HCI Primary Care Medical Provider Monthly Newsletter
February 2022
IN THIS ISSUE:

Provider Resources:
  • February is American Heart Month
  • National Children's Dental Health Month
  • Effective January 1, 2022: Updated Coding Manual
  • POS 10 Code Addition Effective April 1, 2022
COVID Information:
  • Health First Colorado Coverage of At-Home COVID Tests
  • Omicron Resources
  • Update on Monoclonal Antibodies Treatment: Supplies Limited
  • State Wide Vaccine Information
Member Resources:
  • Housing Instability Resources for Members
  • NEW! PEAK Chatbot Features
  • New Member Webinar
  • Advanced Directives Workshop
Webinars and Events:
  • Program Improvement Advisory Committee (PIAC)
  • Managed Care 101
  • PCMP Learning Collaborative
  • Youth Marijuana And Suicide Prevention-LIVE EVENT
Provider Resources
FEBRUARY IS AMERICAN HEART MONTH

Heart disease is the leading cause of death in the United States. The term “heart disease” refers to several types of heart conditions. In the United States, the most common type of heart disease is coronary artery disease (CAD), which can lead to heart attack. February is American Heart Month, a time when all people can focus on their cardiovascular health. This year the Division for Heart Disease and Stroke Prevention is shining a light on hypertension (high blood pressure), a leading risk factor for heart disease and stroke. Please visit the CDC’s Heart Disease webpage for useful toolkits and extensive resources to share.
NATIONAL CHILDREN’S DENTAL HEALTH MONTH

Developing good habits at an early age and scheduling regular dental visits helps children to get a good start on a lifetime of healthy teeth and gums. This is a great time to check in with children and parents about dental health and to make sure that they’re looking after their smiles.
Please share this resource from the American Dental Hygienists Association: Parent’s Guide to Keeping Little Mouths Healthy and this link for members to find a dentist.
PLACE OF SERVICE (POS) 10 CODE ADDITION EFFECTIVE APRIL 1, 2022

Effective April 1, 2022, POS 10 will be added to reflect Telehealth Provided in a Patients Home. Additionally, the existing POS 02 has a description change.

POS Code / Name / Description

  • POS 02--Telehealth Provided Other than in Patient's Home--The location where health services and health related services are provided or received, through telecommunication technology. Patient is not located in their home when receiving health services or health related services through telecommunication technology.

  • POS 10--Telehealth Provided in Patient's Home--The location where health services and health related services are provided or received, through telecommunication technology. Patient is located in their home (which is a location other than a hospital or facility where the patient receives care in a private residence) when receiving health services or health related services through telecommunication technology.

Please note that Medicare has not identified a need for new POS code 10. Providers should continue to utilize the Medicare billing instructions for Telehealth claims in Pub. 100-04, Medicare Claims Processing Manual, Chapter 12, Section 190.

For additional information regarding the codes, please access this document at https://www.cms.gov/files/document/R11045CP.pdf.

Here is the link to the official CMS Place of Service Publication.
COVID
HEALTH FIRST COLORADO COVERAGE OF AT-HOME COVID TESTS

Health First Colorado, the Colorado Medicaid program, will pay for at-home COVID-19 tests for members effective Jan. 15, 2022. Each enrolled Health First Colorado member can get up to 15 free at-home tests per month from pharmacies that serve Health First Colorado. There is no out of pocket cost or co-pays for Health First Colorado. Health First Colorado will reimburse the pharmacies after members receive the free tests.
 
Health First Colorado members must get the tests from a Health First Colorado enrolled pharmacy. Health First Colorado cannot be reimbursed for at-home tests they may have already purchased.
 
Currently, there is a shortage of at-home tests and pharmacies have the discretion to limit how many tests they will provide customers at one time - such as a parent wanting to receive a month’s worth of tests for each member of his/her family at one time. The Biden Administration has ordered 500 million tests be made available nationwide by early February.
 
