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2021 Memo Series Communication

2021 Policy Memos

Policy Memo - anything that changes Departmental policy because of the federal and/or state legislation, rules or regulations promulgated as a result of previous federal and/or state legislation, rules, regulations, policies, or procedures. A Policy Memo can interpret and provide further guidance to previously promulgated regulations.

Memo #Memo TitleIssue DateAudienceKeywordsLinks and Attachments
PM 21-006Advance Child Tax Credit Payments of 2021 (Economic Stimulus): Income and Resource Eligibility8/27/2021Eligibility SitesAmerican Rescue Plan Act, Recovery Rebate, Advanced Child Tax Credit, Relief Payment, Eligibility, Income, Resources, Patient Payment, Non-MAGI, MAGI, CHP+None
PM 21-005Consideration of Assets Held by Guardians, Conservators and Lawyers8/10/2021Eligibility PartnersGuardianship Accounts, Conservatorship Accounts, Lawyer Trust Accounts, Colorado Lawyer Trust Account Foundation, COLTAFNone
PM 21-004Disability Trust Policy Guidance on Distribution Notice Requirements7/26/2021StakeholdersDisability Trusts, Trust, Distribution, NoticeNotification of Trust Distribution Form
PM 21-003COVID-19 American Rescue Plan Act of 2021 (Economic Stimulus) Income and Resource Eligibility4/28/2021Eligibility SitesCOVID-19, Coronavirus, American Rescue Plan Act, Recovery Rebate, Economic Stimulus, Stimulus Check, Relief Payment, Eligibility, Income, Resources, Patient Payment, Non-MAGI, MAGI, CHP+None
PM 21-002Fraud Investigations, Overpayments, and Eligibility Terminations During the COVID-19 Public Health Emergency2/2/2021County Member Fraud InvestigatorsCoronavirus, COVID-19, Public Health Emergency, Client Fraud, Member Fraud, Overpayment, Eligibility, TerminationNone
PM 21-001Remote Application Assistance1/6/2021Eligibility Sites and Application Assistance SitesCOVID-19, Coronavirus, Advocates, Application, Assisters, Certified Medical Assistance Sites, Eligibility, Non-MAGI, MAGI, Child Health Plan PLUS

Acknowledgement of Verbal Consent

Acknowledgement of Verbal Consent (Spanish)

2021 Operational Memos

Operational Memo - detailed instructions and/or clarifications to contracted entities and county partners to operationalize a new or existing state and/or federal law, new or existing state and/or federal rule, or Department policy.

Memo #Memo TitleIssue DateAudienceKeywordsLinks and Attachments
OM 21-0932022 Increase To Resource Limits – Medicare Savings Program And Low-Income Subsidy12/30/2021Qualified Medicare Beneficiaries (QMB), Specified Low Income Medicare Beneficiaries (SLMB), Qualified Individuals (QI-1), and Low-Income Subsidy (LIS) resource limits.Increase To Resource Limits, Medicare Savings Programs, Qualified Medicare Beneficiaries, Specified Low Income Beneficiaries, Qualified Individuals-1, Qualified Disabled And Working Individuals, Low- Income SubsidyNone
OM 21-092InnovAge PACE Colorado Enrollment Sanction12/23/2021Case Management Agencies (CMAs)Case Management, PACE, InnovAge, Enrollment, Audit, Enrollment SanctionPACE Webpage
OM 21-091Oversight Requirements For Non-Medical Transportation (NMT)12/17/2021Home and Community-Based Services (HCBS) Providers and Stakeholders Non-Medical Transportation, NMT, Home And Community-Based Services, HCBS Waivers, Medicaid Client Transport (MCT), Provider Enrollment, RevalidationNone

OM 21-090

(superseded by OM  22-002)

Temporary Enhanced Rate For The Home And Community-Based Services (HCBS) Waiver Respite Benefit 12/17/2021Stakeholders, Members, Providers, And Case Management Agencies (CMAs)American Rescue Plan Act, ARPA, Respite Care, Home And Community-Based Services, HCBS, Rate Increases, Coronavirus, COVID 19, Prior Authorization Request, PAR, Community Centered Board, CCB, Single Entry Point, SEP, Rate Adjustments, Elderly, Blind And Disabled (EBD) Waiver, Community Mental Health Supports (CMHS) Waiver, Brain Injury (BI) Waiver, Spinal Cord Injury (SCI) Waiver, Children’s Extensive Supports (CES) Waiver, Children With Life Limiting Illness (CLLI) Waiver, Children’s Habilitation Residential Program (CHRP) Waiver, And The Supported Living Services (SIS) Waiver None
OM 21-089Children's Home And Community-Based Services Waiver (CHCBS)12/17/2021Case Management Agencies (CMAs) Children’s Home and Community-Based Services (CHCBS)CHCBS, Children's Home And Community-Based Services Waiver, Documentation, Training, 100.2None

OM 21-088

(superseded by OM 22-057)

2022 Social Security Cost Of Living Adjustments12/17/2021Eligibility Sites2022 COLA, 2022 Cost Of Living Adjustment, SSI, Home Maintenance Allowance, HMA, Patient Payment, PNA, Personal Needs Allowance, Spousal Protection, Community Spouse, CSRA, Home Equity MaximumNone
OM 21-087Home and Community-Based Services (HCBS) American Rescue Plan Act Base Wage Rate Increase12/13/2021Providers And Case Management Agencies (CMAs) and Community-Based (HCBS)COVID-19, Coronavirus, Benefits and Services, Home and Community-Based Services, HCBS, Rate Increase, Base Wage, Adult Day, Day Habilitation, SCC, CDASS, NMT, Supported Employment, Homemaker, IHSS, Mentorship, Prevocational Services, Respite Care, ARPA, ARPA Wage Attestation, ARPA Wage Reporting, ARPA Wage ComplianceBase Wage Requirement For Direct Care Workers FAQ
OM 21-086Senate Bill 19-238 Reporting Reminder12/10/2021Providers And Service Agencies Senate Bill 19-238, Wage Pass-Through, Reporting Tool, HCBS, Home Care Agencies, Service Agencies, Providers, HCPF OM 21-068None
OM 21-085Afghan Humanitarian Parolee Medicaid Eligibility 12/8/2021Eligibility SitesAfghan Humanitarian Parolee, Refugee, Asylee, Afghan Special Immigrant Visa, Eligibility, Refugee Medical Assistance, Immigration StatusNone

