September 30, 2020
At a Glance is a Department of Health Care Policy & Financing (Department) publication that provides information on major initiatives, policy changes and program updates. Feel free to share At a Glance with your colleagues. Find previous editions of At a Glance on the Department website at colorado.gov/hcpf/publications. Thank you for your interest!
Breaking News
New Mobile App for Health First Colorado and CHP+ Members: 
The new Health First Colorado mobile app is available in the Apple App Store and Google Play Store. Members can download the app directly from the app stores, or by updating their PEAKHealth app. This member-facing app replaces PEAKHealth.

Members can sign into the Health First Colorado app using their PEAK account and use the app to:
  • See if their coverage is active
  • Learn about benefits
  • Update their information
  • Find providers
  • View their member ID card
  • Call the Nurse Advice Line, Colorado Crisis Line and Quitline
  • Pay premiums and enrollment fees (for Buy-In and CHP+ members)

The app has a sleek and modern look and is more user friendly than its predecessor, PEAKHealth. Future updates to the app will include functionalities such as to-do lists and changing your primary care provider.

For more information, visit our webpage.
Transitions Stakeholder Advisory Council:
Transition Services support Health First Colorado members who qualify to live effectively in their communities, including people who want to move out of a long-term care facility. 
 
Transition Services were created as a result of the success of the Colorado Choice Transitions (CCT) demonstration program. The Department developed Transition Services to include the most successful CCT demonstration services to ongoing Health First Colorado services.   
 
This month's meeting will focus on finalizing the strategic priorities of Transition Services and a year-long road map for future Council activities and stakeholder engagement. 
 
We want to hear from you! October 1 is your last chance to weigh in on priorities for Transition Services, complete the survey and share your insights on barriers and solutions for Transition Services.
 
October 1, 2020 from 2:30 p.m. to 4:30 p.m.
Join by computer: meet.google.com/emq-kfpb-aex
Join by phone: 470-268-2030‬ PIN: ‪614 405 288‬#
Non-Emergent Medical Transportation Update:
Non-Emergent Medical Transportation (NEMT) is a Health First Colorado (Colorado's Medicaid program) benefit for members who don't have transportation to medical appointments. NEMT used to be administered by different vendors in different parts of the state, but is now administered by IntelliRide throughout Colorado. Expanding IntelliRide across the state will help improve customer service. We will be better able to ensure more consistent, streamlined operations and improved access for members.

All mileage reimbursements for trips after July 1 should be submitted to IntelliRide regardless of when your county transitioned. 

Contact IntelliRide at 1-855-489-4999 or 303-398-2155 (State Relay: 711) for more information, or email them at NEMT@state.co.us.
Here for YOU, Colorado!
We have created educational materials and resources on our webpage, Here for YOU, Colorado! This page contains shareable content for websites, social media, emails and newsletters. The goal of our Here for YOU, Colorado! campaign is to spread the word about applying for Health First Colorado (Colorado’s Medicaid program) and Child Health Plan Plus (CHP+). 

We also have fresh content monthly featuring Coloradans who get their health care coverage through our programs, under “Ads” in the "For Coloradans Who Need Health Insurance" section of the webpage. September's featured member is Jocelyn.

Thank you for helping us spread the word!
Resources for Coloradans Impacted by COVID-19:
Onwardco.org can help connect Coloradans with services, funds and jobs during the COVID-19 pandemic. This resource is the result of collaboration with the Governor's Office, state agencies, community partners and Bitwise Industries. Please visit the website and share with anyone who is struggling, or may need the help: Onwardco.org.  
Operational Excellence
Reminder: Electronic Visit Verification:
The 21st Century Cures Act requires that state Medicaid agencies implement an Electronic Visit Verification (EVV) System for select Home & Community-Based Services (HCBS) and State Plan services. With the implementation of EVV, providers must bill the duration of service only, not travel time. Currently, providers may bill for travel time between member service visits under the Home and Community-Based Waiver (HCBS) Programs for Brain Injury (BI); Community Mental Health Supports (CMHS), Elderly, Blind, and Disabled (EBD), and Spinal Cord Injury (SCI) Waivers. 

Beginning January 1, 2021 providers may no longer bill the Department for travel time.

For more information, please refer to PM 20-008 or contact EVV@state.co.us
Home and Community-Based Services Person-Centered Budget Algorithm:
The Department is working with Optumas to develop a Person-Centered Budget Algorithm (PCBA) for Health First Colorado Home and Community-Based Services (HCBS) waiver programs.
 
In collaboration with stakeholders, the Department has developed new processes for eligibility determinations, needs assessments, and support planning for all individuals seeking or receiving Long-Term Services and Supports (LTSS). As part of the new assessment and person-centered support planning process, the PCBA will help identify the right amount of support for members based on assessed need, and together with strengths and preferences identified during the assessment, contribute to a person-centered support plan. The PCBA is an important component of the assessment and support planning process to ensure a consistent method for assigning budgets for all members receiving HCBS.
 
The Department recognizes that transparency and stakeholder feedback are essential components of the process to develop a PCBA. The Department recently hosted stakeholder meetings to introduce the PCBA and gather initial feedback. The next scheduled series of statewide meetings is on November 16. Visit our website to see past presentations, notes, and details about upcoming meetings.
Long-term Services and Supports Case Management Technical Revisions: 
The Department is proposing revisions to portions of 10 CCR 2505-10 §8.300 – §8.700 to be effective January 1, 2021. Stakeholders are invited to review the draft rule revisions during the public rule review. Stakeholders who may be interested include members receiving HCBS services and their families or representatives, advocates, and Case Management Agencies (CMAs).

Technical revisions include, but are not limited to, correcting grammatical and typographical errors, removing outdated terminology or references, and eliminating antiquated regulations. These proposed revisions will also reflect contract changes and waiver amendments submitted to Centers for Medicare and Medicaid Services (CMS) that will make permanent some of the changes made in response to the Coronavirus pandemic.

More information is on our website, including dates and times of meetings, how to comment on the revisions, and an overview of the Medical Services Board process. 
Health Care Affordability
Hospital Transformation Plan (HTP) Update:
HTP Implementation Update
At the Aug. 25, 2020, Colorado Healthcare Affordability and Sustainability Enterprise (CHASE) Board meeting, the board voted to revise the implementation of the HTP until February 2021. More information about the change is in a memo from the Department.
 
Hospital Workgroup meetings update
In light of the recent guidance provided by CHASE and the decision to reschedule the implementation of the HTP program to February 2021, we are currently working to revise our project timelines and strategy. Additionally, we are planning on engaging with the Community Advisory Council to discuss opportunities for bringing an equity focus within the HTP, in accordance with the CHASE board's recommendation. As such, we decided to hold off on convening the September workgroup meetings while we focused on the changes needed for the program, operations development and engagement with the Community Advisory Council.

Our next hospital workgroup meetings will be held on Thursday, Oct. 22. In the interim, we will provide updates on progress and additional information about the October meeting agenda via email. We look forward to reconvening these workgroups in October as we work to set you and the program up for success when we launch in February. 

If you'd like to know more about the HTP, visit the HTP website and read past editions of the HTP Newsletter in our online archives.

For more information about HTP, contact Courtney Ronner.
Helpful Resources
Female provider, kneeling next to parents holding small child.
Enrollment
In August 2020, there were
1,320,376 Coloradans enrolled in Health First Colorado and
73,344 enrolled in Child Health Plan Plus.