6% Updated Language
We want to ensure it's clear that the only hospitals that should be setting up payment plans utilizing the updated 6% language are those who bill for their employed or contracted physicians. Hospitals that only bill for their own facility charges must continue to set up payment plans at no more than 4% of the patients monthly gross household income.
FAQ's
The Frequently Asked Questions have been updated to include a variety of questions we have received over the last few months. As requested, the layout has changed hoping this would be a little easier to search for a specific topic.
Medicaid Denial letters
We want to ensure everyone is aware of the policies and regulations related to Health First Colorado Medicaid denials. Hospital Discounted Care does not require a Medicaid denial for applicants. For CICP applicants, facilities cannot send every patient to get a Medicaid denial. Households that are over the Health First Colorado income limit do not need to present denial letters. The only patients that must present a denial are those that appear “likely eligible” for the program during the screening. It is completely up to the patient whether they want to apply for Health First Colorado and they are not allowed to be denied access to the screening or application processes based on their decision. Even if patients have insurance and are "likely eligible" for Medicaid as secondary insurance and are under the income limits, if they want to apply for CICP a denial letter will be needed. As a reminder patients that are immigrants, whose lawful presence status make them ineligible for Health First Colorado also do not need a Medicaid denial letter.
Incarcerated Patients
Per the language in statute CRS 17-26-104.5, it is the responsibility of the counties to pay for the medical services for inmates unless it is determined that the services were provided for a self-inflicted injury or for pre-existing conditions, both as determined by the patient's doctor. In those cases the patient/inmate would be eligible for only Hospital Discounted Care. This topic has also been clarified in the Operations Manual.
Insured Patients
For patients that present to be insured at the time of service and then later on it's discovered they were not covered by their insurance company for the date(s) of service, they are now considered uninsured for that date(s) of service. The screening process for these patients needs to begin immediately upon the hospital becoming aware that the patient's insurance was not active for that date(s) of service. In addition, any accounts for these patients that were sent to collections for the date(s) of service that they were actually uninsured will need to be pulled from collections.
Office Hours
Please continue to send your suggestions on specific topics providers would like to see discussed in Office Hours via email to hcpf_HospDiscountCare@state.co.us.
Office Hours will not be held October 30
CICP Advisory Council Invitation
As a reminder, HCPF would like to invite all of the non-Colorado Indigent Care Program (CICP) hospitals to attend the October CICP Advisory Council meeting, scheduled for October 28, 2024, from 1 to 3 p.m. Interested parties can join via the Zoom link in the Agenda, which will soon be available on the CICP Advisory Council website.
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