OM 21-084

(superseded by OM 23-042)

Revised Guidance For BA-10 PHE Funding12/7/2021County Departments of Human/Social ServicesFunding, PHE, BA-10, Staff, Public Health EmergencyNone

OM 21-083

(superseded by OM 22-044)

Options Counseling Agency Guidance For Options Counseling Activities During COVID-19 Pandemic; In-Person Meetings12/7/2021Options CounselorsCOVID-19, Coronavirus, Options Counseling, Transition Coordination, Transition Services, Skilled Nursing FacilitiesNone
OM 21-082Single Entry Point Monitoring Requirements 11/30/2021Single Entry Point (SEP) agenciesCOVID-19, Coronavirus, Case Management, Face-To-Face, In-Person, HCBS, Monitoring Visit, Optional Monitoring, Single Entry PointNone
OM 21-081Private Duty Nursing And Pediatric Long Term Home Health Prior Authorizations During Kepro Phased Implementation11/30/2021Home Health Agencies (HHAs) Affiliated StakeholdersPediatric Home Health, Private Duty Nursing, Prior AuthorizationNone

OM 21-080

(superseded by OM 22-034)

Implementation Of The FY 2021–22 County Incentives Program Accuracy Incentive11/23/2021County Departments of Human/Social ServicesQuality Assurance, MAP Dashboard Measures, Performance, Achievable & Stretch Targets, IncentivesCounty Size List

OM 21-079

(superseded by OM  22-054)

Implementation Of The FY 2021 –22 Performance Compliance Incentive11/23/2021County Departments of Human/Social ServicesMAP Dashboard Measures, Performance, Targets, Management Decision Letter, Informal Action Plan, Corrective Action Plan, IncentivesNone
OM 21-078Management Decision Letters, Improvement And Corrective Action Plans11/22/2021County Departments of Human/Social ServicesImprovement Action Plan, IAP, Corrective Action Plan, CAP, Sanctions

Improvement Action Plan Template

Corrective Action Plan Template

OM 21-077Implementation Of The FY 2021-22 Cybersecurity Incentive11/22/2021County Departments of Human/Social ServicesIncentives, Cybersecurity, Deliverable, County AdministrationNone
OM 21-076Provider Requirements For Assisting In The Coordination Of Benefits11/19/2021ProvidersCoordination Of Benefits, Third-Party InsuranceNone
OM 21-075Electronic Visit Verification (EVV) Claim Edit Timeline11/16/2021 StakeholdersElectronic Visit Verification, EVV, Live-In Caregiver Exemption, Cures Act, Claim EditNone

OM 21-074

(superseded by OM 22-044)

Targeted Case Management-Transition Coordination (TCM-TC) Guidance For Transition Coordination Activities During COVID-19 Pandemic; In-Person Meetings11/9/2021Transition Coordination Agencies (TCA)Transition Coordination Services, TCM-TC, Transition Coordination Agencies, Transition Coordinators, Transition Coordination ActivitiesNone

OM 21-073

(superseded by OM  22-030)

Case Management Operational Changes In Response To Covid-19; Additional In-Person Meetings11/9/2021Case Management Agencies (CMAs) COVID-19, Coronavirus, Case Management, Monitoring, Functional Eligibility Assessment, Level Of Care, CSR, ULTC 100.2 Targeted Case Management, TCM, Rural Add On, HCBS, CMA, Case Management Agency, Continued Stay Review, CSR, Sis, ICAPCMA Rural Travel Add-On Invoice Template

OM 21-072

(superseded by OM  22-010)

Home And Community-Based Services (HCBS) American Rescue Plan Act Rate Increases11/4/2021Alternative Care Facilities (ACF), Supported Living Program (SLP), Non-Medical Transportation (NMT) providers and case management agencies (CMAs)Benefits And Services, Home And Community-Based Services, HCBS, Rate Increases, Adult Day, Day Habilitation, SCC, NMT, Supported Employment, Homemaker, IHSS, Mentorship, Personal Care, Prevocational Services, Respite Care, ACF, SLP, ARPANone

OM 21-071

(superseded by OM 21-072)

Increase to Home and Community-Based Services Rates in Response to COVID-19
 
10/12/2021Providers and Case Management Agencies (CMAs)COVID-19, Coronavirus, Benefits And Services, Home And Community-Based Services, HCBS, Rate Increases, Adult Day, Day Habilitation, SCC, NMT, Supported Employment, Homemaker, IHSS, Mentorship, Personal Care, Prevocational Services, Respite Care, AARPANone
OM 21-070 (superseded by OM 23-069)Changes to Signature Requirements for Member Paperwork in Response to COVID-19 for Case Management Agencies10/12/2021Case Management Agencies (CMAs)COVID-19, coronavirus, case management, home and community based services, HCBS, statement of agreement, functional eligibility assessment, level of care, CSR, ULTC 100.2, signature page, person-centered service plan, support planNone
OM 21-069Resuming In-Person Inspections for Home and Community–Based Services (HCBS) Home Modifications and Individual Residential Support Services—Host Home Settings10/6/2021Home and Community-Based Services (HCBS) Providers and Case Management Agencies (CMAs) HCBS Waivers, Home Modification, Home Accessibility Adaptations, Home Mod, IRSS, Host Home, InspectionNone
OM 21-068Wage Pass-Through – SB19-238 Reporting Tool 9/29/2021Providers and Service AgenciesSenate Bill 19-238, Wage Pass-Through, Reporting Tool, HCBS, Home care Agencies, Service Agencies, Providers, HCPF OM 21-063None

OM 21-067

(superseded by OM 23-042)

FY 2021-22 BA-10 Budget Amendment (PHE Locked-In) Allocations and Expenditures9/24/2021County Human/Social Services LeadershipBA-10, Funding, CFMS, Codes, Allocation, PHE Locked In Report

