The Office of Community Living Digest | | |
Informational Updates
New:
- ✴️ Nurse Assessor and Skilled Care Acuity Assessment Updates
- ✴️ LTSS CCM System Stabilization and Enhancement Dashboard Update
- ✴️ Operational Memo 25-023 - Educated Choice in Community Transitions
- ✴️ Operational Memo 25-024 - Children with Complex Health Needs (CwCHN): New Children’s Waiver Combining the Children’s Home and Community-Based Services(C-HCBS) and Children’s Life Limiting Illness (CLLI) Waivers
- ✴️ Operational Memo 25-025- Intake Referral and Enrollment Processes for Case Management Agencies
- ✴️ Operational Memo 25-026 - Community First Choice (CFC) Implementation
- Operational Memo 25-027 - Notice of Action Requirements for Case Management Agencies
Upcoming Next Week:
- Working Adults with Disabilities Stakeholder Meeting
| | |
Opportunities for Input and Deadlines
New:
- Deadline - Thursday, May 8, 2025: Stakeholder Input on Community Connector Unit and Regulation Changes
- Rapid Reintegration Rule Revision Workgroup
Upcoming Next Week:
- ✴️ Transitions Stakeholder Advisory Council (TSAC)
- Direct Care Workforce Collaborative (DCWC) Training and Career Advancement Action Group Meeting
- ✴️ Community First Choice (CFC) Council Meeting
- Skilled Nursing Facility (SNF) Social Work Office Hours with HCPF
| | |
Training and Technical Assistance
New:
- Pre-Admission Screening and Resident Review (PASRR) Program: New PASRR Vendor and System Training Series
| | |
✴️ LTSS CCM System Stabilization and Enhancement Dashboard Update
HCPF made significant progress in 2024 to stabilize the LTSS CCM System. As work continues, HCPF acknowledges remaining issues across the CCM System in three key areas including Streamlining Interfaces, Data Quality, and Reporting for Case Management Agencies. Work by HCPF’s contractors (Gainwell and AssureCare) is underway to stabilize the CCM System by remediating these remaining issues. A new integrated schedule to resolve the remaining issues was provided to HCPF in December 2024. In addition, work is underway to complete key initiatives to improve access to care for our members including new programs such as Community First Choice, Money Follows the Person, the new Colorado Single Assessment, as well as a number of other enhancements that were delayed as a result of stabilization issues.
On April 29, a new update related to this important work was published. The next update will occur on May 13 (every other Tuesday).
Read the Update and View the Dashboard
| | |
✴️ Operational Memo 25-023 - Educated Choice in Community Transitions
Audience: Transition Coordinators, Transition Coordination Agencies
The purpose of this Operational Memo is to inform Transition Coordination Agencies of operational instructions outlining the process for ensuring that Institutionalized
Population members make informed decisions about Community Transition. It establishes clear documentation, review, and follow-up procedures to address concerns and barriers while respecting members’ autonomy.
See more information about this Memo
| | |
✴️ Operational Memo 25-024 - Children with Complex Health Needs (CwCHN): New Children’s Waiver Combining the Children’s Home and Community-Based Services(C-HCBS) and Children’s Life Limiting Illness (CLLI) Waivers
Audience: Case Managers, Case Management Agencies (CMAs), Providers
The purpose of this Operational Memo is to inform Members enrolled in the Children’s Home and Community-Based Services (CHCBS) and Children with Life Limiting Illness (CLLI) waivers, Case Managers, Case Management Agencies (CMAs), and Providers that the CHCBS and CLLI waivers will be merged and retitled as the Children with Complex Health Needs (CwCHN) waiver available starting on July 1, 2025. In addition, this memo will provide operational guidance to CMAs for the upcoming transition.
See more information about this Memo
| | |
✴️ Operational Memo 25-025- Intake Referral and Enrollment Processes for Case Management Agencies
Audience: Case Management Agencies (CMAs)
The purpose of this Operational Memo is to provide temporary administrative relief, policy and operational guidance to Case Management Agencies (CMAs) regarding timely and quality case management services related to intake referral and enrollment processes.
See more information about this Memo
| | |
✴️ Operational Memo 25-026- Community First Choice (CFC) Implementation
Audience: Case Managers, Case Management Agencies (CMAs), Providers, Health First Colorado members, HCBS Waiver Members
The purpose of this Operational Memo is to inform Health First Colorado (Medicaid) applicants and Members, HCBS waiver Members, Case Managers, Case Management Agencies (CMAs), and Providers about the upcoming implementation of the new Colorado First Choice (CFC) program effective on July 1, 2025. This memo will outline general CFC information, followed by operational guidance for the upcoming transition.
See more information about this Memo
| | |
Operational Memo 25-027 - Notice of Action Requirements for Case Management Agencies
Audience: Case Management Agencies
The purpose of this Operational Memo is to provide clarifying guidance to Case Management Agencies (CMAs) regarding when to issue a Long-Term Care Notice of Action (LTC NOA, formally LTC-803).
