Monthly Notice of Memos Issued |
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This Department of Health Care Policy & Financing (the Department) newsletter is designed to inform county directors, management and staff about high-impact updates, important changes, county performance, new guidance, and program changes. |
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OM 22-001
The purpose of this operational memo is to advise eligibility sites of the increased resource limits for Qualified Medicare Beneficiaries (QMB), Specified Low-Income Medicare Beneficiaries (SLMB), Qualified Individuals (QI-1), and Low-Income Subsidy (LIS) resource limits.
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OM 22-058
The purpose of this Operational Memo is to provide guidance to county departments of human/social services (counties) on how to operationalize the FY 2022-23 County Incentives Program Customer Service Incentive. The County Incentives Program creates performance-based benchmarks and deliverables for county departments of human/social services to ensure they achieve certain performance standards related to County Administration and Medical Assistance Eligibility.
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IM 23-003
The purpose of this Informational Memo is to inform long-term services and supports (LTSS) members, families, advocates and providers of the contents of the BA-07 “Community-Based Access to Services” budget amendment that was submitted to the Joint Budget Committee on Tuesday, Jan. 3, 2023.
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IM 23-002
The purpose of this Informational Memo is to inform stakeholders that the Home and Community-Based Services (HCBS) waiver amendments submitted to the Centers for Medicare & Medicaid Services (CMS) on Sept. 16, 2022, were approved.
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IM 23-001
The purpose of this Informational Memo is to inform all Home and Community-Based Services (HCBS) providers that billing HCBS waiver members for various fees, utilities, or supplemental charges violates federal and state law. Any fee or supplemental charge imposed on an HCBS waiver member should be refunded within 30 days from the issuance of this memo and the provider shall notify the Colorado Department of Health Care Policy & Financing (Department) of the billing error and provide proof of the corrective action taken.
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IM 22-046
The purpose of this Informational Memo is to inform interested stakeholders that the Colorado Department of Health Care Policy & Financing (Department) has posted the Request for Proposal (RFP), soliciting proposals from organizations who are interested in performing Case Management Agency (CMA).
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IM 22-045
The purpose of this Informational Memo is to inform case managers, providers, members and other stakeholders of system changes that impact Pre-Prior Authorization (PPA) creation and revisions for all Home and Community-Based Services (HCBS) waivers performed in the Bridge. The Bridge is a subsystem of the Colorado interChange Medicaid Management Information System (MMIS) where case managers create and manage PPAs and Prior Authorization Requests for members enrolled in HCBS waivers.
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IM 22-044
The purpose of this Informational Memo is to inform stakeholders, agencies, and individuals of Colorado’s launch of the Direct Care Workforce Survey to be administered by Vital Research.
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Case Management Redesign (CMRD) refers to several initiatives aimed at simplifying access to long-term services and supports, creating stability for the case management system, increasing and standardizing quality requirements, ensuring accountability, and achieving federal compliance. It was initiated in 2014, with a federal requirement for a conflict-free case management system and was further developed with input from stakeholders to create a more simplified system. The Department passed HB 21-1187 to implement this effort. It is crucial to keep the local expertise and knowledge of Colorado Case Management (CM) staff throughout the CMRD transition process. To facilitate this, the Department of Health Care Policy & Financing (the Department) has created a retention payment grant to encourage staff to remain employed with current Case Management Agencies (CMA) throughout their companies’ transition phases.
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The purpose of this Informational Memo is to notify case managers, service providers, members, families and other interested stakeholders of:
- Proposed changes to the Organized Health Care Delivery System (OHCDS), and
- The responsibility of case managers for the Developmental Disabilities (DD), Supported Living Services (SLS), and Children’s Extensive Services (CES) waivers as it relates to changes in Case Management Agencies (CMAs) and Community Centered Board (CCB) structures due to Case Management Redesign (CMRD).
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The purpose of this Informational Memo is to inform stakeholders of an upcoming meeting hosted by the Department of Health Care Policy & Financing (Department) to discuss and receive feedback related to Residential Habilitation Services and Supports (RHSS) and Supported Community Connections (SCC) services being provided by the same direct care provider. This meeting is open to all interested stakeholders, including Home and Community-Based Services (HCBS) waiver members, guardians and relatives of members, advocates, and representatives of providers and Case Management Agencies serving individuals who receive SCC services and RHSS through the HCBS Developmental Disabilities (DD) and Supportive Living Services (SLS) waivers.
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