FY 2021-22 BA-10 Budget Allocation - Enhanced

FY 2021-22 BA-10 Budget Allocation - Non-Enhanced

OM 21-066HCBS Settings Final Rule - Use of Updated Documents9/24/2021Home and Community-Based Services (HCBS)Home and Community-Based Services Settings Final Rule, HCBS, DocumentsNone
OM 21-065Regional Center Procedure Code Change9/24/2021Case Management Agencies (CMAs)Grand Junction Regional Center, GJRC, Pueblo Regional Center, PRC, Group Residential Services and Supports, GRSS, Specialize Habilitation, SPEC HAB, Supported Community Connections, SCC, Procedure Code Change, Community Centered Board, CCB, Home and Community Centered Board, CCB, Home and Community Based Services Waiver for Persons with Developmental Disabilities, HCBS-DD, Case Management, Prior Authorization, PARNone
OM 21-064Case Manager Qualification Requirement Changes9/22/2021Single Entry Point (SEP) Agencies, Community Centered Boards (CCBs) and Private Case Management AgenciesCase Manager Qualifications, Rules, Appendix K, Hiring, Staff Requirements Education, Experience, COVID-19None
OM 21-063 Wage Pass-Through Post-Payment Reviews8/19/2021Home and Community-Based Services (CHBS) ProvidersHouse Bill 18-1407, Senate Bill 19-238, Wage Pass Through, HCBS, Home Care Agencies, Service Agencies, Providers, Audit, Recoveries, Overpayments, Compliance, Post Payment Review, Review, CRS 25.5-4-301, CRS 25.5-6-406, CRS 25.5-6-1602, CRS 25.5-6-1603None
OM 21-062Update Pertaining to the Provision of Residential Habilitation Services and Supports and Supported Community Connections8/12/2021StakeholdersHome and Community-Based Services, HCBS, Residential Habilitation Services and Supports, RHSS, Provider, PASA, Supported Community Connections, SCC, Host Home Provider, HHP, IRSS, GRSSNone
OM 21-061CDASS Rate Increase for Case Management Agencies8/12/2021Case Management Agencies (CMAs)CDASS, Rate Increase, SEP, CCB, Case Management, 11/1/21, ATBNone

OM 21-060

 

Updated Care Coordination and Case Management Expectations for Utilization Management Denials8/12/2021Regional Accountable Entities (RAEs), Managed Care Organizations (MCOs), Case Management Agencies (CMAs) & Utilization Management (UM) VendorsRAE, MCO, CCB, CMA, SEP, UM Vendor, EQHealth, Case Coordination, Case Management, LTHH,  PDN, Utilization Management

RAE and CMA Collaboration Scenarios

Case Management Agencies and Regional Accountable Entities Collaboration Learning Collaborative Training

ULTC 100.2 - Initial Screening and Intake Referral Form

OM 21-059

(superseded by OM 21-060)

Updated Care Coordination and Case Management Expectations for Utilization Management Denials8/10/2021Regional Accountable Entities (RAEs), Managed Care Organizations (MCOs), Case Management Agencies (CMAs) & Utilization Management (UM) VendorsRAE, MCO, CCB, CMA, SEP, UM Vendor, EQHealth, Case Coordination, Case Management, LTHH,  PDN, Utilization Management

RAE and CMA Collaboration: Scenarios

Case Management Agencies and Regional Accountable Entities Collaboration Learning Collaborative Training

ULTC 100.2 - Initial Screening and Intake Referral Form

OM 21-058Compact of Free Association (COFA) Migrants8/10/2021County Departments of Human/Social Services, Medical Assistance (MA) Sites, Eligibility Application Partner (EAP) SitesCompact Free Association, COFA, Compact Citizens, MigrantsNone
OM 21-057HCPF Eligibility Quality Assurance Reviews8/5/2021Eligibility SitesMA Quality Assurance, Case File Requests, QA Findings, Oversight & AccountabilityEligibility Quality Assurance FAQ

OM 21-056

(superseded by PM 22-006)

Emergency Medicaid7/29/2021County Departments of Human/Social Services & Medical Assistance SitesEmergency Medicaid, Medical Emergency, Immigration or Citizenship Requirements, Qualifying Life or Limb Threatening Medical EmergencyNone
OM 21-055Operational Changes to Non-Emergent Medical Transportation (NEMT)7/26/2021Non-Emergent Medical Transportation (NEMT) Providers & County Departments of Human/Social ServicesNEMT, IntelliRide, BrokerNone
OM 21-054 (superseded by OM 23-075)Updated: Clarification on Residential Habilitation Services and Supports, Supported Community Connections and Community Connector7/23/2021Home and Community-Based Services (HCBS) Residential Habilitation Services and Supports (RHSS), SCC, and Non-Medical Transportation (NMT) Provider Agencies and Case Management Agencies (CMAs)Home and Community Based Services, HCBS, Residential Habilitation Services and supports, RHSS, Provider, PASA, Supported Community Connections, SCC, Host Home Provider, HHP, IRSS, GRSS, Community Connector, CCNone
OM 21-053Updates to Billing Procedure for Home Modification Second Unit7/22/2021Home Modification Providers & StakeholdersHome Modification, Home Accessibility Adaptation, Provider, BillingNone
OM 21-052Home and Community-Based Services-Procedure for Starting a New HCBS Enrollment7/20/2021Case Management Agencies, Home and Community-Based Services (HCBS) Providers & StakeholdersEnrollment, Revalidation, Provider Specialty, Training, Survey and Certification, Home and Community-Based Services, HCBS, Program Approved Service Agency, PASA, Waiver, Single Entry Point, Community Centered Board, SEP, CCB, Case Management Agency, CMAHCBS Enrollment Training
OM 21-051Complete Processing of Medicaid Applications Prior to Approval of CICP Services7/15/2021Eligibility SitesApplication, CICP, Eligibility, Medicaid, DenialNone

OM 21-050

(superseded by OM 21-054)