The Health First Colorado webpage has more information on the at-home test program, enrolled pharmacies and FAQs that will be updated as new questions arise.
OMICRON RESOURCES

The Colorado Department of Public Health and Environment (CDPHE) shared new and updated communication resources that may be useful.
UPDATE ON MONOCLONAL ANTIBODY TREATMENTS: SUPPLY LIMITED

Per Colorado Department of Public Health and Environment (CDPHE): Colorado’s supply of therapeutic treatments, including monoclonal antibody therapy and oral antivirals, is determined at the federal level. As of January 2022, the federal government is supplying an extremely limited quantity of these medications, significantly impacting the frequency at which we are able to provide them. We are hopeful that the supply of monoclonal antibody treatment and oral antivirals will ramp up significantly in the coming months.
 
For more information about therapeutic treatments, call the CDPHE hotline at 1-877-CO VAX CO (1-877-268-2926).
STATEWIDE COVID-19 VACCINE INFORMATION

Colorado Department of Public Health and Environment provides extensive resources and up to date information regarding the COVID vaccine. 
Health Colorado Member Resources
Beacon and Health Colorado would like to give their providers important resources to share with members.
HOUSING INSTABILITY RESOURCES FOR YOUR MEMBERS

Beacon Health Options and Health Colorado would like to contribute resources to providers to share with their members who may be in need of local housing and shelter assistance. Please provide this information to members who may benefit from these resources.
PEAK WEBSITE IMPROVED VIRTUAL ASSISTANCE FOR MEMBERS
 
The PEAK websiteutilized by members to apply for or manage medical, food, cash or other State of Colorado benefits, has a new update for their chatbot. The PEAK Chatbot has the following new features that your clients will be able to use on the PEAK Websites:
  • Ability to find the provider directory
  • Ability to view your 1095B Correspondence 
  • Direction to your 211 information 
  • Direction on how you can change your PCP 
 
The flyers below were created to display in your lobby, post on Facebook, or share with members wherever you communicate with them. The PEAK Chatbot can answer many of your member's questions quickly and easily, hopefully reducing phone calls and lobby visits you get related to the information that the Chatbot can provide instead!

If you have any questions or concerns, please contact cbms.liaison@state.co.us.
HEALTH COLORADO: WHERE DO I START? WEBINAR

Beacon and Health Colorado will assist with questions new members have regarding Medicaid benefits.
YOUR CHOICE, YOUR VOICE: LIFE CARE PLANNING ADVANCE DIRECTIVES VIRTUAL WORKSHOP

Beacon and Health Colorado invites anyone to participate in this "working" workshop where forms are available for members to state their wishes if they were unable to communicate them.
Webinars / Events
HEALTH COLORADO PROGRAM IMPROVEMENT ADVISORY COMMITTEE (PIAC)

Health Colorado would like to encourage you to join our Program Improvement Advisory Committee (PIAC).This group is for members, family members, providers, county employees, and other stakeholders.
MANAGED CARE 101
Hosted by Beacon Health Options

Wednesday, February 2, 2022 12pm (MST)
This webinar is an overview of managed care terms, definitions and general guidance on working with Beacon Health Options.
PCMP LEARNING COLLABORATIVE

Thursday, March 10, 2022 12 - 1pm (MST)
Focus will be on the patient experience.

Contact your Transformation Coach for the call-in information for this meeting.
YOUTH MARIJUANA AND SUICIDE PREVENTION--LIVE EVENT
Hosted by Johnny's Ambassadors, Inc.

Johnny's Ambassadors educates the public about the dangers of today's high-THC marijuana on adolescent brain development, mental illness, and suicide. Join Laura Stack, Founder and CEO of Johnny's Ambassadors:
  • Learn About the High-Potency Marijuana Products Used by Today’s Youth
  • See the Results of Legalizing Medical Marijuana for 18-Year-Old’s in Colorado
  • Understand How Adolescent Marijuana Use Can Lead to Mental Illness and Psychosis
  • Understand the Connection Between Marijuana and Suicide in Youth

Tuesday, February 15, 2022 6pm - 7:30pm (MST)
LIVE EVENT: Cornerstone Church, 9941 Lone Tree Pkwy, Lone Tree, CO 80124
Click here for more information and to register. Livestream is also available on the link.