See more information about this Memo
| | |
Working Adults with Disabilities Stakeholder Meeting
The Health First Colorado Buy-In Program for Working Adults with Disabilities allows adults with a qualifying disability "buy into" Health First Colorado (Colorado's Medicaid Program). Members who work and earn too much to qualify for Health First Colorado may qualify for the Buy-In Program. Interested stakeholders are invited to one of two virtual stakeholder meetings to learn about updates being made to the Working Adults with Disabilities Buy-In Program effective July 1, 2025.
At this meeting, staff from the Department of Health Care Policy and Financing (HCPF) will present an overview of the changes being made to how Health First Colorado members enroll into the Buy-In Program for Working Adults with Disabilities. These changes will specifically impact Health First Colorado Members who also receive services through Home and Community-Based Services (HCBS) waivers. Attendees are invited to learn and ask questions about the upcoming changes.
The meeting will be held:
Thursday, May 8, 2025
1 to 2:30 p.m.
Register via Zoom
| | Opportunities for Input and Deadlines | | |
Stakeholder Input on Community Connector Unit and Regulation Changes
Deadline: Thursday, May 8, 2025
The Office of Community Living has tentatively received budgetary authority through R-05 to place a cap on the amount of Community Connector service that can be authorized under the Children’s Extensive Services (CES), and the Children’s Habilitation Residential Program (CHRP) waivers. With this tentative approval, HCPF proposes an annual cap of 2,080 units per Support Plan year, beginning July 1, 2025. This change will take place upon a member’s Continued Stay Review (CSR). The cap on services will not apply to existing Prior Authorization Requests (PARs), meaning a member will not need to reduce or modify already approved services.
Please submit any feedback about this proposed change, by Thursday, May 8, 2025, to: Meg Janeba, HCBS Benefits Supervisor and Angela Michalak, HCBS Benefits Specialist
| | |
Rapid Reintegration Rule Revision Workgroup
This workgroup is for case managers, transition coordinators and other interested stakeholders to collaborate and advise HCPF as it adds regulations for Rapid Reintegration. Rapid Reintegration is the Person-Centered process that occurs when an individual who is seeking admission to a nursing facility, is interested in, or does not oppose, living in the community. This rule revision is necessary to ensure compliance with the DOJ agreement and consistency in providing individuals with information about supports and services in a timely basis.
Stakeholder Meeting #1:
Wednesday, May 7, 2025
1 to 2 p.m.
Join via Google Meet
Join via Phone:
1-234-262-0500, PIN: 465 808 056#
Stakeholder Meeting #2:
Thursday, May 15, 2025
11 a.m. to 12 p.m.
Join via Google Meet
Join via Phone:
1-419-751-4271, PIN: 216 618 744#
Also, the In Reach Team has a Project Feedback form if you are unable to attend, please provide feedback in regards to At-Risk, Rapid Reintegration, Individual In-Reach and Group In-Reach.
| | |
✴️ Transitions Stakeholder Advisory Council (TSAC)
Join us for the TSAC monthly meeting. This is the place to talk openly about challenges and solutions related to Transition Services and programs. You can ask questions and get to know fellow options counselors, providers, transition counselors and everything in between that support community transitions.
Resources
If you have any questions, feel free to reach out at HCPF_CLO_CID@state.co.us. Thank you! We look forward to seeing everyone at the meeting.
The meeting will be held:
Thursday, May 1, 2025
2:30 to 4:30 p.m.
Register Here
| | |
Direct Care Workforce Collaborative (DCWC) Training and Career Advancement Action Group Meeting
This group focuses on training, staff development, and career pathways for direct care workers (DCWs). Interested stakeholders join to learn about training opportunities, career ladders, and other innovative strategies to support DCWs in their training and career goals. For more information, please see the DCWC webpage, or email HCPF_DCWorkforce@state.co.us.
The meeting will be held:
Friday, May 2, 2025
9 to 10 a.m.
Join via Zoom
Join via Phone:
(Toll-free) 1-877-853-5257
Meeting ID: 969 4053 6000, Passcode: 115140
| | |
✴️ Community First Choice (CFC) Council Meeting
The CFC Council is in place to collaborate with and advise HCPF on the design and implementation of a CFC option in Colorado. Primarily made up of individuals with disabilities, those 65 years or older, and their representatives, the council’s experience and expertise will help ensure that CFC is implemented in a way that best meets the needs of Coloradoans with disabilities.
Agendas, presentations, and other related materials for council meetings can be found on the CFC Stakeholder Opportunities webpage. For more information, contact the CFC team at HCPF_CFC@state.co.us.
The meeting will be held:
Wednesday, May 7, 2025
10 to 11:30 a.m.