Clarification on Residential Habilitation Services and Supports, Supported Community Connections and Community Connector7/16/2021Home and Community-Based Services (HCBS) Residential Habilitation Services and Supports (RHSS), SCC, and Non-Medical Transportation (NMT) Provider Agencies and Case Management Agencies (CMAs)Home and Community Based Services, HCBS, Residential Habilitation Services and supports, RHSS, Provider, PASA, Supported Community Connections, SCC, Host Home Provider, HHP, IRSS, GRSS, Community Connector, CCNone
OM 21-049Data Sharing between County Child Welfare and Regional Accountable Entities7/12/2021County Departments of Human/Social Services (County) Child Welfare & Regional Accountable Entities (RAEs) Data Sharing, RAEs, Child Welfare, Medical Coverage, Medicaid, Mental Health ServicesNone
OM 21-048Updated Guidance on Day Habilitation Services in Response to COVID-197/7/2021Home and Community-Based Services (HCBS) Day Habilitation Providers Agencies, Residential Habilitation Services (RHAA) Providers & Case Management Agencies (CMAs)Services, HCBS, Provider, PASA, COVID-19, Coronavirus, Day Habilitation, Specialized Habilitation, Supported Community Connections, SCC, SH, Host Home Provider, HHPNone
OM 21-047Non-Medical Transportation (NMT), Medicaid Client Transport (MCT) Transfer of Oversight to HCPF6/30/2021Home and Community-Based Services (HCBS) Providers & StakeholdersNon-Medical Transportation, NMT, Home and Community-Based Services, HCBS Waivers, Medicaid Client Transport (MCT), Provider Enrollment RevalidationNMT Compliance Requirements

OM 21-046

(superseded by OM  22-032)

2021 Minimum Monthly Maintenance Needs Allowance (MMMNA)6/28/2021Eligibility SitesMinimum Monthly Maintenance Needs Allowance, MMMNA, Monthly Income Allowance, MIA, Spousal Allowance, Shelter Allowance, Long-Term CareNone
OM 21-045Income Interfaces for Medical Assistance Programs6/16/2021Eligibility SitesEligibility, Income, Verification, MAGI, CHP+, Non-MAGI, InterfacesNone
OM 21-044Electronic Visit Verification (EVV) Claim Suspension for Non-Utilizing Providers6/14/2021StakeholdersEVV, Cures Act, Claims, Payment, SuspendNone
OM 21-043Changes to modified Adjusted Gross Income (MAGI)-Based Income Methodologies6/4/2021Eligibility SitesMAGI, Deductions, Expenses, Countable Income, Alimony, Tuition and Fees, Student Loan Debt, Lump Sum, Annuity, Self Employment, Capital Gains and LossesNone

OM 21-042

(superseded by OM 22-013)

Updated Information Pertaining to Day Program and Transportation Services6/3/2021Home and Community-Based Services (HCBS) Providers & Case Management Agencies (CMAs)COVID-19, Coronavirus, Benefits and Services, Home and Community-Based Services, Day Programs and Services, Non-Medical TransportationNone

OM 21-041

(superseded by OM 22-023)

Amended FY 2020-21 Continuous Coverage (Continuous Eligibility) Performance Incentive5/12/2021Departments of Human/Social ServicesLTSS, COVID-19 Public Health Emergency, Redetermination, Eligibility, , Vulnerable Eligibility Groups, Failed to Provide VerificationCOVID Incentive Tracking Template

OM 21-040

(superseded by OM 21-073)

Case Management Operational Changes in Response to COVID-19; In-Person Meetings5/5/2021Case Management Agencies (CMAs)COVID-19, Coronavirus, Case Management, Monitoring, Functional Eligibility Assessment, Level of Care, CSR, ULTC 100.2 Targeted Case Management, TCM, Rural Add On, HCBS, CMA, Case Management Agency, Continued Stay Review, CSR, SIS, ICAPCMA Rural Travel Add-n Invoice Template
OM 21-039Web Application Credentials and Training For Program Approved Service Agencies5/4/2021Program Approved Service Agencies (PASAs)Program Approved Service Agencies, PASA, Individual Residential Services and Supports, IRSS, Department of Local Affairs, DOLA, Division of Housing, DOH, Residential Settings, Host Home Provider, HHP, Training, Web ApplicationNone
OM 21-038Level of Care Operational Changes4/21/2021Case Management Agencies (CMAs) and ProvidersCOVID-19, Coronavirus, Case Management, Functional Eligibility Assessment, Level of Care, ULTC, 100.2, Professional Medical Information Page, Nursing Facility TransfersNone

OM 21-037

(superseded by OM 21-042)

Updated Information Retaining to Day Program and Transportation Services in Response to COVID-194/21/2021Home and Community-Based Services (HCBS) Providers & Case Management Agencies (CMAs)COVID-19, Coronavirus, Benefits and Services, Home and Community-Based Services, Day Programs and Services, Non-Medical TransportationNone

OM 21-036

(superseded by OM 21-069)

County Administration Funding - COVID-19 Public Health Emergency4/15/2021County Departments of Human/Social ServicesCounty Administration, PHE, Funding, Allocations, Staffing Plans, Intergovernmental AgreementsNone

OM 21-035

(rescinded, guidance in HCPF OM 20-043 remains in place until further notice)

PASRR Operational Changes Related to COVID-194/8/2021Pre-Admission Screening and Resident Review (PASRR) StakeholdersPASRR, Coronavirus, COVID-19, Nursing Facilities, Hospitals, Case Management AgenciesNone
OM 21-034Changes to Home and Community-Based Services Rates in Response to COVID-193/23/2021Providers & Case Management Agencies (CMAs)COVID-19, Coronavirus, Benefits and Services, Home and Community-Based Services, HCBS, Rate Increases, Adult Day, Day Habilitation, SCC, NMT, Supported EmploymentNone

OM 21-033

(superseded by OM 21-041)

Update to the FY 2020-21 Continuous Coverage (Continuous Eligibility) Performance Incentive3/18/2021County Departments of Human/Social Services (County)LTSS, COVID-19, Public Health Emergency, Redetermination, Eligibility, Vulnerable Eligibility Groups, Failed to Provide VerificationTracking Deliverable Template
OM 21-032Informed Consent Template for Rights Modification3/17/2021Case Management Agencies (CMAs) & Provider AgenciesHCBS, Informed Consent, Rights Modifications, HCBS WaiversInformed Consent Template
OM 21-031Case Management Agency Regional Accountable Entity COVID-19 Vaccination Outreach for Eligible Homebound Health First Colorado Members3/18/2021Community Centered Boards (CCB), Single Entry Point (SEP), Children's Home and Community-Based Services (CHCBS), Case Management Agencies (CMAs), Managed Care Organizations (MCOs) and Regional Accountable Entities (RAEs)Case Management, Children's Home and Community-Based Services, Home and Community-Based Services, CHCBS, Case Management Agencies, Regional Accountable Entity, Single Entry Point, Community Centered Board, COVID-19, CMA, RAE, SEP, CCB, MCO, HCBS, CHCBS, Managed Care Organization, Homebound, Targeted Case Management, TCMNone

