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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 Title Issue Date Audience Keywords Links and Attachments
PM 21-006 Advance Child Tax Credit Payments of 2021 (Economic Stimulus): Income and Resource Eligibility 8/27/2021 Eligibility Sites American Rescue Plan Act, Recovery Rebate, Advanced Child Tax Credit, Relief Payment, Eligibility, Income, Resources, Patient Payment, Non-MAGI, MAGI, CHP+ None
PM 21-005 Consideration of Assets Held by Guardians, Conservators and Lawyers 8/10/2021 Eligibility Partners Guardianship Accounts, Conservatorship Accounts, Lawyer Trust Accounts, Colorado Lawyer Trust Account Foundation, COLTAF None
PM 21-004 Disability Trust Policy Guidance on Distribution Notice Requirements 7/26/2021 Stakeholders Disability Trusts, Trust, Distribution, Notice Notification of Trust Distribution Form
PM 21-003 COVID-19 American Rescue Plan Act of 2021 (Economic Stimulus) Income and Resource Eligibility 4/28/2021 Eligibility Sites COVID-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 21-002 Fraud Investigations, Overpayments, and Eligibility Terminations During the COVID-19 Public Health Emergency 2/2/2021 County Member Fraud Investigators Coronavirus, COVID-19, Public Health Emergency, Client Fraud, Member Fraud, Overpayment, Eligibility, Termination None
PM 21-001 Remote Application Assistance 1/6/2021 Eligibility Sites and Application Assistance Sites COVID-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 Title Issue Date Audience Keywords Links and Attachments
OM 21-093

2022 Increase To Resource Limits – Medicare Savings Program And Low-Income Subsidy

12/30/2021 Qualified 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 Subsidy None
OM 21-092 InnovAge PACE Colorado Enrollment Sanction 12/23/2021 Case Management Agencies (CMAs) Case Management, PACE, InnovAge, Enrollment, Audit, Enrollment Sanction PACE Webpage
OM 21-091 Oversight Requirements For Non-Medical Transportation (NMT) 12/17/2021 Home 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, Revalidation None

OM 21-090

(superseded by OM  22-002)

Temporary Enhanced Rate For The Home And Community-Based Services (HCBS) Waiver Respite Benefit  12/17/2021 Stakeholders, 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 21-089 Children's Home And Community-Based Services Waiver (CHCBS) 12/17/2021 Case Management Agencies (CMAs) Children’s Home and Community-Based Services (CHCBS) CHCBS, Children's Home And Community-Based Services Waiver, Documentation, Training, 100.2 None

OM 21-088

(superseded by OM 22-057)

2022 Social Security Cost Of Living Adjustments 12/17/2021 Eligibility Sites 2022 COLA, 2022 Cost Of Living Adjustment, SSI, Home Maintenance Allowance, HMA, Patient Payment, PNA, Personal Needs Allowance, Spousal Protection, Community Spouse, CSRA, Home Equity Maximum None
OM 21-087 Home and Community-Based Services (HCBS) American Rescue Plan Act Base Wage Rate Increase 12/13/2021 Providers 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 Compliance Base Wage Requirement For Direct Care Workers FAQ
OM 21-086 Senate Bill 19-238 Reporting Reminder 12/10/2021 Providers And Service Agencies  Senate Bill 19-238, Wage Pass-Through, Reporting Tool, HCBS, Home Care Agencies, Service Agencies, Providers, HCPF OM 21-068 None
OM 21-085 Afghan Humanitarian Parolee Medicaid Eligibility  12/8/2021 Eligibility Sites Afghan Humanitarian Parolee, Refugee, Asylee, Afghan Special Immigrant Visa, Eligibility, Refugee Medical Assistance, Immigration Status None

OM 21-084

(superseded by OM 23-042)

Revised Guidance For BA-10 PHE Funding 12/7/2021 County Departments of Human/Social Services Funding, PHE, BA-10, Staff, Public Health Emergency None

OM 21-083

(superseded by OM 22-044)

Options Counseling Agency Guidance For Options Counseling Activities During COVID-19 Pandemic; In-Person Meetings 12/7/2021 Options Counselors COVID-19, Coronavirus, Options Counseling, Transition Coordination, Transition Services, Skilled Nursing Facilities None
OM 21-082 Single Entry Point Monitoring Requirements  11/30/2021 Single Entry Point (SEP) agencies COVID-19, Coronavirus, Case Management, Face-To-Face, In-Person, HCBS, Monitoring Visit, Optional Monitoring, Single Entry Point None
OM 21-081 Private Duty Nursing And Pediatric Long Term Home Health Prior Authorizations During Kepro Phased Implementation 11/30/2021 Home Health Agencies (HHAs) Affiliated Stakeholders Pediatric Home Health, Private Duty Nursing, Prior Authorization None

