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TopAt a Glance
April  28, 2017                                                                                      
In This Issue
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In February 2017 there were 1,340,089 Coloradans enrolled in Health First Colorado (Colorado's Medicaid Program) and 64,971 enrolled in Child Health Plan Plus (CHP+).
Upcoming Events and Helpful Resources
Health First Colorado printed materials are available on our website
New to PEAK or Need a Refresher?

The Intro to PEAK and Application Walk-Through recorded webinars are available anytime. For more information and trainings, visit the PEAK Outreach Initiative website.
Public Rule Review Opportunities

Anyone interested in a one-on-one discussion with Department staff about upcoming rules is invited to attend the Department's Public Rule Review Meeting. Information is available on the Public Rule Review Meetings web page. 

For more information, or to be added to the Medical Services Board email distribution list, please contact Chris Sykes.
Employment Opportunities

Applying for state government jobs is easy. Applications are electronic, you will receive updates, and you do not need to answer any written questions until it is determined that you meet the minimum qualifications. 

Check out the website for State of Colorado jobs including the Department of Health Care Policy and Financing jobs.
Welcome to the April 2017 edition of At a Glance!

At a Glance is a Department of Health Care Policy and Financing publication which provides information on major initiatives including policy changes and program updates. Please feel free to share At a Glance with your colleagues. Previous editions of At a Glance are available on our website.

Thank you for your interest!


Breaking News

Resources & Top Questions About Colorado's interChange
The Department and its new fiscal agent have been posting information to help providers learn to navigate the new provider claims system, Colorado interChange. Over the past 18 months, more than 43,700 providers have enrolled in the new system that went live on March 1, 2017. Since going live, the new claims system has paid more than a billion dollars in claims to providers. This is on pace with the volume of payments made in the old system. 
With any new system launch, there is a learning curve and frequent questions about using the new system.  The top reasons for calls to the provider call center are to check on claims and to ask provider enrollment questions.  Some examples of the top denial of claims reasons include: revalidation was not started or completed; the wrong combination of provider type, specialty and taxonomy was used on the claim; and the wrong NPI number was used on the claim.
The Department and its fiscal agent have developed resources that can help providers with these frequent questions about using the new system.
The Provider Portal and Provider Resources pages are updated as soon as new materials are available. Providers can sign up for our e-newsletter to receive updates, along with accessing billing manuals and provider bulletins.  Visit these pages on often for updates. 

Providers should also be sure that they are signed up to receive Department publications and that their contact email in the Provider Portal is correct.
New interChange Resource for Providers
A new web page for known interChange issues and updates is now available.  Check it out whenever you need interChange updates and information.
Fall Screening and Risk Reduction Webinars
Join Dr. Skotti Church, HCPF & CDPHE 
for two free webinar sessions!
May 5 & May 26 from 12:15-1:00 p.m.
Please join University of Colorado Gerontologist Dr. Skotti Church, MD, to review fall risk screening and falls prevention education and training. Dr. Church has a lead role in the clinician-educator program within geriatrics as Program Director of the Geriatric Medicine fellowship and is an Assistant Professor in the Department of Medicine, Division of Geriatric Medicine 

We will present two similar webinars, one for medical support staff and another for direct providers. Brought to you in partnership with the Colorado Department of Public Health and Environment (CDPHE). 
Support Staff Webinar, May 5 from 12:15-1:00 p.m.
For any medical office staff member, LCSW, RN, CNA or Care Coordinator
We will review:
  • Fall Risk Assessment & Screening
  • Positive Outcomes of Screening
  • Promoting Awareness 
  • Community Support Services
Click here to register: 
 Provider Webinar, May 26 from 12:15-1:00 p.m.
Provider Webinar for Physicians, Physician Assistants or Nurse Practitioners
We will review:
  • Assessments and Care Planning
  • Data, Billing & Work-arounds for Billing
  • Referrals to Fall Prevention Programs 
Click here to register:

Legislative Update
Per the state Constitution, the Colorado legislature is in session for no more than 120 days, adjourning this year on May 10, 2017.
HCPF Legislation
The Department's bills are working through the committee process at this time. 
  • SB17-091 passed the Senate earlier this month and passed its first House committee last week.
  • HB17-1139 passed the House this week and is currently being sent to the Senate.
  • HB17-1343 is being run as a Joint Budget Committee bill and passed its first House committee this week.  
For more information, contact Zach Lynkiewicz.