OM 21-030

(superseded by OM 21-057)

HCPF Eligibility Quality Assurance Reviews3/12/2021Eligibility SitesMA Quality Assurance, Case File Requests, QA FindingsEligibility Quality Assurance FAQ
OM 21-029Fraud Investigations and Overpayments3/12/2021County Departments of Human/Social ServicesClient Fraud, Member Fraud, Overpayment, Recovery, Interest, Fraud InterestLegislative Report Form - Attachment A
OM 21-028Disability Determination Application Update and Changed Process3/12/2021County Departments of Human/Social Services, Medical Assistance (MA) Sites, Eligibility Application Partner (EAP) Sites, and Internal and External StakeholdersDisability Determination, Medical Release Form, State Disability Determination Vendor, Medical Assistance Site ResponsibilityNone

OM 21-027

(superseded by OM 23-021)

Changes to Consumer Directed Attendant Support Services Criminal Barrier Crimes List3/8/2021Consumer Directed Attendant Support Services (CDASS) StakeholdersCDASS, Barrier Crime, Background Check, Attendant Enrollment, FMS, Participant Directed ProgramsColorado CDASS Criminal Barrier Crimes List

OM 21-026

(superseded by OM 22-009)

Health First Colorado Children with Disabilities Buy-In 2021 Income Chart and Premium Guide3/5/2021Departments of Human Social Services & Medical Assistance SitesMedicaid, Buy-In, Children with Disabilities, CBWD, 2021 FPL, Income, PremiumNone
OM 21-025Individualized Service Addition to Day Habilitation Services2/26/2021Home and Community-Based Services (HCBS) Day Habilitation Provider Agencies, Case Management Agencies (CMAs), Members and StakeholdersDay Habilitation, Specialized Habilitation, Supported community Connections, SH, SCC, Providers, PASAS, Home and Community-Based Services, HCBS, Case Management Agencies, CMAS, Community-Centered Boards, CCBS, DD, SLS, SPALNone
OM 21-024Updated Case Management Operational Changes in Response to COVID-192/23/2021Case Management Agencies (CMAs)COVID-19, Coronavirus, Case Management, Functional Eligibility Assessment, Level of Care, CSR, ULTC 100.2, Professional Medical Information Page, PMIPProfessional Medical Information Page Frequently Asked Questions

OM 21-023

(superseded by OM  22-008)

Health First Colorado Buy-In for Working Adults with Disabilities 2021 Income Chart and Premium Guide2/23/2021County Departments of Human/Social Services and Medical Assistance SitesMedicaid, Buy-In, Working Adults with Disabilities, WAWD, 2021, FPL, Income, PremiumNone

OM 21-022

(superseded by OM 22-012)

Medical Assistance - Medicare Savings Program and Low-Income Subsidy2/23/2021Eligibility Sites2021 Income Limits, Medicare Savings Program, Low-Income SubsidyNone
OM 21-0212021 Federal Poverty Level Guidelines2/19/2021Eligibility Sites2021 Federal Poverty Level Guidelines, Income Limits

April 2021 Medicaid Income Chart

April 2021 CHP + Income Chart Final

OM 21-020Electronic Visit Verification (EVV) Timeline Update2/19/2021StakeholdersEVV, CURES Act, Claims, PaymentNone
OM 21-019Reduction to the Reasonable Opportunity Period (ROP) From 90 Days to 30 Days for Income Verification2/19/2021Eligibility SitesIncome, Reasonable Opportunity Period, Reduction, MAGI, Non-MAGI, VerificationNone
OM 21-018Net Operating Loss Deduction for MAGI-Based Programs2/19/2021Eligibility SitesNet Operating Loss (NOL), Income Deduction, MEGI, Allowable DeductionsNone
OM 21-017Long-Term Services and Supports (LTSS) Transition Plan to Telligen for Utilization Review/Utilization Management (UR/UM) Activities2/3/2021Case Management Agencies (CMAs)Over Cost Containment (OCC), Children's Extensive Supports (CES) Waiver, Children's Home and Community-Based Services (CHCBS) Waiver, Eligibility ReviewsNone
OM 21-016New PASRR Vendor2/2/2021Pre-Admission Screening and Resident Review (PASRR) StakeholdersNew PASRR Contractor, EQ Health, PASRRNone
OM 21-015Medical Assistance Ends Automatic Mailing for 1095-B Notices1/29/2021Eligibility SitesIRS, 1095-B, Proof of Insurance, Tax Forms, Peak

For County Partners: Form 1095-B: Frequently Asked Questions

Foster Care and IRS Form 1095-B: Frequently Asked Questions

OM 21-014Participant Directed Programs Utilization Review/Utilization Management1/29/2021Case Management Agencies (CMAs)Utilization Review/Utilization Management (UR/UM), Participant Directed Programs, In-Home Support Services (IHSS), Consumer-Directed, Attendant Support Services (CDASS), SEP, CCBNone

OM 21-013

(superseded by OM 21-024)

Updated Case Management Operational Changes in Response to COVID-191/27/2021Case Management Agencies (CMAs)COVID-19, Coronavirus, Case Management, Functional Eligibility Assessment, Level of Care, CSR, ULTC 100.2, Professional Medical Information Page, PMIPNone
OM 21-012Operational Changes to the Non-Emergent Medical Transportation (NEMT) Benefit for COVID-191/21/2021Non-Emergent Medical Transportation (NEMT) ProvidersCOVID-19, Coronavirus, Providers, Non-Emergent Medical Transportation, NEMT, TransportationNone
OM 21-011Change to Estate Recovery Notification Form Procedures1/19/2021Department of Human /Social Services and Eligibility SitesEstate, Estate Recovery, Form, HMS, County, Notice, PropertyNone
OM 21-010CDASS FMS Transition Notification1/14/2021Consumer Directed Attendant Support Services (CDASS) Members, Case Managers and StakeholdersCDASS, FMS, Acumen, Fiscal, Agent, Case Managers, PAR, Revision, Stakeholders, Participant Directed Programs