OM 21-080

(superseded by OM 22-034)

Implementation Of The FY 2021–22 County Incentives Program Accuracy Incentive 11/23/2021 County Departments of Human/Social Services Quality Assurance, MAP Dashboard Measures, Performance, Achievable & Stretch Targets, Incentives County Size List

OM 21-079

(superseded by OM  22-054)

Implementation Of The FY 2021 –22 Performance Compliance Incentive 11/23/2021 County Departments of Human/Social Services MAP Dashboard Measures, Performance, Targets, Management Decision Letter, Informal Action Plan, Corrective Action Plan, Incentives None
OM 21-078 Management Decision Letters, Improvement And Corrective Action Plans 11/22/2021 County Departments of Human/Social Services Improvement Action Plan, IAP, Corrective Action Plan, CAP, Sanctions

Improvement Action Plan Template

Corrective Action Plan Template

OM 21-077 Implementation Of The FY 2021-22 Cybersecurity Incentive 11/22/2021 County Departments of Human/Social Services Incentives, Cybersecurity, Deliverable, County Administration None
OM 21-076 Provider Requirements For Assisting In The Coordination Of Benefits 11/19/2021 Providers Coordination Of Benefits, Third-Party Insurance None
OM 21-075 Electronic Visit Verification (EVV) Claim Edit Timeline 11/16/2021  Stakeholders Electronic Visit Verification, EVV, Live-In Caregiver Exemption, Cures Act, Claim Edit None

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 Meetings 11/9/2021 Transition Coordination Agencies (TCA) Transition Coordination Services, TCM-TC, Transition Coordination Agencies, Transition Coordinators, Transition Coordination Activities None

OM 21-073

(superseded by OM  22-030)

Case Management Operational Changes In Response To Covid-19; Additional In-Person Meetings 11/9/2021 Case 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, ICAP CMA 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 Increases 11/4/2021 Alternative 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, ARPA None

OM 21-071

(superseded by OM 21-072)

Increase to Home and Community-Based Services Rates in Response to COVID-19
 
10/12/2021 Providers 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, AARPA None
OM 21-070 Changes to Signature Requirements for Member Paperwork in Response to COVID-19 for Case Management Agencies 10/12/2021

Case 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 plan None
OM 21-069 Resuming In-Person Inspections for Home and Community–Based Services (HCBS) Home Modifications and Individual Residential Support Services—Host Home Settings

10/6/2021

Home and Community-Based Services (HCBS) Providers and Case Management Agencies (CMAs)  HCBS Waivers, Home Modification, Home Accessibility Adaptations, Home Mod, IRSS, Host Home, Inspection None
OM 21-068 Wage Pass-Through – SB19-238 Reporting Tool  9/29/2021 Providers and Service Agencies Senate Bill 19-238, Wage Pass-Through, Reporting Tool, HCBS, Home care Agencies, Service Agencies, Providers, HCPF OM 21-063 None

OM 21-067

(superseded by OM 23-042)

FY 2021-22 BA-10 Budget Amendment (PHE Locked-In) Allocations and Expenditures 9/24/2021 County Human/Social Services Leadership BA-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 21-066 HCBS Settings Final Rule - Use of Updated Documents 9/24/2021 Home and Community-Based Services (HCBS) Home and Community-Based Services Settings Final Rule, HCBS, Documents None
OM 21-065 Regional Center Procedure Code Change 9/24/2021 Case 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, PAR None
OM 21-064 Case Manager Qualification Requirement Changes 9/22/2021 Single Entry Point (SEP) Agencies, Community Centered Boards (CCBs) and Private Case Management Agencies Case Manager Qualifications, Rules, Appendix K, Hiring, Staff Requirements Education, Experience, COVID-19 None
OM 21-063  Wage Pass-Through Post-Payment Reviews 8/19/2021 Home and Community-Based Services (CHBS) Providers House 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 25.5-6-1603 None
OM 21-062 Update Pertaining to the Provision of Residential Habilitation Services and Supports and Supported Community Connections 8/12/2021 Stakeholders Home and Community-Based Services, HCBS, Residential Habilitation Services and Supports, RHSS, Provider, PASA, Supported Community Connections, SCC, Host Home Provider, HHP, IRSS, GRSS None
OM 21-061 CDASS Rate Increase for Case Management Agencies 8/12/2021 Case Management Agencies (CMAs) CDASS, Rate Increase, SEP, CCB, Case Management, 11/1/21, ATB None

OM 21-060

 

