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Invest in Tools & Technology

The Need

The HCBS system is complex with a number of technology systems and an enormous data infrastructure. To adequately prepare for the future, these systems need continual maintenance and updates. The tools and technologies the Department uses not only impact our administrative functions, but each is integral to our providers’ ability to perform their contractual obligations and to provide care to our members.

In addition, technological advancement is necessary to support our members and their families who rely on our systems to access services, seek resources, and gauge provider quality. For these reasons, the Department proposes a package of investments to elevate our current suite of tools and technology and to develop new and emerging systems that will prepare us for the future.

Initiative 6.01 - Home Health/PDN Acuity Tool

 

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Infographic describing the development of an acuity tool to assess Medicaid members' need for skilled care. Tool covers adults and children, aims to streamline benefits, and informs rollout by July 2025. Research included review of other states’ programs. Project category: Invest in Tools and Technology. Icon: healthcare access and quality.

 

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Initiative 6.02 - Specialty Search in Provider Specialty Tool

 

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Infographic showing the creation of a new HCBS Provider Enrollment website and a guide to help prospective providers navigate Medicaid HCBS enrollment. Improves accessibility and understanding of licensure and services. Completed with no ARPA funds. Project category: Invest in Tools and Technology. Icon: healthcare access and quality.

 

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Initiative 6.03 - Member Facing Provider Finder Tool Improvement
 

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Infographic detailing enhancements to the “Find a Provider” tool. Members can now search by 60 languages, 3 provider addresses, 26 community associations, and 12 cultural competencies. HCPF will continue to maintain this tool. Project category: Invest in Tools and Technology. Icons: healthcare access and universal benefit.

 

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Initiative 6.05 - Member Tech Literacy

 

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Infographic explaining $12,000 in funding to increase digital literacy among HCBS members through training events and pilot iPad programs. Members learned how to use technology for telehealth and reminders. “Train the trainer” model continues. Project category: Invest in Tools and Technology. Icons include healthcare, education, and universal benefit.

 

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Initiative 6.06 - HCBS Provider Digital Transformation
 

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Infographic showing how $26 million helped HCBS and behavioral health providers upgrade technology for virtual care, EHRs, and security. 223 providers received grants; over 70% were minority or women-owned. 26 counties upgraded physical security. Project category: Invest in Tools and Technology. Icons represent healthcare, universal benefit, and social context.

 

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Initiative 6.08 - Care & Case Management System

 

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Infographic outlining investments in the new Care and Case Management (CCM) system to improve case management operations, especially during emergencies. Funding supported equipment for CMAs and system capabilities like ADT notifications. Project category: Invest in Tools and Technology. Icon represents healthcare access and quality.

 

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Initiative 6.09 - Updates to Salesforce Database

 

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Infographic explaining system enhancements made to Salesforce for tracking case escalations and service complaints. Improvements included faster response times, better resource allocation, and data quality. Project category: Invest in Tools and Technology. Icon represents healthcare access and quality.

 

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Initiative 6.11 - Centers of Excellence in Pain 

 

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Infographic describing $475,000 in funding to train 95 HCBS providers in pain management best practices. Trainings are available as on-demand webinars to help providers support clients with chronic pain, mental health, or substance use challenges. Project continues through June 2026. Project category: Invest in Tools and Technology. Icons include healthcare, universal benefit, and social context.

 

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Initiative 6.12 - Systems Infrastructure for Social Determinants of Health 

 

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Infographic outlining HCPF’s development of the Colorado Social Health Information Exchange (CoSHIE) to connect case managers and healthcare providers to non-medical supports like food, housing, and wellness programs. CoSHIE will improve access to social determinants of health. Project category: Invest in Tools and Technology. Icons represent neighborhood, education, universal benefit, healthcare access, and social context.

 

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Initiative 6.13 - Connect CMAs to ADT Data 

 

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Infographic describing a pilot project that connected Case Management Agencies (CMAs) to hospital ADT data to support better care coordination. Seven CMAs participated, resulting in system changes and automated event notifications. Project category: Invest in Tools and Technology. Icon represents healthcare access and quality.

 

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Initiative 6.14 - Data Sharing with the State Unit on Aging
 

 

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This infographic details a project aimed at improving data sharing between Case Management Agencies (CMAs), Area Agencies on Aging, and Aging and Disability Resource Centers. The "Community Need" section highlights the growing older adult population in Colorado and the need to avoid duplication in services. The "Impact" section explains that the project developed recommendations to provide a clearer picture of available services and existing care for aging adults. An image of an older man smiling is included, along with logos of HCPF and CDHS’s Office of Adult, Aging & Disability Services. The "Going Forward" section describes how the recommendations could lead to system changes to better coordinate services across agencies. The project falls under the “Invest in Tools and Technology” investment category.

 

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Initiative 6.15 - Interface with Trails
 

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This infographic from the Colorado Department of Health Care Policy & Financing outlines a project to improve Medicaid eligibility determination for children using long-term services and supports (LTSS), particularly those also in human services programs like child welfare. The "Community Need" section explains the challenge of duplicated cases and capitation payments. The "Impact" section notes that the new interface allowed human services workers to verify Medicaid eligibility and identify existing open cases, resulting in a 23% reduction in duplicate entries. A line graph titled “6.15 System Communication Improvement Trails” illustrates a drop in duplicate entries starting in Q4 2024. The "Going Forward" section states that this work will continue using current resources, with potential technical redesigns to reduce duplication and system issues. The project is categorized under “Invest in Tools and Technology.”

 

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