Financial Management Services (FMS) Vendor Transition Workflow for Case Managers Member

AR Notification of FMS Transition Letter

OM 21-009Changes to Benefits and Services Rates in Response to COVID-191/14/2021Providers and Case Management Agencies (CMAs)COVID-19, Coronavirus, Benefits and Services, Home and Community-Based Services, HCBS, Temporary Codes, GRSS, Residential Habilitation, Rate Increases, PETI, ACF, SLPNone
OM 21-008Second Temporary Provider Rate Increase for Nursing Facilities, Intermediate Care Facilities, and Regional Centers1/14/2021Providers and Case Management Agencies (CMAs)Skilled Nursing Facilities, SNF, Nursing Facilities, NF, Intermediate Care Facilities for Individuals with Intellectual Disabilities, ICF-IID, Regional Centers, Cost Report, MED-13, COVID-19None

OM 21-007

(superseded by OM 21-020)

Electronic Visit Verification (EVV) Timeline Update1/12/2021StakeholdersEVV, Cures Act, Claims, PaymentNone
OM 21-006 (superseded by OM 23-072)PACE Participant Adverse and Expedited Appeals1/12/2012StakeholdersPACE, Appeal, Adverse, ExpeditedNone
OM 21-005HCPF Management Evaluation Review Program1/12/2021County Departments of Human/Social ServicesManagement Evaluation, ME Review, ME Review Program Guide, Site Audit/ReviewME Review Guide

OM 21-004

(superseded by OM 21-078)

Improvement Action Plans and Corrective Action Plans1/11/2021County Departments of Human/Social ServicesImprovement Action Plan, IAP, Corrective Action Plan, CAP, Sanctions

Improvement Action Plan Template

Corrective Action Plan Template

OM 21-003FY 2020-21 County Incentives Program: Training and Quality Incentive: Quarters 2 and 3 Quality Meetings1/8/2021County Departments of Human/Social ServicesTraining, Incentives, QualityQuality Assurance Maturity Level by County
OM 21-002Fraud Investigations and Overpayments1/8/2021Department of Human/Social ServicesClient Fraud, Member Fraud, Overpayment, Recovery, Interest Fraud InterestLegislative Report Form - Attachment A

OM 21-001

(superseded by OM 21-029)

Nursing Facility Guidance on MDS Section Q Referrals1/5/2021Medicaid Certified Nursing FacilitiesMDS, Section Q, Options Counseling, Resident RightsNone

2021 Informational Memos

Informational Memo - important information for contracted entities, county partners and external stakeholders that is strictly informational and timely.

Memo #Memo TitleIssue DateAudienceKeywordsAttachments
IM 21-056County Communication of SEP Transition12/7/2021County Departments of Human/Social ServicesSingle Entry Point (SEP), Case Management Agency, County DepartmentNone
IM 21-055Case Management Redesign Policy Update: Catchment Area11/30/2021StakeholdersCase Management Redesign, Conflict Free Case Management, CFCM, CMRDNone
IM 21-0542022 Room And Board And Personal Needs Allowance Changes11/30/2021Case Managers, Participants, and ProvidersCost Of Living Adjustment, Personal Needs Allowance, Cola, PNA, Room And BoardNone
IM 21-053Public Comment: Medicaid Statewide Managed Care System11/4/2021StakeholdersManaged Care, Accountable Care Collaborative, RuleNone
IM 21-052New Phase of Provider Relief Funding Through U.S. Department of Health and Human Services (HHS) Open for Applications10/12/2021ProvidersCOVID-19, Provider Relief Fund, PRF, Rural, ARPANone
IM 21-051County Communication of CCB Transition9/10/2021County Departments of Human/Social ServicesCommunity Centered Board, CCB, Case Management Agency, Long-Term Services and Supports, LTSS, HCBS-CES, HCBS-DD, HCBS-SLSNone
IM 21-050Verification of Temporary CNA (T-NA) Expiration Date Necessary for Proper Licensure8/17/2021Facility-Based Health Care Providers & Temporary Certified Nursing Assistant (CNA) License HoldersCNA, T-NA, Certified Nursing Assistant, Verification of LicensureNone
IM 21-049Public Notice for Waiver Amendments8/9/2021StakeholdersPublic Notice, Amendment, Waiver, HCBS, BI, CES, CHCBS, CHRP, CLLI, DD, EBD, SCI, SLS, ATB, NMT, CDASS, Spending Limit, Enrollment IncreaseNone
IM 21-048HCBS Monitoring Training - Updated8/3/2021Case Management Agencies (CMAs)Monitoring, Case Management, SEP, CCB, Training, LTSS, HCBS, Home and Community Based Services, WavierNone
IM 21-047Home and Community-Based Services Children's Habilitation Residential Program (HCBS-CHRP) and Home and Community-Based Services Children's Extensive Support (HCBS-CES) Waiver Programs Information for Counties8/2/2021County Departments of Human/Social Services & Child Welfare StaffHCBS, CHRP, CES, Eligibility, CCB, County, Human Services, Child WelfareNone
IM 21-046Stakeholder Engagement Opportunities for the Home Modification and Home Accessibility Adaptation Benefit7/12/2021StakeholdersHome Modifications, Home Accessibility Adaptations, Home and Community-Based Services, HCBSNone
IM 21-045Update to Billing for City and County of Denver Rate Increases for Home and Community-Based Services7/6/2021Providers, Case Managers & StakeholdersBenefits and Services, Home and Community-Based Services, HCBS, Providers, Rates, Case Managers, PAR, Revision, Denver Minimum WageNone
IM 21-044HCBS Settings Final Rule - Trainings on Individual Rights and Rights Modification7/1/2021Home and Community-Based Services (HCBS) Waiver StakeholdersHome and Community-Based Services Settings Final Rule, HCBS, Rights, Rights Modification, TrainingNone
IM 21-043Critical Incident Report Training6/28/2021Case Management Agencies (CMAs)Critical Incident, CIRS, BUS,  Benefits Utilization System, Case Management, SEP, CCB, TrainingNone
IM 21-042HCBS-DD Waiver Waiting List and Enrollments Fact Sheet6/28/2021StakeholdersHCBS-DD Waiver, Enrollments, I/DD, Authorizations, Waiting List, EligibilityHCBS-DD Waiver Waiting List and Enrollments Fact Sheet
IM 21-041Case Management Redesign Member and Family Listening Sessions6/24/2021StakeholdersCase Management Redesign, Conflict Free Case Management, CFCM, CMRDCase Management Redesign Member and Family Listening Session Flyer
IM 21-040Fiscal Year 2021-2022 Provider Rate Adjustments6/22/2021StakeholdersRate Adjustments, ATB, 2.5%, Rates, HCBSNone
IM 21-039FY 2021-22 County Administration Allocation6/11/2021County Human/Social Services DirectorsCounty Administration, Allocation, County Admin, FY 21-22FY 2021-22 HCPF County Administration Allocations
IM 21-038Home and Community-Based Services (HCBS) Waiver Amendments Approval from The Centers for Medicare & Medicaid Services (CMS)6/11/2021StakeholderHome and Community-Based Services, HCBS, Waiver, Amendment, Approval, The Centers for Medicare & Medicaid Services, CMS, BI, CES, CHCBS, CHRP, CLLI, CMHS, DD, EBD, SCI, SLSNone
IM 21-037HCBS Settings Final Rule - Heightened Scrutiny Determinations6/10/2021StakeholdersHome and Community-Based Services, HCBS, Settings Final Rule, Heightened Scrutiny, Public NoticeNone
IM 21-036County Communication of SEP Transition6/10/2021Department of Human Service (DHS) AgenciesSingle Entry Point, SEP, Case Management Agency, HCBSNone
IM 21-035FY 2021-22 County Grant Program Competitive Applications6/3/2021County Departments of Human/Social ServicesFY 21-22, County Grants, Grant Program, Grant Funding