Updated Care Coordination and Case Management Expectations for Utilization Management Denials 8/12/2021 Regional Accountable Entities (RAEs), Managed Care Organizations (MCOs), Case Management Agencies (CMAs) & Utilization Management (UM) Vendors RAE, 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 Denials 8/10/2021 Regional Accountable Entities (RAEs), Managed Care Organizations (MCOs), Case Management Agencies (CMAs) & Utilization Management (UM) Vendors RAE, 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 21-058 Compact of Free Association (COFA) Migrants 8/10/2021 County Departments of Human/Social Services, Medical Assistance (MA) Sites, Eligibility Application Partner (EAP) Sites Compact Free Association, COFA, Compact Citizens, Migrants None
OM 21-057 HCPF Eligibility Quality Assurance Reviews 8/5/2021 Eligibility Sites MA Quality Assurance, Case File Requests, QA Findings, Oversight & Accountability

Eligibility Quality Assurance FAQ

OM 21-056

(superseded by PM 22-006)

Emergency Medicaid

7/29/2021 County Departments of Human/Social Services & Medical Assistance Sites Emergency Medicaid, Medical Emergency, Immigration or Citizenship Requirements, Qualifying Life or Limb Threatening Medical Emergency None
OM 21-055 Operational Changes to Non-Emergent Medical Transportation (NEMT) 7/26/2021 Non-Emergent Medical Transportation (NEMT) Providers & County Departments of Human/Social Services NEMT, IntelliRide, Broker None
OM 21-054 Updated: Clarification on Residential Habilitation Services and Supports, Supported Community Connections and Community Connector 7/23/2021 Home 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, CC None
OM 21-053 Updates to Billing Procedure for Home Modification Second Unit 7/22/2021 Home Modification Providers & Stakeholders Home Modification, Home Accessibility Adaptation, Provider, Billing None
OM 21-052 Home and Community-Based Services-Procedure for Starting a New HCBS Enrollment 7/20/2021 Case Management Agencies, Home and Community-Based Services (HCBS) Providers & Stakeholders Enrollment, 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, CMA HCBS Enrollment Training
OM 21-051 Complete Processing of Medicaid Applications Prior to Approval of CICP Services 7/15/2021 Eligibility Sites Application, CICP, Eligibility, Medicaid, Denial None

OM 21-050

(superseded by OM 21-054)

Clarification on Residential Habilitation Services and Supports, Supported Community Connections and Community Connector 7/16/2021 Home 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, CC None
OM 21-049 Data Sharing between County Child Welfare and Regional Accountable Entities 7/12/2021 County Departments of Human/Social Services (County) Child Welfare & Regional Accountable Entities (RAEs) 

Data Sharing, RAEs, Child Welfare, Medical Coverage, Medicaid, Mental Health Services

None
OM 21-048 Updated Guidance on Day Habilitation Services in Response to COVID-19 7/7/2021 Home 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, HHP None
OM 21-047 Non-Medical Transportation (NMT), Medicaid Client Transport (MCT) Transfer of Oversight to HCPF 6/30/2021 Home and Community-Based Services (HCBS) Providers & Stakeholders Non-Medical Transportation, NMT, Home and Community-Based Services, HCBS Waivers, Medicaid Client Transport (MCT), Provider Enrollment Revalidation NMT Compliance Requirements

OM 21-046

(superseded by OM  22-032)

2021 Minimum Monthly Maintenance Needs Allowance (MMMNA) 6/28/2021 Eligibility Sites Minimum Monthly Maintenance Needs Allowance, MMMNA, Monthly Income Allowance, MIA, Spousal Allowance, Shelter Allowance, Long-Term Care None
OM 21-045 Income Interfaces for Medical Assistance Programs 6/16/2021 Eligibility Sites Eligibility, Income, Verification, MAGI, CHP+, Non-MAGI, Interfaces None
OM 21-044 Electronic Visit Verification (EVV) Claim Suspension for Non-Utilizing Providers 6/14/2021 Stakeholders EVV, Cures Act, Claims, Payment, Suspend None
OM 21-043 Changes to modified Adjusted Gross Income (MAGI)-Based Income Methodologies 6/4/2021 Eligibility Sites MAGI, Deductions, Expenses, Countable Income, Alimony, Tuition and Fees, Student Loan Debt, Lump Sum, Annuity, Self Employment, Capital Gains and Losses None

OM 21-042

(superseded by OM 22-013)

Updated Information Pertaining to Day Program and Transportation Services 6/3/2021 Home 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 Transportation None

OM 21-041

(superseded by OM 22-023)

Amended FY 2020-21 Continuous Coverage (Continuous Eligibility) Performance Incentive 5/12/2021 Departments of Human/Social Services LTSS, COVID-19 Public Health Emergency, Redetermination, Eligibility, , Vulnerable Eligibility Groups, Failed to Provide Verification COVID Incentive Tracking Template

