Clinic Determinations used at Hospitals for Hospital Discounted Care
The Hospital Discounted Care Operations Manual was updated in January to allow for patients to use their determinations made at CICP clinics, federally qualified health centers (FQHC) and rural health centers (RHC) at hospitals in order to more easily apply for Hospital Discounted Care (HDC) and/or CICP. Hospitals may accept the patient's card or determination made at a CICP clinic, FQHC, or RHC to begin the patient's application process. The hospital will need to contact the CICP clinic, FQHC, or RHC to obtain any additional information needed to complete the application, with the patient's permission. The additional information may include any other household members who were included in the application but not the card, any deductions made on the application, and the total monthly/annual income calculated by the clinic, FQHC, or RHC. The hospital will need to keep a copy of the original determination card on file. Any questions about this change should be sent to the CICP inbox: hcpf_CICPCorrespondence@state.co.us.
CICP Clinic Data and Provider Applications
The Department will not require CICP Clinics to submit data related to services provided to CICP patients for calendar year 2022. The data worksheet will be removed from the 2023-24 annual provider application for clinics. The Department plans on sending out the clinic applications at the beginning of April, and the clinic application will be a shorter application than in past years. Unlike the application for the 2022-23 year, the 2023-24 application will be filled out with the information the Department currently has on file for the clinics' contacts and satellites with spaces to report changes. Clinics will also be asked to report any changes to services provided, and to fill out a satellite worksheet for any new satellites.
Public Health Emergency and Continuous Coverage Unwind
The Continuous Coverage Requirement is coming to an end. The Consolidated Appropriations Act, 2023 (CAA) signed into law on Dec. 29, 2022, allows states to initiate the Medicaid redetermination process beginning April 1, 2023, by ending the continuous coverage requirement of the Public Health Emergency (PHE). The Centers for Medicare and Medicaid Services (CMS) guidance issued Jan. 5 gives states timelines to begin normal renewal processes.
The Department will begin disenrollments in May. Federal guidance aligns with our coordinated and collaborative plan already in place to begin with May renewals, with noticing to our members beginning in March. This plan has been vetted over the last two years with other state agencies, counties, Connect for Health Colorado, advocates and other partners and stakeholders.
The PHE has been extended to May 11, 2023, but there is no change to the plan to begin sending notices of redeterminations in March.
CICP Advisory Council Seat Openings
There are currently three open seats on the CICP Advisory Council: one seat for a patient who is eligible for CICP or an advocate, one seat for an FQHC, and one seat for an urban hospital. If you fit the criteria for one of these seats and wish to apply or know someone who would be a good fit, please send a copy of your resume or CV and a completed application to hcpf_CICPCorrespondence@state.co.us. The next scheduled CICP Advisory Council meeting is at the end of April, so the Department would like to have candidates for the open seats no later than March 15. If you have any questions, please send them to hcpf_CICPCorrespondence@state.co.us.
