The purpose of this Operational Memo is to inform Single Entry Point (SEP) agencies of

changes to the requirements and considerations for completing the optional second In-Person Monitoring visit that may be completed during a member’s certification period.

This Operational Memo informs Colorado Home Health Agencies (HHAs) and their

affiliated stakeholders of an administrative simplification methodology designed to

reduce burden during the implementation of Prior Authorizations with the new

Utilization Management Vendor Kepro.

The purpose of this Operational Memo is to provide guidance to county departments

of human/social services (counties) on how to operationalize the FY 2021-22 County

Incentives Program Accuracy Incentive.

The purpose of this Operational Memo is to provide guidance to county departments

of human/social services (counties) on how to operationalize the FY 2021-22 County

Incentives Program Performance Compliance Incentive.

Per 10 CCR 2505-5 1.020, “Administrative Internal Controls,” counties are required to

establish performance management controls for Medical Assistance programs in their

county. This should include establishing roles and responsibilities and designating

Medical Assistance Performance (MAP) Dashboard Performance Owners, documenting

processes and procedures for performance management and educating county staff

on the importance of performance management and meeting performance targets,

especially where there is a member impact.

The Department has the statutory responsibility for oversight of the Colorado

Medical Assistance Programs as defined by Colorado Revised Statutes

[Section 25.5-1-114(3)]. The purpose of this Operational Memo is to document the processes used to monitor the administration and operations of Medical Assistance Programs administered by county department of human/social services, referenced herein as “eligibility sites” and subsequent improvement actions or corrective actions required to correct any determined non-compliance.

The process as documented in this Operational Memo shall be used by the

Department until further notice.

The purpose of this Operational Memo is to issue guidance to county departments of

human/social services regarding the deliverable requirements to earn the fiscal year

(FY) 2021-22 County Incentives Program Cybersecurity Incentive.

The purpose of this Operational Memo is to inform all Health First Colorado (Colorado's

Medicaid Program) providers of their obligation to effectively communicate coordination

of benefits requirements to Health First Colorado members who have primary third party insurance.

The purpose of this Operational Memo is to inform Electronic Visit Verification (EVV)

Stakeholders about updates on the implementation timeline and status of the prepayment claim edit.

The purpose of this Operational Memo is to inform Transition Coordination Agencies

(TCA) of modifications to the temporary changes to transition coordination activities

for in-person member contacts. These changes are specific to Targeted Case

Management – Transition Coordination (TCM-TC)

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 updated information to Alternative

Care Facilities (ACF), Supported Living Program (SLP), Non-Medical Transportation

(NMT) providers and case management agencies (CMAs) on temporary rate increases

using home and community-based services (HCBS) American Rescue Plan Act (ARPA)

funding. This updated memo provides additional billing instructions to ACF and SLP

providers that was not included in the prior version of this memo. The memo also

addresses the implementation of billing for NMT increased rates. Updates to the information are bold and italicized.

(Superseded by OM 21-072) Increase to Home and Community-Based Services Rates in Response to COVID-19

The purpose of this Operational Memo is to inform Case Management Agencies (CMAs)

of temporary operational changes in response to the COVID-19 pandemic to signature

requirements for member paperwork.

The purpose of this Operational Memo is to inform home and community-based

services (HCBS) providers and case management agencies (CMAs) of the resumption of

in-person inspections for the following settings and services:

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.

The purpose of this Informational Memo is to inform case managers, participants, and

providers of a change to the Personal Needs Allowance (PNA) in accordance with cost-of-living adjustments (COLA) for both Supplemental Security Income (SSI) and Old Age

Pension (OAP).

The purpose of this memo is to notify stakeholders of the 30-day public comment

period on the revised Medicaid Statewide Managed Care System rule.

The purpose of this Informational Memo is to inform all Medicaid providers of additional

provider relief funding available through the U.S. Department of Health and Human

Services (HHS).