OM 21-040

(superseded by OM 21-073)

Case Management Operational Changes in Response to COVID-19; In-Person Meetings 5/5/2021 Case 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, ICAP CMA Rural Travel Add-n Invoice Template
OM 21-039 Web Application Credentials and Training For Program Approved Service Agencies 5/4/2021 Program 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 Application None
OM 21-038 Level of Care Operational Changes 4/21/2021 Case Management Agencies (CMAs) and Providers COVID-19, Coronavirus, Case Management, Functional Eligibility Assessment, Level of Care, ULTC, 100.2, Professional Medical Information Page, Nursing Facility Transfers None

OM 21-037

(superseded by OM 21-042)

Updated Information Retaining to Day Program and Transportation Services in Response to COVID-19 4/21/2021 Home 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 Transportation None

OM 21-036

(superseded by OM 21-069)

County Administration Funding - COVID-19 Public Health Emergency 4/15/2021 County Departments of Human/Social Services County Administration, PHE, Funding, Allocations, Staffing Plans, Intergovernmental Agreements None

OM 21-035

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

PASRR Operational Changes Related to COVID-19 4/8/2021 Pre-Admission Screening and Resident Review (PASRR) Stakeholders PASRR, Coronavirus, COVID-19, Nursing Facilities, Hospitals, Case Management Agencies None
OM 21-034 Changes to Home and Community-Based Services Rates in Response to COVID-19 3/23/2021 Providers & 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 None

OM 21-033

(superseded by OM 21-041)

Update to the FY 2020-21 Continuous Coverage (Continuous Eligibility) Performance Incentive 3/18/2021 County Departments of Human/Social Services (County) LTSS, COVID-19, Public Health Emergency, Redetermination, Eligibility, Vulnerable Eligibility Groups, Failed to Provide Verification Tracking Deliverable Template
OM 21-032 Informed Consent Template for Rights Modification 3/17/2021 Case Management Agencies (CMAs) & Provider Agencies HCBS, Informed Consent, Rights Modifications, HCBS Waivers Informed Consent Template
OM 21-031 Case Management Agency Regional Accountable Entity COVID-19 Vaccination Outreach for Eligible Homebound Health First Colorado Members 3/18/2021 Community 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, TCM None

OM 21-030

(superseded by OM 21-057)

HCPF Eligibility Quality Assurance Reviews 3/12/2021 Eligibility Sites MA Quality Assurance, Case File Requests, QA Findings Eligibility Quality Assurance FAQ
OM 21-029 Fraud Investigations and Overpayments 3/12/2021 County Departments of Human/Social Services Client Fraud, Member Fraud, Overpayment, Recovery, Interest, Fraud Interest Legislative Report Form - Attachment A
OM 21-028 Disability Determination Application Update and Changed Process 3/12/2021 County Departments of Human/Social Services, Medical Assistance (MA) Sites, Eligibility Application Partner (EAP) Sites, and Internal and External Stakeholders Disability Determination, Medical Release Form, State Disability Determination Vendor, Medical Assistance Site Responsibility None

OM 21-027

(superseded by OM 23-021)

Changes to Consumer Directed Attendant Support Services Criminal Barrier Crimes List 3/8/2021 Consumer Directed Attendant Support Services (CDASS) Stakeholders CDASS, Barrier Crime, Background Check, Attendant Enrollment, FMS, Participant Directed Programs Colorado 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 Guide 3/5/2021 Departments of Human Social Services & Medical Assistance Sites Medicaid, Buy-In, Children with Disabilities, CBWD, 2021 FPL, Income, Premium None
OM 21-025 Individualized Service Addition to Day Habilitation Services 2/26/2021 Home and Community-Based Services (HCBS) Day Habilitation Provider Agencies, Case Management Agencies (CMAs), Members and Stakeholders Day 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, SPAL None
OM 21-024 Updated Case Management Operational Changes in Response to COVID-19 2/23/2021 Case Management Agencies (CMAs) COVID-19, Coronavirus, Case Management, Functional Eligibility Assessment, Level of Care, CSR, ULTC 100.2, Professional Medical Information Page, PMIP Professional 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 Guide 2/23/2021 County Departments of Human/Social Services and Medical Assistance Sites Medicaid, Buy-In, Working Adults with Disabilities, WAWD, 2021, FPL, Income, Premium None

OM 21-022

(superseded by OM 22-012)

Medical Assistance - Medicare Savings Program and Low-Income Subsidy 2/23/2021 Eligibility Sites 2021 Income Limits, Medicare Savings Program, Low-Income Subsidy None
OM 21-021 2021 Federal Poverty Level Guidelines 2/19/2021 Eligibility Sites 2021 Federal Poverty Level Guidelines, Income Limits

