Monthly Notice of Memo Series Issued

April 5, 2022

Monthly Notice of Memos Issued

This Department of Health Care Policy & Financing (the Department) newsletter is designed to inform county directors, management and staff about high-impact updates, important changes, county performance, new guidance, and program changes.

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Policy Memos

None

Operational Memos

OM 22-016

Overview of Support Level Review Processes and Revised Request Form

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

of operational instructions on submitting Support Level Review (SLR) requests,

introduce the revised SLR request form and accompanying desk guide, and announce a

technical assistance call.

OM 22-015

Case Management Rate Change

The purpose of this Operational Memo is to inform Case Management Agencies of a

temporary increase to the rates paid for Case Management services.

OM 22-014

County Civil Rights Plan

The purpose of this Operational Memo is to issue sub-regulatory guidance regarding the

requirement for each county department of human/social services to have a Civil Rights

Plan which addresses complaints, non-discrimination requirements and accessibility

concerns. The Department of Health Care Policy & Financing (the Department, or

HCPF) is statutorily responsible for the oversight of the operations of the county

department particular to the administration of the Medical Assistance Program.

OM 22-013

Updated Guidance Pertaining to Day Program and Transportation Services

The purpose of this Operational Memo is to update guidance to Home and Community- Based Services (HCBS) providers and Case Management Agencies (CMAs) on the

provision of Day Program services and Non-Medical Transportation (NMT) in response

to the COVID-19 pandemic. These provisions are applicable to the following services:

Adult Day Services
Day Habilitation
Day Treatment (Brain Injury Waiver)
Prevocational Services
Supported Employment – Group
Non-Medical Transportation

OM 22-012

Medical Assistance-Medicare Savings Program and Low-Income Subsidy

The purpose of this memo is to advise eligibility sites of the Medicare Savings Program

(MSP) and Low-Income Subsidy (LIS) income limits. MSP Categories include: Qualified

Medicare Beneficiaries (QMB), Specified Low-income Medicare Beneficiaries (SLMB),

Qualified Individuals (QI-1) and Qualified Disabled Working Individuals (QDWI). Please

share this memo letter with anyone who works with these programs.

OM 22-011

2022 Federal Poverty Level Guidelines

The purpose for this memo is to notify eligibility site staff of the income guidelines for

the Modified Adjusted Gross Income (MAGI) Medicaid program and the Child Health

Plan Plus (CHP+) program effective April 1, 2022.

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Informational Memos

IM 22-013

National Core Indicator-Staff Stability Survey

The Department of Health Care Policy & Financing (Department) will soon be

conducting the National Core Indicators (NCI) Staff Stability Survey for Program

Approved Service Agencies (PASAs). This National Informational Memo provides an

overview of why the Department is conducting and who is targeted by the survey. The

intended audience for this memo includes Intellectual and Developmental Disability

(IDD) Services Providers, PASAs, and Community Centered Boards.

IM 22-012

Colorado Case Management Assessment, Support Plan and System Soft Launch Training

The purpose of this Informational Memo is to notify Case Management Agencies (CMAs)

of the required training series for the soft launch of the Colorado Care and Case

Management assessment, support plan and operating system.

IM 22-011

Risk Factor Determination & Process Flow

The purpose of this Informational Memo is to provide clarification and guidance on

identifying Risk Factors when determining Support Levels using the Supports Intensity

Scale (SIS) for members enrolled in the Home and Community-Based Services (HCBS)

Supported Living Services (SLS) or Developmental Disabilities (DD) waivers. The

process for determining Risk Factors is outlined herein and a process flow has been

created and attached for ease of reference when assessing Risk Factors.

Process Flow: Risk Factor Determination

IM 22-010

HCBS Settings Final Rule - Final Statewide Transition Plan (STP)

The purpose of this Informational Memo is to inform waiver participants, advocates,

providers, and case management agencies (CMAs) that the Department of Health Care

Policy & Financing (Department) has updated Colorado’s Statewide Transition Plan

(STP) for bringing home and community-based services (HCBS) throughout the state

into compliance with the federal HCBS Settings Final Rule. The Department will accept

public comments for the 45-day period running from March 25, 2022, through May 9, 2022. The Department intends to submit the final STP to the Centers for Medicare & Medicaid Services (CMS) after it has reviewed and addressed the comments received during the public comment period.

IM 22-009

Non-Medical Transportation (NMT) Oversight Compliance Guidance

The purpose of this Informational Memo is to inform Home and Community-Based

Services (HCBS) providers and stakeholders of the new credentialing process required

for Non-Medical Transportation (NMT) enrollments and revalidations.

IM 22-008

CHCBS Case Management Activities and Requirements

The purpose of this Informational Memo is to inform Children’s Home and Community Based Services (CHCBS) case management providers of the Department of Health Care

Policy & Financing (Department) requirements for billable case management activities

for the CHCBS waiver.

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