Tools for Transformation
Primary Care Payment is Changing
The Department will be conducting a live webinar for primary care providers on  May 24  at 12:00 p.m.  to talk about the coming alternative payment methodology (APM).  Learn how the new payment methodology will work and what you need to know and do.  

Register for the APM Webinar . If you are not able to join live, the webinar will be recorded and posted on the Department's website .

Partnerships to Improve Population Health
Home and Community Based Services Community Mental Health Supports Waiver Public Comment Period
The Department is extending the public noticing opportunity as we submit the renewal application for the Home and Community Based Services Community Mental Health Supports (CMHS) Waiver to the Centers for Medicare and Medicaid Services. 
For a more detailed summary of all changes, the renewal fact sheet and copies of the full draft waiver, as well as to provide public comment, please visit the Department's website .
Please note that Public Comments will be accepted from April 27 until 5:00 p.m. on Friday, May 26, 2017.
Delivery Systems Innovation
No Wrong Door Pilot Sites Selected
The Department secured a three-year grant from the federal Administration for Community Living in September 2015 to test the No Wrong Door model by financing four regional No Wrong Door systems as pilot sites. The No Wrong Door system, when taken to scale, will create a streamlined long-term services and supports (LTSS) entry point system that provides information and a full range of options for LTSS programs and eligibility determinations for older adults, people with disabilities, and caregivers, regardless of their pay source.
In March, a team of evaluators met to review proposals and determine awards for the Department's No Wrong Door Regional Pilot Site solicitation. The Department intends to award contracts to the following agencies to lead the pilot sites:
  • Colorado Access (serving Adams, Arapahoe, Denver and Douglas Counties)
  • County of Larimer Board of County Commissioners (serving all of Larimer County)
  • San Juan Basin Area Agency on Aging (serving Archuleta, Dolores, La Plata, Montezuma and San Juan Counties)
  • Senior Resource Development Agency, Pueblo (serving all of Pueblo County)
The Department is currently developing contracts with these agencies. Pilots are expected to launch this summer. These agencies will work in partnership with other LTSS agencies in their regions to help the Department develop a model for implementing No Wrong Door statewide.
For more information on the No Wrong Door project, please visit our website or contact Aron Snyder.

Consumer Directed Attendant Supports and Services Approved for Home and Community-Based Services - Supported Living Services Waiver
The Centers for Medicaid and Medicare Services approved the Department's amendment to add Consumer Directed Attendant Support Services (CDASS) to the Home and Community-Based Services - Supported Living Services waiver effective July 1, 2017. 

The waiver amendment adds the option of self-direction for Personal Care, Health Maintenance, Homemaker Basic, and Homemaker Enhanced services. 

The Department must revise rules through the Medical Services Board (MSB) to implement the CDASS option. The first MSB review occurred on April 14, 2017, and the final MSB review will occur May 12, 2017, with final adoption of the revision anticipated by June 30, 2017. The Department will also make systems changes and conduct training with case managers in anticipation that the CDASS option is fully implemented by July 1, 2017.
For more information contact Adam Tucker.

Accountable Care Collaborative Enrollment Update
As of April 2017, 1,017,209 Health First Colorado members were enrolled in the Accountable Care Collaborative. 

This number includes 35,960 who are members of the Accountable Care Collaborative PRIME program on Colorado's western slope and 21,857 who are members of the ACC: Access KP Program in RCCO Region 3.

Operational Excellence
Asset Verification Program Initial Stakeholder Meeting-Recording Now Available
On April 18, 2017, the Department convened a stakeholder meeting on the upcoming Asset Verification Program (AVP) scheduled to be implemented in December 2017. The AVP will be able to verify liquid assets held in financial institutions, such as bank accounts. It will help streamline the eligibility determinations when an asset test is required for programs and waivers for individuals who are 65 and older, blind, or who have a disability.  

Nondiscrimination Policy
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.

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