April 2021 Medicaid Income Chart

April 2021 CHP + Income Chart Final

OM 21-020 Electronic Visit Verification (EVV) Timeline Update 2/19/2021 Stakeholders EVV, CURES Act, Claims, Payment None
OM 21-019 Reduction to the Reasonable Opportunity Period (ROP) From 90 Days to 30 Days for Income Verification 2/19/2021 Eligibility Sites Income, Reasonable Opportunity Period, Reduction, MAGI, Non-MAGI, Verification None
OM 21-018 Net Operating Loss Deduction for MAGI-Based Programs 2/19/2021 Eligibility Sites Net Operating Loss (NOL), Income Deduction, MEGI, Allowable Deductions None
OM 21-017 Long-Term Services and Supports (LTSS) Transition Plan to Telligen for Utilization Review/Utilization Management (UR/UM) Activities 2/3/2021 Case Management Agencies (CMAs) Over Cost Containment (OCC), Children's Extensive Supports (CES) Waiver, Children's Home and Community-Based Services (CHCBS) Waiver, Eligibility Reviews None
OM 21-016 New PASRR Vendor 2/2/2021 Pre-Admission Screening and Resident Review (PASRR) Stakeholders New PASRR Contractor, EQ Health, PASRR None
OM 21-015 Medical Assistance Ends Automatic Mailing for 1095-B Notices 1/29/2021 Eligibility Sites IRS, 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 21-014 Participant Directed Programs Utilization Review/Utilization Management 1/29/2021 Case Management Agencies (CMAs) Utilization Review/Utilization Management (UR/UM), Participant Directed Programs, In-Home Support Services (IHSS), Consumer-Directed, Attendant Support Services (CDASS), SEP, CCB None

OM 21-013

(superseded by OM 21-024)

Updated Case Management Operational Changes in Response to COVID-19 1/27/2021 Case Management Agencies (CMAs) COVID-19, Coronavirus, Case Management, Functional Eligibility Assessment, Level of Care, CSR, ULTC 100.2, Professional Medical Information Page, PMIP None
OM 21-012 Operational Changes to the Non-Emergent Medical Transportation (NEMT) Benefit for COVID-19 1/21/2021 Non-Emergent Medical Transportation (NEMT) Providers COVID-19, Coronavirus, Providers, Non-Emergent Medical Transportation, NEMT, Transportation None
OM 21-011 Change to Estate Recovery Notification Form Procedures 1/19/2021 Department of Human /Social Services and Eligibility Sites Estate, Estate Recovery, Form, HMS, County, Notice, Property None
OM 21-010 CDASS FMS Transition Notification 1/14/2021 Consumer Directed Attendant Support Services (CDASS) Members, Case Managers and Stakeholders CDASS, 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 21-009 Changes to Benefits and Services Rates in Response to COVID-19 1/14/2021 Providers 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, SLP None
OM 21-008 Second Temporary Provider Rate Increase for Nursing Facilities, Intermediate Care Facilities, and Regional Centers 1/14/2021 Providers 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-19 None

OM 21-007

(superseded by OM 21-020)

Electronic Visit Verification (EVV) Timeline Update 1/12/2021 Stakeholders EVV, Cures Act, Claims, Payment None
OM 21-006 PACE Participant Adverse and Expedited Appeals 1/12/2012 Stakeholders PACE, Appeal, Adverse, Expedited None
OM 21-005 HCPF Management Evaluation Review Program 1/12/2021 County Departments of Human/Social Services Management Evaluation, ME Review, ME Review Program Guide, Site Audit/Review ME Review Guide

OM 21-004

(superseded by OM 21-078)

Improvement Action Plans and Corrective Action Plans 1/11/2021 County Departments of Human/Social Services Improvement Action Plan, IAP, Corrective Action Plan, CAP, Sanctions

Improvement Action Plan Template

Corrective Action Plan Template

OM 21-003 FY 2020-21 County Incentives Program: Training and Quality Incentive: Quarters 2 and 3 Quality Meetings 1/8/2021 County Departments of Human/Social Services Training, Incentives, Quality Quality Assurance Maturity Level by County
OM 21-002 Fraud Investigations and Overpayments 1/8/2021 Department of Human/Social Services Client Fraud, Member Fraud, Overpayment, Recovery, Interest Fraud Interest Legislative Report Form - Attachment A

OM 21-001

(superseded by OM 21-029)

Nursing Facility Guidance on MDS Section Q Referrals 1/5/2021 Medicaid Certified Nursing Facilities MDS, Section Q, Options Counseling, Resident Rights None

