The Office of Community Living (OCL) within the Department of Health Care Policy & Financing (Department) has the following information to share below:
Announcement:
- Adult Private Duty Nursing (PDN) Changes
Memo:
- Informational Memo - Public Noticing for 1915(c) Home and Community-Based Services (HCBS) Waiver Amendments
Meetings:
- Agency as Authorized Representative (AR) Workgroup
- Nursing Facility Advisory Council (NFAC)
- Webinar for the Disability, Older Adult, & Advocacy Communities - Topic: American Rescue Plan Act (ARPA) and Dept. Updates
- Updates & Technical Assistance Webinar for Long-Term Services and Supports (LTSS) Providers - Topic: ARPA and Dept. Updates
Poll:
- For meeting announcements, do you prefer center-aligned or left-aligned text?
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Announcement
Adult Private Duty Nursing (PDN) Changes
There is an upcoming change to the Private Duty Nursing (PDN) benefit under Health First Colorado. The PDN benefit provides skilled nursing services to those individuals who require more individualized and continuous care than is available from a visiting nurse. For adults, current regulations allow PDN to be performed for up to 16 hours per day.
The Department will revise regulations to allow for an exception to the 16 hours per day of PDN service limit when the prior authorization request (PAR) is determined to be medically necessary. Colorado statute prohibits authorization of the full 24 hours for adults. The new PDN exception process will allow for Health First Colorado members to receive up to 23 hours per day if criteria is met.
This change will be effective August 12, 2022 upon the approval of emergency promulgation of regulations at the Medical Services Board (MSB). The Department will send out additional information directly to PDN providers on how to request an exception and will post the PAR submission process on ColoradoPAR.com in the next several days. PARS submitted to the UM vendor requesting over 16 hours for adults prior to MSB approval will be denied.
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Agency as Authorized Representative (AR) Workgroup
The purpose of this meeting is to discuss the transition away from In-Home Support Services (IHSS) Agencies acting as authorized representatives.
The meeting will be held:
Tuesday, Aug. 16, 2022
10:30 a.m. - 12 p.m. MT
Join by Phone:
1-617-675-4444, PIN: 844 779 580 5997#
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NFAC
The NFAC focuses on Medicaid-related developments related to Nursing Facility reimbursement and benefits. This includes, but is not limited to, procedural reviews, benefit interactions, policy clarifications, and cyclical business operations. The NFAC meets on the third Wednesday of the month. All interested stakeholders are welcome.
The next meeting will be held:
Wednesday, Aug. 17, 2022
3-4:30 p.m. MT
Join by Phone:
1-315-992-6052, PIN: 258 504 157 #
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Webinar for the Disability, Older Adult, & Advocacy Communities
Topic: ARPA and Department Updates
An update for members, family members, and advocates on the Department's implementation of the HCBS provision of the American Rescue Plan Act. Interested stakeholders include advocates, caregivers, families, long-term services and supports (LTSS) stakeholders, members, older adult stakeholders.
The next meeting will be held:
Thursday, Aug. 18, 2022
9:30-11 a.m. MT
Join by Phone:
(Toll-free) 1-877-853-5257
Meeting ID: 993 1700 7314, Passcode: 396389
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Updates & Technical Assistance Webinar for LTSS Providers
Topic: ARPA and Department Updates
An update for LTSS providers on the Department's implementation of the HCBS provision of the American Rescue Plan Act. Audience includes case management agencies (CMAs), community centered boards (CCBs), HCBS providers, nursing facilities, providers, and single entry point (SEP) agencies.
The next meeting will be held:
Thursday, Aug. 18, 2022
3:30-5 p.m. MT
Join by Phone:
(Toll-free) 1-877-853-5257
Meeting ID: 993 1700 7314, Passcode: 396389
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Reasonable accommodations for all meetings will be provided upon request for persons with disabilities. Auxiliary aids and services for individuals with disabilities and language services for individuals whose first language is not English may be provided upon request. Please notify John Barry at 303-866-3173 or John.R.Barry@state.co.us or the 504/ADA Coordinator at hcpf504ada@state.co.us at least one week prior to the meeting to make arrangements. |
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Quick Poll
This is the first in a series of occasional polls to get your feedback on aspects of our newsletters. Responses will be posted in a future newsletter. Thanks for your help!
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For the meeting information above, do you prefer center-aligned text or left-aligned text?
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Signing up for OCL and Department Communications
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See a list of all Department newsletters you can subscribe to.
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Looking for Prior OCL Communications?
- Search OCL newsletters back to January 2021
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