In place of the Policy Advisory Council (PAC) update and regional directors' meetings updates this month, the County team is testing out a new newsletter in the style of County Connections.
The content is designed for county human services directors and leadership.
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High-Impact Policy and Process Updates
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CBMS and InterChange Mismatch
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On Friday, January 10, the Department of Health Care Policy & Financing (the Department) had a conference call with counties regarding an issue the Department identified regarding a mismatch between the Colorado Benefits Management System (CBMS) and the Interchange.
County leadership were emailed on January 27 with the following attachments to help understand the issue and support your staff:
- Eligibility Partners CBMS Interchange Mismatch Talking Points and FAQ_01272020 - These are the final talking points to understand the issue and includes the FAQ to be used if members go to eligibility sites for questions instead of calling the member contact center.
- Project 13879 Speed Letter_01212020 - This is the final letter that will be sent out to members. Changes from the original draft were made based on feedback through member testing.
- Project 13879 Speed Letter_01212020_ES - This is the Spanish version of the final letter.
- County # Breakdown of Members Impacted - This shows the number in each county of how many individuals were impacted.
In addition, each county received an email from the Performance Improvement inbox with a detailed list of the members impacted based on county of residence.
The Department is working with the Regional Accountable Entities (RAEs) and the Case Management Agencies (CMAs) to proactively reach out to the most vulnerable members and help them reapply to avoid a disruption in service.
As a reminder, the letter was generated from CBMS and sent to print on Thursday, January 30 and members may have a copy of this letter as early as Monday, February 3.
We sincerely appreciate your partnership and understanding as we have been working through this issue. Please feel free to reach out to
Marivel Klueckman
if you have any questions.
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Health Care Policy & Financing Transition to Google
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The Department transitioned from Outlook to Google on January 13, 2020.
Email Addresses:
- To contact Department staff, be sure to use @state.co.us.
- Other emails outside of @state.co.us may not reach their destination.
Encrypted Emails:
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SB 19-195 Update: Enhancing Children and Youth Behavioral Health Services
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- The Department and the Office of Behavioral Health will jointly host the next Senate Bill (SB) 19-195 stakeholder forum on Monday March 9, 2020 from 2 p.m.-3:30 pm. Location, webinar options, and RSVP details to be announced shortly through the email list. Join the email list for timely updates. Links to the presentation materials from the last forum, a recording of the presentation, and meeting minutes noting public comments are available below.
- The Department is conducting targeted outreach to an array of stakeholder groups. To date, meetings have occurred with the Colorado Department of Public Health and Environment; Colorado Department of Education; Colorado Department of Human Services (CDHS), Collaborative Management Program; CDHS, COACT Leaders; CDHS, Division of Youth Services.
- Before our next stakeholder meeting, the Department will meet with CDHS, Division of Child Welfare, County Department of Human Services Leaders, County Collaborative Management Program Leaders, Caregiver and/or youth advisory groups.
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Recent Memo Series Issued to Counties
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OM 20-004
The purpose of this Operational Memo (OM) is to inform county departments of human/social services of operational instructions relating to the use of the Work Number income verification system for Medical Assistance-only cases and provide direction if the expenditures related to these verifications are eligible for Federal Financial Participation (FFP) and reimbursement with State funds.
OM 20-002
The purpose of this operational memo is to advise eligibility sites of the increased resource limits for Qualified Medicare Beneficiaries (QMB), Specified Low Income Medicare Beneficiaries (SLMB), Qualified Individuals (QI-1), and Low-Income Subsidy (LIS) resource limits.
OM 20-001
The purpose for this operational memo is to communicate to eligibility sites on how Difficulty of Care payments are calculated for the individual’s income eligibility for MAGI and Non-MAGI based eligibility categories of Health First Colorado (Colorado’s Medicaid Program) and Child Health Plan Plus (CHP+).
OM 19-061
The purpose of this Operational Memo is to inform eligibility sites of the discontinuance of the Medicaid Eligibility Quality Improvement Plan (MEQIP).
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IM 20-004
The purpose of this Informational Memo is to provide interested stakeholders a status update from Department regarding the SEP RFP awardee selection and formal protest activities for all Regions/Districts posted in the October 2019 solicitation.