FY 2021-22 County Grant Program Application - All Projects

FY 2021-22 County Grant Program Application - All Projects (Word Version)

FY 2021-22 County Grant Program Preferred Projects List

FY 2021-22 County Grant Program Interview Slots

FY 2021-22 County Grant Program Interview Slots (Word Version)

Appendix D: County Grant Program Conditions of Funding and Monitoring Plan

IM 21-034Reminder for Provider Agencies to Access the Incident Management and Prevention Strategies Training5/26/2021Home and Community-Based Services (HCBS) Provider AgenciesHome and Community-Based Services, HCBS, Provider, PASAS, Incident Management, Prevention Strategies, Training, CIRS, Incident ReportingNone
IM 21-033County Administration Rule Revision for CY 20215/25/2021StakeholdersCounty Administration, Rules, Executive Director Rule-Making

CY 2021 County Administration Rule Set Strikethrough

CY 2021 Rule Revisions Fact Sheet and Summary

IM 21-032Case Management Redesign Catchment Area Stakeholder Survey5/7/2021StakeholdersCase Management Redesign, Conflict Free Case Management, CFCM, CMRDCase Management Redesign Catchment Area Stakeholder Survey

IM 21-031

(superseded by OM 21-067)

FY 2021-22 BA-10 Budget Amendment (PHE Locked-In)5/4/2021County Human/Social Services DirectorsCounty Administration, PHE Locked-In, Allocation, BA-10, FY 21-22FY 2021-22 HCPF BA-10 Budget Amendment
IM 21-030Child Health Plan Plus (CHP+) State Managed Care Network (SMCN) Transition4/28/2021Counties & Eligibility SitesChild Health Plan Plus, CHP+, State Managed Care Network, SMCN, Managed Care Organization, MCONone
IM 21-029Retainer Payment Record Retention4/23/2021Home and Community-Based Services (HCBS) Waiver ProvidersAdult Day Services, ADS, Day Habilitation, Specialized Habilitation, Supported Community Connections, Providers, PASAS, SH, SCC, Home and Community-Based Services, HCBS, Habilitation