Meeting Topic:
CFC and CwCHN Updates
Join via Google Meet
Join via Phone:
1-260-230-1249, PIN: 719 313 221#
| | |
Skilled Nursing Facility (SNF) Social Work Office Hours with HCPF
This informal meeting will be a time where Social Workers, Social Services Directors, and NHAs at Skilled Nursing Facilities will be able to meet with HCPF to ask questions and provide direct feedback. HCPF will provide updates on our current and future projects to include, but not limited to: Group In-Reach, Individual In-Reach, Community Transitions, Pay for Performance, and Rapid Reintegration. This meeting will be a great time to get clarification on projects that have recently started and plan to begin in 2025.
This informal meeting will be a time where Social Workers, Social Services Directors, and NHAs at Skilled Nursing Facilities will be able to meet with HCPF to ask questions and provide direct feedback.
In these meetings, HCPF will provide updates on our current and future Office of Community Living (OCL) projects to include, but not limited to: Group In-Reach, Individual In-Reach, Community Transitions, Pay for Performance, and Rapid Reintegration. This meeting will be a great time to get clarification on projects that have recently started and plan to begin in 2025.
Please feel free to email any topics ahead of time that you would like to be discussed to Samantha Taylor.
These meetings will be the second Thursday of every month at 1 to 2 p.m.
The meeting will be held:
Thursday, May 8, 2025
1 to 2 p.m.
Register Here
| | Training and Technical Assistance | | |
Pre-Admission Screening and Resident Review (PASRR) Program: New PASRR Vendor and System Training Series
HCPF is excited to announce we have partnered with new PASRR vendor Maximus. Beginning July 1, 2025, Maximus will be replacing Telligen. To help ensure a smooth transition, please note the following training opportunities. These trainings are directed to Case Management Agencies (CMAs), Hospital Case Managers and discharge planners, nursing facilities (anyone in their facility who works with PASRR), and anyone who is doing PASRR as part of their responsibilities.
Each training session will have the same training content, so it is only necessary to sign up for one training per content area, although you are welcome to attend multiple sessions. All training sessions will be recorded and available to view through the PASRR program page.
These training sessions are also located on the OCL Stakeholder Engagement Page. You may view them there and copy to your individual calendar.
For more information, see the PASRR program page or contact Margaret Anderson, PASRR Administrator.
Training Schedule
Project Introduction
Join us to learn about some coming changes to the CO PASRR program. We will talk about how to register for AssessmentPro, the new PASRR system of record, and discuss the project timeline. This session is for all people who will be submitting PASRR screens or who need to access PASRR determinations or tracking information. Please click to register for any of these sessions:
- Tuesday, May 20, 2025, 10 to 11 a.m.
- Wednesday, May 21, 2025, 2 to 3 p.m.
- Thursday, May 22, 2025, 12 to 1 p.m.
-
Tuesday, June 3, 2025, 1 to 2 p.m. (Dedicated to the Case Management Group)
PASRR Foundation
Join us to learn about PASRR. We will discuss state and federal requirements, the program process, and how Maximus will support PASRR in Colorado. This session is for all people who will be working with PASRR. Please click to register for any of these sessions:
AssessmentPro Walkthrough
Join us to learn about AssessmentPro, the new PASRR system of record for Colorado. This session will serve as a tour through the system to show how you will complete your work related to PASRR. There is no practice environment available to you, so we encourage you to attend to see how the system works. This session is for all people who will be working with PASRR. Please click to register for any of these sessions:
All about Level I and PathTracker
Join us to learn about the new Level I screen and PathTracker, the NF census tracker feature within AssessmentPro. We will discuss what to include on the screen, how to submit the form, and the benefits of the expanded information requested. This session is for all people who will be working with PASRR. Please click to register for any of these sessions:
Program Refresher
Join us as we review the important points of AssessmentPro and PASRR for the changes starting on July 1, 2025. This is a refresher of the information provided throughout May and June. This session is for all people who will be working with PASRR. Please click to register for any of these sessions:
Questions and Answers
Join our team to answer your questions about the new PASRR process. This is your chance to ask any outstanding questions related to PASRR, AssessmentPro, and Maximus. This session is for all people who will be working with PASRR.
- Wednesday, July 2, 2025, 12 to 1 p.m.
- Thursday, July 3, 2025, 12 to 1 p.m.
- Tuesday, July 8, 2025, 12 to 1 p.m.
- Thursday, July 10, 2025, 12 to 1 p.m.
| |
Signing up for OCL and HCPF Communications
If you are not currently on the communications list receiving these emails,
you can sign up here.
See a list of all HCPF newsletters you can subscribe to.
| |
Looking for Prior OCL Communications?
Do you know about the OCL LTSS newsletter archive? On this page, you can:
- Search OCL newsletters back to January 2024
- Subscribe to the newsletter
| | | | |