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Department Informational Updates
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Message from the Executive Director
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County Partners:
In early January, the Department had the opportunity to
present
our
performance plan
and provide updates on our goals to the Health Committees in the House and Senate. We have made significant progress together in improving the lives of the Coloradans we serve. A few examples include, reducing opioid use, reducing call wait times in our provider and member call centers, improving access to care by increasing the number of enrolled providers serving our members, increasing usage the PEAK mobile app, improving our analytic systems so that we can identify the members who need the most support, and creating pathways for our Regional Accountable Entities partners to better respond to those needs.
We are excited to continue to make progress on the strategic focus areas outlined below.
- Member Health
- Customer Service
- Operational Excellence
- Medicaid Cost Control
- Health Care Affordability for Coloradans
The Department's
budget
and
legislative
agendas will continue to move this important work forward. For more information visit our legislative resource center online.
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Fiscal Year 2018-19 County Fact Sheets Now Available
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These documents provide an annual snapshot by fiscal year of Health First Colorado (Colorado's Medicaid Program) activity including average annual caseload and top five claim types for each county. The data on the fact sheets is for fiscal year 2018-2019 unless otherwise noted and will be updated annually when new data is available.
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State Administration of Non-Emergent Medical Transportation (NEMT)
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On July 1, 2020 the Department will switch to a broker model statewide for NEMT administration and service provision.Counties will no longer be required to administer NEMT.
There will not be a decrease in County Administration funding.
A contractor will be responsible for trip coordination and network management in each region. These contractors have not yet been selected, pending RFP.
The RFP has not yet been posted, but the County Team will notify all directors once it is posted.
If you have any further questions, please contact the
NEMT inbox
.
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Changes to Medicaid ID Card Mailing Address
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The Changes to Medicaid Card Mailing Address guide
explains how the mailing address to physically send out a Medicaid Card is determined – after Release 5 of Modernized Trails. An issue with locating a Medicaid Card for a client may prompt the need to use this guide.
As of the Modernized Trails Resource release on January 18-19, 2020, the Service Level
Address will no longer be used as the mailing address for sending Medicaid Cards. Instead, an address hierarchy as described in the attached document will be used to determine the mailing address.
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Program Improvement Advisory Committee (PIAC) For Regional Accountable Entities (RAEs)
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The Accountable Care Collaborative (ACC) PIAC is made up of stakeholders who provide guidance and make recommendations to help improve health, access, cost and satisfaction of members and providers in the
ACC
. These meetings are open to the public.
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Child Welfare Contacts at Each RAE
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Each RAE has specified individuals for Child Welfare that counties can use. This is the Department's most recent list:
RAE 1:
RAE 2:
RAE 3:
RAE 4:
RAE 5:
RAE 6:
RAE 7:
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County Grant & County Incentives Programs
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Fiscal Year (FY) 2019-20 County Incentive Program
New Resources
- The County team will have a phone call on February 12 from 12 p.m. - 1 p.m. regarding changes to the Food Security Incentive. All county directors and secondary contacts were invited.
- Status Reports for Reporting Period 1 will be sent out this week.
Updates
- The Department has applied a statewide exemption to any county who did not meet the Eligibility Performance Incentive for the months of September, October, and November of 2019.
- The Department will send counties a list of all individuals subject to the Training Incentive requirements in January.
- There is no deliverable required for the Cybersecurity Incentive for Reporting Period 1. Further guidance is coming soon.
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FY 2019-20 County Grant Program
- County Team will reach out to grantees this week with prospective dates for Quarter 3 site visits.
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Updates on these items will be out soon
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- Minutes & notes from January 10 Behavioral Health Forum (will be sent to all directors from the Department's ACC team).
- MEQC Webinar and FAQs.
- More information on Substance Use Disorder (SUD) Regional Meetings.
- Cyber Security Incentive Guidance.
- Training Incentive hours completed and list of individuals required to complete 8 hours.
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Department Contacts & Resources
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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
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Colorado Dept. of Health Care Policy & Financing
(303) 866-2993 | 1570 Grant Street, Denver, CO 80203
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