The purpose of this Operational Memo is to inform Case Management Agencies (CMAs) of modifications to the temporary operational changes for in-person member contacts.

The purpose of this Operational Memo is to provide service providers and case management agencies (CMAs) a final reminder to complete the required attestation form for the American Rescue Plan Act (ARPA) base wage rate increase as outlined in HCPF Operational Memo 22-004 and HCPF Operational Memo 21-087 by June 30, 2022

The purpose of this Operational Memo is to provide nursing facilities and cost report preparers instructions on how to report revenues received through local minimum wage supplemental payment as authorized by House Bill 19-1210 on the Med-13 Cost report.

PHE Unwind and Member Communications

As a condition of enhanced funding under the Families First Coronavirus Response Act,

the Colorado Department of Health Care Policy & Financing (HCPF) maintained

continuous coverage during the COVID-19 pandemic. When the public health

emergency (PHE) ends, HCPF will resume standard renewal processes. HCPF is

partnering with our Regional Accountable Entities (RAEs) and Managed Care

Organizations (MCOs) to assist in outreach to members during the renewal process,

including but not limited to sending text and email communications to members

regarding the renewal process. The RAEs should work closely with HCPF on their

communication plans and leverage Department-created messaging to help ensure

consistency in outreach. Some members will be automatically renewed using

information we have from other databases, known as Ex Parte renewals. All other

members will need to submit additional documentation and/or signatures to keep

coverage and may ultimately no longer qualify for coverage depending on their

household circumstances.

As a result of the COVID-19 pandemic, many members have moved or changed their

contact information. Text messaging and email can be cost-effective and a flexible

means to reach members who have indicated this is their preferred way to be reached, have been displaced by housing instability or who are otherwise difficult to contact. Text messaging and emails will not be appropriate for all members and tailored outreach strategies are recommended to meet those members’ needs.

Recent federal guidance allows the Department to partner with RAEs and MCOs during the renewal process. This memo provides additional operational information for RAE and MCO partners as we prepare together for the eventual end of the public health emergency and potential transitions in coverage for members.

The purpose of this Operational Memo is to inform nursing facility providers how the Department of Health Care Policy & Financing (the Department) will identify eligible admissions and calculate the hospital discharge enhanced payment.

The purpose of this Informational Memo is to inform county departments of human/social services (county) of targeted grant funding available through the FY 2021-22 County Grant Program. 

The purpose of this Informational Memo is to inform members, case management agencies (CMA), providers, and stakeholders of the statewide expansion of the Home and Community-Based Services (HCBS) Spinal Cord Injury Waiver (HCBS-SCI Waiver) to serve participants living with a spinal cord injury, multiple sclerosis, brain injury, spina bifida, muscular dystrophy, or cerebral palsy with the inability of independent ambulation.

Due to this expansion, the name of the HCBS-SCI waiver will be changed to the HCBS Complementary and Integrative Health Waiver (HCBS-CIH Waiver)

The purpose of this Memo is to inform county departments of human/social services of grant funding available through the FY 2022-23 County Grant Program.

Case management redesign (CMRD) refers to several initiatives aimed at simplifying access to long-term services and supports, creating stability for the case management system, increasing and standardizing quality requirements, requiring accountability, and achieving federal compliance.

Conflict-free case management is required by the Centers for Medicare & Medicaid Services (CMS) to maintain federal match funding and come into compliance with the Home and Community-Based Services (HCBS) Final Settings Rule. Exceptions to conflict-free case management are allowed by CMS when no other willing or qualified providers exist in a catchment area. Case Management Agencies (CMAs) will be selected for each catchment area through a competitive process through the Department’s procurement Request for Proposal (RFP). All CMAs will be required to serve all waivers for their catchment area, including both children and adult waivers and state plan programs.