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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The public health emergency (PHE) end date has once again been extended from April 16, 2022, to July 15, 2022. To answer questions we have received on this topic, this policy memo will clarify guidance and rules related to eligibility for COVID-19 only Medicaid eligibility category for uninsured individuals.
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The purpose of this memo is to provide county departments of social/human services, Medical Assistance (MA) sites, and Eligibility Application Partner (EAP) sites with general information about Emergency Medicaid provided through Health First Colorado. Additionally, this memo outlines the eligibility criteria for Emergency Medicaid, how people can submit their applications, as well as a brief explanation of covered emergency services. This guidance is intended for all teams who are working in-person, online or over the phone. Please share this memo with anyone who works with Health First Colorado applicants and members.
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The purpose of this Policy Memo is to inform eligibility sites of the Reproductive Health Care services adopted through Senate Bill 21-009. This memo includes guidance for all Medical Assistance eligibility categories. Please share this memo with all eligibility staff, supervisors, and outside agencies, as appropriate.
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This memo provides policy guidance for authorized individuals/entities, such as county departments of social/human services, Medical Assistance (MA) sites, Eligibility Application Partner (EAP) sites, and anyone who processes Medical Assistance eligibility applications about the new Modified Adjusted Gross Income (MAGI) Limited Family Planning Services Medical Assistance program as required by Senate Bill 21-025.
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The purpose of this Policy Memo is to inform eligibility sites of the 12 months postpartum expansion eligibility rules for the Health First Colorado and Child Health Plan Plus (CHP+) programs. This memo includes guidance for all Medical Assistance eligibility categories. Please share this memo with all eligibility staff, supervisors, and outside agencies, as appropriate.
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The purpose of this Operational Memo is to inform Case Management Agencies (CMAs) of Critical Incident Reporting (CIR) requirement changes for COVID-19 and presumptive cases of COVID-19. This Operational Memo supersedes: HCPF OM 20-080: Critical Incident Reporting for COVID-19.
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The purpose of this Operational Memo is to update guidance to Home and Community-Based Services (HCBS) providers and Case Management Agencies (CMAs) on the provision of Day Program services, Non-Medical Transportation (NMT), and Non Emergent Medical Transportation (NEMT) in response to the COVID-19 pandemic. These provisions are applicable to the following services:
- Adult Day Services
- Day Habilitation
- Day Treatment (Brain Injury Waiver)
- Prevocational Services
- Supported Employment – Group
- Non-Medical Transportation
- Non-Emergent Medical Transportation
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The purpose for this Operational Memo is for the Department of Health Care Policy & Financing (the Department) to promulgate state requirements and operational expectations for and to notify Eligibility Site staff of the minimum requirements for case comments entered into the Colorado Benefits Management System (CBMS) based on federal regulations 42 CFR 435.914 and 42 CFR 431.17. Case comments must be entered into CBMS when determining eligibility, conducting ongoing case maintenance responsibilities, interacting with applicants and members and other situations that require a documented audit trail. As outlined at 42 CFR § 435.914, Case Comments must document facts supporting the eligibility decision. These requirements are compatible and supportive of other high level program groups (HLPGs) case comment requirements.
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The purpose of this Operational Memo is to revise the benchmarks to be met for earning payment for county departments of human/social services (counties) for the 2021-22 County Incentives Program Accuracy Incentive. The total Accuracy incentive earned payment continues to be weighted at 35% percent of total County Incentives funding; however, the earned amount is now updated to reflect 50% earned if one accuracy performance measure is met and 100% earned if both accuracy performance measures are met, as communicated on the “Director Accuracy DB” tab of the MAP Accuracy Dashboard by June 30, 2022.
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The purpose of this operational memo is to advise eligibility sites of the increase to the Community Spouse Minimum Monthly Maintenance Needs Allowance (MMMNA) and Shelter Allowance. Please share this letter with all eligibility staff, supervisors and administrators that manage nursing facilities, Home and Community-Based Services (HCBS), the Program of All Inclusive Care for the Elderly (PACE) and other outside agencies as appropriate.
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The purpose of this Operational Memo is to inform Case Management Agencies (CMAs), Supported Living Program (SLP) providers, parents/legally responsible parties, families, and stakeholders that a new reimbursement tier has been created for SLP providers. The new tier will be a negotiated rate, based on acuity, that can be requested through the process outlined in this memo and through the attached document.
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The purpose of this Informational Memo is to inform stakeholders of an upcoming grant opportunity regarding respite services. Before the grant application is published, the Department is seeking input from stakeholders to ensure the grant application includes all necessary components.
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The purpose of this Informational Memo is to inform all long-term services and supports stakeholders of a newly announced initiative by the Biden-Harris Administration to provide at-home COVID-19 rapid antigen tests that are accessible to people who are blind or have low vision.
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The purpose of this Informational Memo is to inform stakeholders of opportunities for informal discussion of proposed rule updates under the Home and Community-Based Services (HCBS) Settings Final Rule. Interested stakeholders may include HCBS waiver participants, relatives and guardians of participants, advocates, and providers and case management agencies (CMAs) serving individuals enrolled in the HCBS waivers.
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The purpose of this Memo is to inform county departments of human/social services of grant funding available through the FY 2022-23 County Grant Program and to extend the deadline for applications to Friday, July 8, 2022.
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The purpose of this Informational Memo is to inform Case Management Agencies (CMAs) of a required Benefits Utilization System (BUS) upgrade for system security and stability, as well as providing information about the removal of the Service Plan from the BUS. The upgraded BUS will be accessible via a new URL.
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The purpose of this Informational Memo is to inform case managers, service providers, and stakeholders of the compliance monitoring requirements in the Developmental Disabilities (DD), Supported Living Services (SLS), and Children’s Extensive Support (CES) Home and Community-Based Services (HCBS) waivers.
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The purpose of this Informational Memo is to inform stakeholders that the Home and Community-Based Services (HCBS) waiver amendments and renewals submitted to the Centers for Medicare & Medicaid Services (CMS) on March 10, 2022, were approved.
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The purpose of this Informational Memo is to inform providers, members, and stakeholder of an across-the-board increase for many Health First Colorado Medicaid services, as well as targeted rate increases for some services, as outlined below.
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The purpose of this Informational Memo is to inform stakeholders of upcoming meetings hosted by the Department of Health Care Policy & Financing (Department) to discuss and receive feedback on the temporary implementation of Tier 3 Day Habilitation services, and how these individualized services should be implemented long-term, following the end of the Public Health Emergency (PHE). Additionally, the Department is also requesting stakeholder feedback related to Residential Habilitation Services and Supports (RHSS) and Supported Community Connections (SCC) services being provided by the same direct care provider.
These meetings are 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 Day Habilitation services and RHSS through the HCBS Developmental Disabilities (DD) and Supportive Living Services (SLS) waivers.
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