Oct. 25, 2021
Case Management Redesign Frequently Asked Questions (FAQs) Available

The Department of Health Care Policy & Financing (Department) has posted a series of FAQs to the Case Management Redesign webpage to offer answers to common questions about the initiative. In the coming months, the Department will share these FAQs through this newsletter to inform case managers of the coming changes.

Below are two of the many FAQs currently posted on the Case Management Redesign webpage.

Q: Why is Case Management Redesign (CMRD) happening?
A: Single Entry Points (SEPs), Community Centered Boards (CCBs) and private Case Management Agencies currently provide case management for individuals with disabilities in the Department's ten Home and Community-Based Services (HCBS) waiver programs, with each serving different waiver programs.

In addition to case management services, manyCMAsalso provide direct services to program recipients, creating a conflict of interest which is no longer allowable by the Centers for Medicare and Medicaid Services (CMS).

Individuals who are seeking or receiving Long-Term Services and Supports (LTSS) often qualify for multiple programs and end up navigating between systems that are siloed by program, making the system difficult for members.

CMRDis intended to simplify access and remove silos so members will be able to more easily navigate and find the right programs and services that work for them.It will require one case management agency to provide case management services for all waiver programs in each catchment area that is awarded by the Department through a competitive procurement process.

Further, these changes will meet the federal Conflict-Free Case Management requirement and allow the Department to ensure quality case management services for members across the state.

Q: Why is CMRD happeningNOW?
A: In 2014, CMS, the Department’s federal partners, released as the requirements for the “Final HCBS Settings Rule.” It included many requirements for providers to make changes to their processes to increase person centeredness.

This rule also included a requirement for case management agencies to be “conflict free,” which means that they cannot provide services to the same person they are providing case management services to.Colorado must come into compliance with these rules by July 1, 2024.
Attend a Webinar to Stay Engaged
Here are some upcoming webinars you might be interested in attending.

Rescheduled: LTSS Provider Update and Technical Assistance
10:30 - 11:30 a.m.
Thursday, Nov. 18
Meeting Link - Meeting ID: 993 1700 7314  Passcode: 396389
Toll-Free: 1-877-853-5257

Rescheduled: Updates for Disability, Older Adult & Advocacy Communities
3:30 - 4:30 p.m.
Thursday, Nov. 18
Meeting Link - Meeting ID: 993 1700 7314  Passcode: 396389
Toll-Free: 1-877-853-5257 

As a reminder, you can always find upcoming meetings for Long-Term Services and Supports (LTSS) topics on our stakeholder engagement webpage.
You can send questions or comments about the CCM project to our project inbox anytime.
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