2021 Informational Memos

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

Memo # Memo Title Issue Date Audience Keywords Attachments
IM 21-056 County Communication of SEP Transition 12/7/2021 County Departments of Human/Social Services Single Entry Point (SEP), Case Management Agency, County Department None
IM 21-055 Case Management Redesign Policy Update: Catchment Area 11/30/2021 Stakeholders Case Management Redesign, Conflict Free Case Management, CFCM, CMRD None
IM 21-054 2022 Room And Board And Personal Needs Allowance Changes 11/30/2021 Case Managers, Participants, and Providers Cost Of Living Adjustment, Personal Needs Allowance, Cola, PNA, Room And Board None
IM 21-053 Public Comment: Medicaid Statewide Managed Care System 11/4/2021 Stakeholders Managed Care, Accountable Care Collaborative, Rule None
IM 21-052 New Phase of Provider Relief Funding Through U.S. Department of Health and Human Services (HHS) Open for Applications 10/12/2021 Providers COVID-19, Provider Relief Fund, PRF, Rural, ARPA None
IM 21-051 County Communication of CCB Transition 9/10/2021 County Departments of Human/Social Services Community Centered Board, CCB, Case Management Agency, Long-Term Services and Supports, LTSS, HCBS-CES, HCBS-DD, HCBS-SLS None
IM 21-050 Verification of Temporary CNA (T-NA) Expiration Date Necessary for Proper Licensure 8/17/2021 Facility-Based Health Care Providers & Temporary Certified Nursing Assistant (CNA) License Holders CNA, T-NA, Certified Nursing Assistant, Verification of Licensure None
IM 21-049 Public Notice for Waiver Amendments 8/9/2021 Stakeholders Public Notice, Amendment, Waiver, HCBS, BI, CES, CHCBS, CHRP, CLLI, DD, EBD, SCI, SLS, ATB, NMT, CDASS, Spending Limit, Enrollment Increase None
IM 21-048 HCBS Monitoring Training - Updated 8/3/2021 Case Management Agencies (CMAs) Monitoring, Case Management, SEP, CCB, Training, LTSS, HCBS, Home and Community Based Services, Wavier None
IM 21-047 Home 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 Counties 8/2/2021 County Departments of Human/Social Services & Child Welfare Staff HCBS, CHRP, CES, Eligibility, CCB, County, Human Services, Child Welfare None
IM 21-046 Stakeholder Engagement Opportunities for the Home Modification and Home Accessibility Adaptation Benefit 7/12/2021 Stakeholders Home Modifications, Home Accessibility Adaptations, Home and Community-Based Services, HCBS None
IM 21-045 Update to Billing for City and County of Denver Rate Increases for Home and Community-Based Services 7/6/2021 Providers, Case Managers & Stakeholders Benefits and Services, Home and Community-Based Services, HCBS, Providers, Rates, Case Managers, PAR, Revision, Denver Minimum Wage None
IM 21-044 HCBS Settings Final Rule - Trainings on Individual Rights and Rights Modification 7/1/2021 Home and Community-Based Services (HCBS) Waiver Stakeholders Home and Community-Based Services Settings Final Rule, HCBS, Rights, Rights Modification, Training None
IM 21-043 Critical Incident Report Training 6/28/2021 Case Management Agencies (CMAs) Critical Incident, CIRS, BUS,  Benefits Utilization System, Case Management, SEP, CCB, Training None
IM 21-042 HCBS-DD Waiver Waiting List and Enrollments Fact Sheet 6/28/2021 Stakeholders HCBS-DD Waiver, Enrollments, I/DD, Authorizations, Waiting List, Eligibility HCBS-DD Waiver Waiting List and Enrollments Fact Sheet
IM 21-041 Case Management Redesign Member and Family Listening Sessions 6/24/2021 Stakeholders Case Management Redesign, Conflict Free Case Management, CFCM, CMRD Case Management Redesign Member and Family Listening Session Flyer
IM 21-040 Fiscal Year 2021-2022 Provider Rate Adjustments 6/22/2021 Stakeholders Rate Adjustments, ATB, 2.5%, Rates, HCBS None
IM 21-039 FY 2021-22 County Administration Allocation 6/11/2021 County Human/Social Services Directors County Administration, Allocation, County Admin, FY 21-22 FY 2021-22 HCPF County Administration Allocations
IM 21-038 Home and Community-Based Services (HCBS) Waiver Amendments Approval from The Centers for Medicare & Medicaid Services (CMS) 6/11/2021 Stakeholder Home and Community-Based Services, HCBS, Waiver, Amendment, Approval, The Centers for Medicare & Medicaid Services, CMS, BI, CES, CHCBS, CHRP, CLLI, CMHS, DD, EBD, SCI, SLS None
IM 21-037 HCBS Settings Final Rule - Heightened Scrutiny Determinations 6/10/2021 Stakeholders Home and Community-Based Services, HCBS, Settings Final Rule, Heightened Scrutiny, Public Notice None
IM 21-036 County Communication of SEP Transition 6/10/2021 Department of Human Service (DHS) Agencies Single Entry Point, SEP, Case Management Agency, HCBS None
IM 21-035 FY 2021-22 County Grant Program Competitive Applications 6/3/2021 County Departments of Human/Social Services FY 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 21-034 Reminder for Provider Agencies to Access the Incident Management and Prevention Strategies Training 5/26/2021 Home and Community-Based Services (HCBS) Provider Agencies Home and Community-Based Services, HCBS, Provider, PASAS, Incident Management, Prevention Strategies, Training, CIRS, Incident Reporting None
IM 21-033 County Administration Rule Revision for CY 2021 5/25/2021 Stakeholders County Administration, Rules, Executive Director Rule-Making

