to notify eligibility site staff of the income guidelines for the Modified Adjusted Gross Income (MAGI) Medicaid program and the Child Health Plan Plus (CHP+) program effective April 1, 2021.

The purpose of this Operational Memo is to inform Electronic Visit Verification (EVV) Stakeholders about updates on the implementation timeline and how the Colorado Department of Health Care Policy & Financing (Department) will enforce implementation.

The purpose of this Operational Memo is to inform eligibility sites of changes being made to the Reasonable Opportunity Period (ROP) policy and Colorado Benefit Management System (CBMS). Changes made to the policy and to CBMS will reduce the ROP for income discrepancies from 90 calendar days to 30 calendar days for Modified Adjusted Gross Income (MAGI) and Non-MAGI programs.

The purpose of this Operational Memo is to inform eligibility sites of operational instructions to meet Federal requirements to include Net Operating Loss (NOL) as an allowable deduction for MAGI-based programs.

The purpose of this Informational Memo is to inform stakeholders that the Home and Community-Based Services (HCBS) waiver amendments submitted to the Centers for Medicare & Medicaid Services (CMS) on Dec. 17, 2020 were approved.

The purpose of this Informational Memo is to inform Consumer Directed Attendant Support Services (CDASS) members and stakeholders about compliance with the Healthy Families Workplaces Act (HFWA).

The purpose of this Informational Memo is to inform Community Centered Board (CCB) and Single Entry Point (SEP) case management agencies of the requirements to document complaints received regarding the agencies’ performance and to amend requirements for the contractual Complaints Trend Analysis.

The purpose of this Informational Memo is to inform stakeholders of a revision to the audience and agenda of the upcoming technical assistance meeting co-hosted by the Department and the Colorado Department of Public Health & Environment (CDPHE). The Department will also be addressing the topic of Individual Residential Service and Supports (IRSS) and Group Residential Service and Supports (GRSS) during this meeting. This meeting is open to all interested stakeholders, including Home and Community-Based Services (HCBS) waiver members, guardians and relatives of members, advocates, service provider agencies and Case Management Agencies. 

The purpose of this Informational Memo is to inform all day program provider agencies of an upcoming technical assistance meeting co-hosted by the Department of Health Care Policy & Financing (Department) and the Colorado Department of Public Health & Environment (CDPHE) to provide resources and answer questions on how day program services, which are considered Limited Health Care settings, can be provided through the duration of the COVID-19 Public Health Emergency (PHE). This meeting is open to all interested stakeholders, including Home and Community-Based Services (HCBS) waiver members, guardians and relatives of members, advocates, service provider agencies and Case Management Agencies serving individuals who receive day program services and supports within the HCBS waivers.

The purpose of this Informational Memo is to inform all stakeholders of an opportunity to provide preliminary feedback on Case Management Redesign. The Colorado Department of Health Care Policy & Financing (Department) is currently working with HCBS Strategies (the contractor) and stakeholders to inform key decisions as part of the planning and implementation of the Case Management Redesign (CMRD) initiative in Colorado.

The purpose of this Informational Memo is to serve as a reminder that members must be afforded choice when selecting Home and Community-Based Services (HCBS) services or specified providers.

The purpose of this Informational Memo is to inform Community Centered Boards (CCBs) that the Department of Health Care Policy & Financing (Department) has executed an Option Letter to modify the existing CCB Contract to include a rate for Functional or Psychological testing required to determine a person’s Developmental Disability (DD) Determination eligibility for the Pre-Admission Screening and Resident Review (PASRR) process when admitting to a skilled nursing facility.

The purpose of this Informational Memo is to provide Case Managers (CMs) and stakeholders a guide on documentation recommendations for the authorization of Health Maintenance Activities (HMA) for In-Home Support Services (IHSS) and Consumer-Directed Attendant Support Services (CDASS).

The Department of Health Care Policy & Financing (Department) will soon be conducting the National Core Indicators (NCI) Staff Stability Survey for Program Approved Service Agencies. This Informational Memo provides an overview of why the Department is conducting and who is targeted by the survey. The intended audience for this memo includes Intellectual and Developmental Disability (IDD) Services Providers, Program Approved Service Agencies (PASAs), and Community Centered Boards.

The purpose of this Informational Memo is to inform families who have children receiving services through the Children’s Extensive Support (CES) waiver of the National Core Indicator (NCI) Child and Family Survey opportunity. The data that results from NCI surveys is used to inform strategic planning, produce legislative reports, and prioritize quality improvement initiatives.

The Colorado Department of Health Care Policy & Financing (Department) invites the public to comment on proposed waiver amendments to the following Home and Community-Based Services (HCBS) waivers: Persons with Brain Injury (BI), Children’s Extensive Support (CES), Children’s Home and Community-Based Services (CHCBS), Children’s Habilitation Residential Program (CHRP), Children with Life-Limiting Illness (CLLI) , Community Mental Health Supports (CMHS), Developmental Disabilities (DD), Elderly, Blind, & Disabled (EBD), Persons with Spinal Cord Injury (SCI), and Supported Living Services (SLS).