Provider Participation Agreement

CMS June 2020 FAQ

IM 21-028Individual Residential Services and Supports (IRSS) Stakeholder Meeting Notification3/23/2021StakeholdersStakeholder Meeting, IRSS, Residential Habilitation, DD, Waiver, Host Home, PASA, Individual Residential Services and Supports Program, Approved Service AgencyNone
IM 21-027Updated Nursing Facility Length of Stay Form3/19/2021Single Entry Point (SEP) Case ManagersNursing Facility, SNF, ULTC 100.2, Certification, Length of Stay Form, Indefinite Length of Stay, Open End DateNursing Facility Length of Stay Form
IM 21-026Home and Community-Based Services (HCBS) Waiver Amendments Approval From the Centers for Medicare & Medicaid Services (CMS)3/12/2021StakeholdersHome and Community-Based Services, HCBS, Waiver, Amendment, Approval, The Centers for Medicare & Medicaid Services, CMS, BI, CMHS, EBD, SCINone
IM 21-025Sick Time for Consumer Directed Attendant Support Services (CDASS) Attendants3/12/2021Consumer Directed Attendant Support Services (CDASS) Members and StakeholdersConsumer Directed Attendant Support Services, CDASS, Sick Time, HFWASick Time Request Form
IM 21-024Case Management Complaint Tracking and Trend Analysis3/8/2021Community Centered Boards (CCB) and Single Entry Point (SEP) Case Management AgenciesCommunity Centered Board, Single Entry Point, CCB, SEPNone
IM 21-023Updated Day Program, IRSS, and GRSS Technical Assistance with HCPF & CDPHE3/8/2021StakeholdersAdult Day Services, ADS, Day Habilitation, Specialized Habilitation, Supported Community Connections, Providers, PASAS, SH, SCC, Home and Community-Based Services, HCBS, GRSS, IRSS, ResidentialNone
IM 21-022Day Program Technical Assistance with HCPF and CDPHE3/2/2021Provider AgenciesAdult Day Services, ADS, Day Habilitation, Specialized Habilitation, Supported Community Connections, Providers, PASAS, SH, SCC, Home and Community-Based Services, HCBSNone
IM 21-021Case Management Redesign Stakeholder Engagement Survey2/26/2021StakeholdersCase Management Redesign, Conflict Free Case Management, CFCM, CMRDCase Management Redesign Stakeholder Engagement Survey
IM 21-020Member Choice for All Service Providers2/25/2021StakeholdersMembers, Providers, Choice, HCBS Services, HCBS WaiversNone
IM 21-019New Funding Rate for Community Centered Boards for Expedited Testing in DD Eligibility Determinations for PASRR Evaluations2/25/2021Community Centered Boards (CCBs)PASRR, Developmental Disability Determination, IDD, Behavioral Functioning Assessment, Psychological IQ Assessments, Community Centered Boards, FundingFY2020-21 Expedited DD Determination Testing Invoice
IM 21-018Health Maintenance Activities Documentation2/23/2021Case Managers (CMs) and StakeholdersHealth Maintenance Activities, HMA, Documentation, CMA, Case Management Agency, IHSS, CDASS, UR/UM, Functional Eligibility Assessment, Level of Care, ULTC 100.2Health Maintenance Activities Documentation Guide
IM 21-017National Core Indicator - Staff Stability Survey2/22/2021Intellectual and Developmental Disability (IDD) Services Providers, Program Approved Service Agencies (PASAs), and Community Centered BoardsNational Core Indicators, Survey, Staff Stability, Program Approved Service Agencies, Direct Service ProvidersNone
IM 21-016National Core Indicator - Child and Family Survey (CFS)2/22/2021Families with children receiving services through the Children's Extensive Support (CES) WaiverChild and Family Survey, National Core Indicator, Survey, Children's Extensive Support, Home and Community-Based Services, WaiverNone
IM 21-015Public Notice for HCBS Waiver Amendments Spring 20212/19/2021StakeholdersPublic Notice, Waiver, Amendment, HCBS, BI, CES, CHCBS, CHRP, CLLI, CMHS, DD, EBD, SCI, SLSNone
IM 21-014Contractor Kickoff Meeting for Case Management Redesign2/10/2021StakeholdersCase Management Redesign, Conflict Free Case Management, CFCM, CMRDNone
IM 21-013Extending Section 1915(c) Appendix K Flexibilities2/5/2021Home and Community-Based Services (HCBS) Providers, HCBS Waiver Participants, Case Management Agencies (CMAs)Home and Community-Based Services, HCBS, Case Management Agencies, Providers, EBD, CMHS, DD, SLS, SCI, BI, CES, CLLI, CHCBS, CHRP

Approval Letter

Colorado Appendix K: Emergency Preparedness and Response and COVID-19 Addendum

IM 21-012Single Entry Point (SEP) Request for Proposal (RFP) Award Update2/5/2021StakeholdersSEP, RFP, Single Entry Point, Request for Proposal, AwardNone
IM 21-011Senate Bill 19-238 Reporting Extension1/29/2021Agencies and ProvidersSenate Bill 19-238, wage Pass-ThroughNone
IM 21-010Statewide Billing Impacts of the Temporary Workaround for City and County of Denver Rate Increases for Home and Community-Based Services1/28/2021Home and Community-Based Services (HCBS) Providers and Case ManagersBenefits and Services, Home and Community-Based Services, HCBS, Providers, Rates, Denver Minimum Wage Interim Billing Solution, EOB 0000, HB19-1210None
IM 21-009Transitional Living Program (TLP) Regulation Revisions1/28/2021StakeholdersTransitional Living Program, TLP, Home and Community-Based Services, HCBS, BITransitional Living Program Regulations Revisions
IM 21-008Stakeholder Engagement Opportunity on Human Right Committee (HRC)1/28/2021StakeholdersStakeholder Engagement, Human Rights Committee (HRC), Community Centered Board (CCB), ProvidersNone
IM 21-007New Long Term Care UR/UM Vendor1/21/2021Case Management Agencies (CMAs), Nursing Facilities and HospitalsUtilization Review (UR), Utilization Management (UM), Pre-Admission Screening and Resident Reviews, PASRR, Children's Extensive Support, CES, Children's Home and Community-Based Services, CHCBS, Over Cost Containment, OCC, Consumer-Directed Attendant Support Services, CDASS, In-Home Support Services, IHSSNone
IM 21-006Home and Community-Based Services (HCBS) Waiver Amendments Approval From The Centers for Medicare & Medicaid Services (CMS)1/21/2021StakeholdersHome and Community-Based Services, HCBS, Waiver, Amendment, Approval, The Centers for Medicare and Medicaid Services, CMS, BI, CES, CHCBS, CHRP, CLLI, CMHS, DD, EBD, SCI, SLSNone
IM 21-005Colorado's New Level of Care Screen, Assessment and Person-Centered Support Plan Overview and Update1/27/2021StakeholdersHome and Community-Based Services, HCBS, Long-Term Services and Supports, LTSS, Assessment, Person-Centered, Support PlanNone
IM 21-004Department of Health Care Policy & Financing Update to Providers Regarding COVID-19 and Vaccination1/15/2021ProvidersNovel Coronavirus Disease, COVID-19, Vaccine, Providers, Vaccination Plan, High-Risk, Moderate RiskNone
IM 21-003Postponed Day Habilitation Changes in Response to COVID-191/14/2021Home and Community-Based Services (HCBS) Day Habilitation Provider Agencies, Case Management Agencies (CMAs), Members and StakeholdersDay Habilitation, Specialized Habilitation, Supported Community Connections, SH, SCC, HCBS, DD, SLSNone
IM 21-002Single Entry Point (SEP) Request for Proposal (RFP) Status Update1/11/2021StakeholdersSEP RFP, Single Entry Point, Request for Proposal, AwardNone
IM 21-0012021 National Core Indicator (NCI) Survey Announcement1/6/2021Long Term Services and Supports (LTSS) Members, Families, Case Managers, Providers and AdvocatesHCBS Waivers National Core Indicators, Developmental Disabilities, Waiver, Supported Living Services WaiverNone