CY 2021 County Administration Rule Set Strikethrough

CY 2021 Rule Revisions Fact Sheet and Summary

IM 21-032 Case Management Redesign Catchment Area Stakeholder Survey 5/7/2021 Stakeholders Case Management Redesign, Conflict Free Case Management, CFCM, CMRD Case Management Redesign Catchment Area Stakeholder Survey

IM 21-031

(superseded by OM 21-067)

FY 2021-22 BA-10 Budget Amendment (PHE Locked-In) 5/4/2021 County Human/Social Services Directors County Administration, PHE Locked-In, Allocation, BA-10, FY 21-22 FY 2021-22 HCPF BA-10 Budget Amendment
IM 21-030 Child Health Plan Plus (CHP+) State Managed Care Network (SMCN) Transition 4/28/2021 Counties & Eligibility Sites Child Health Plan Plus, CHP+, State Managed Care Network, SMCN, Managed Care Organization, MCO None
IM 21-029 Retainer Payment Record Retention 4/23/2021 Home and Community-Based Services (HCBS) Waiver Providers Adult 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 21-028 Individual Residential Services and Supports (IRSS) Stakeholder Meeting Notification 3/23/2021 Stakeholders Stakeholder Meeting, IRSS, Residential Habilitation, DD, Waiver, Host Home, PASA, Individual Residential Services and Supports Program, Approved Service Agency None
IM 21-027 Updated Nursing Facility Length of Stay Form 3/19/2021 Single Entry Point (SEP) Case Managers Nursing Facility, SNF, ULTC 100.2, Certification, Length of Stay Form, Indefinite Length of Stay, Open End Date Nursing Facility Length of Stay Form
IM 21-026 Home and Community-Based Services (HCBS) Waiver Amendments Approval From the Centers for Medicare & Medicaid Services (CMS) 3/12/2021 Stakeholders Home and Community-Based Services, HCBS, Waiver, Amendment, Approval, The Centers for Medicare & Medicaid Services, CMS, BI, CMHS, EBD, SCI None
IM 21-025 Sick Time for Consumer Directed Attendant Support Services (CDASS) Attendants 3/12/2021 Consumer Directed Attendant Support Services (CDASS) Members and Stakeholders Consumer Directed Attendant Support Services, CDASS, Sick Time, HFWA Sick Time Request Form
IM 21-024 Case Management Complaint Tracking and Trend Analysis 3/8/2021 Community Centered Boards (CCB) and Single Entry Point (SEP) Case Management Agencies Community Centered Board, Single Entry Point, CCB, SEP None
IM 21-023 Updated Day Program, IRSS, and GRSS Technical Assistance with HCPF & CDPHE 3/8/2021 Stakeholders Adult Day Services, ADS, Day Habilitation, Specialized Habilitation, Supported Community Connections, Providers, PASAS, SH, SCC, Home and Community-Based Services, HCBS, GRSS, IRSS, Residential None
IM 21-022 Day Program Technical Assistance with HCPF and CDPHE 3/2/2021 Provider Agencies Adult Day Services, ADS, Day Habilitation, Specialized Habilitation, Supported Community Connections, Providers, PASAS, SH, SCC, Home and Community-Based Services, HCBS None
IM 21-021 Case Management Redesign Stakeholder Engagement Survey 2/26/2021 Stakeholders Case Management Redesign, Conflict Free Case Management, CFCM, CMRD Case Management Redesign Stakeholder Engagement Survey
IM 21-020 Member Choice for All Service Providers 2/25/2021 Stakeholders Members, Providers, Choice, HCBS Services, HCBS Waivers None
IM 21-019 New Funding Rate for Community Centered Boards for Expedited Testing in DD Eligibility Determinations for PASRR Evaluations 2/25/2021 Community Centered Boards (CCBs) PASRR, Developmental Disability Determination, IDD, Behavioral Functioning Assessment, Psychological IQ Assessments, Community Centered Boards, Funding FY2020-21 Expedited DD Determination Testing Invoice
IM 21-018 Health Maintenance Activities Documentation 2/23/2021 Case Managers (CMs) and Stakeholders Health Maintenance Activities, HMA, Documentation, CMA, Case Management Agency, IHSS, CDASS, UR/UM, Functional Eligibility Assessment, Level of Care, ULTC 100.2 Health Maintenance Activities Documentation Guide
IM 21-017 National Core Indicator - Staff Stability Survey 2/22/2021 Intellectual and Developmental Disability (IDD) Services Providers, Program Approved Service Agencies (PASAs), and Community Centered Boards National Core Indicators, Survey, Staff Stability, Program Approved Service Agencies, Direct Service Providers None
IM 21-016 National Core Indicator - Child and Family Survey (CFS) 2/22/2021 Families with children receiving services through the Children's Extensive Support (CES) Waiver Child and Family Survey, National Core Indicator, Survey, Children's Extensive Support, Home and Community-Based Services, Waiver None
IM 21-015 Public Notice for HCBS Waiver Amendments Spring 2021 2/19/2021 Stakeholders Public Notice, Waiver, Amendment, HCBS, BI, CES, CHCBS, CHRP, CLLI, CMHS, DD, EBD, SCI, SLS None
IM 21-014 Contractor Kickoff Meeting for Case Management Redesign 2/10/2021 Stakeholders Case Management Redesign, Conflict Free Case Management, CFCM, CMRD None
IM 21-013 Extending Section 1915(c) Appendix K Flexibilities 2/5/2021 Home 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 21-012 Single Entry Point (SEP) Request for Proposal (RFP) Award Update 2/5/2021 Stakeholders SEP, RFP, Single Entry Point, Request for Proposal, Award None
IM 21-011 Senate Bill 19-238 Reporting Extension 1/29/2021 Agencies and Providers Senate Bill 19-238, wage Pass-Through None
IM 21-010 Statewide Billing Impacts of the Temporary Workaround for City and County of Denver Rate Increases for Home and Community-Based Services 1/28/2021 Home and Community-Based Services (HCBS) Providers and Case Managers Benefits and Services, Home and Community-Based Services, HCBS, Providers, Rates, Denver Minimum Wage Interim Billing Solution, EOB 0000, HB19-1210 None
IM 21-009 Transitional Living Program (TLP) Regulation Revisions 1/28/2021 Stakeholders Transitional Living Program, TLP, Home and Community-Based Services, HCBS, BI Transitional Living Program Regulations Revisions
IM 21-008 Stakeholder Engagement Opportunity on Human Right Committee (HRC) 1/28/2021 Stakeholders Stakeholder Engagement, Human Rights Committee (HRC), Community Centered Board (CCB), Providers None
IM 21-007 New Long Term Care UR/UM Vendor 1/21/2021 Case Management Agencies (CMAs), Nursing Facilities and Hospitals Utilization 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, IHSS None
IM 21-006 Home and Community-Based Services (HCBS) Waiver Amendments Approval From The Centers for Medicare & Medicaid Services (CMS) 1/21/2021 Stakeholders Home 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, SLS None
IM 21-005 Colorado's New Level of Care Screen, Assessment and Person-Centered Support Plan Overview and Update 1/27/2021 Stakeholders Home and Community-Based Services, HCBS, Long-Term Services and Supports, LTSS, Assessment, Person-Centered, Support Plan None
IM 21-004 Department of Health Care Policy & Financing Update to Providers Regarding COVID-19 and Vaccination 1/15/2021 Providers Novel Coronavirus Disease, COVID-19, Vaccine, Providers, Vaccination Plan, High-Risk, Moderate Risk None
IM 21-003 Postponed Day Habilitation Changes in Response to COVID-19 1/14/2021 Home and Community-Based Services (HCBS) Day Habilitation Provider Agencies, Case Management Agencies (CMAs), Members and Stakeholders Day Habilitation, Specialized Habilitation, Supported Community Connections, SH, SCC, HCBS, DD, SLS None
IM 21-002 Single Entry Point (SEP) Request for Proposal (RFP) Status Update 1/11/2021 Stakeholders SEP RFP, Single Entry Point, Request for Proposal, Award None
IM 21-001 2021 National Core Indicator (NCI) Survey Announcement 1/6/2021 Long Term Services and Supports (LTSS) Members, Families, Case Managers, Providers and Advocates HCBS Waivers National Core Indicators, Developmental Disabilities, Waiver, Supported Living Services Waiver None