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 |
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 21-071 | 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 | 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 | |
| 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 |
|
|
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 | |
|
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 | |
| OM 21-056 | 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 | 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 | 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 | 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 | 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 |
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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 |
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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 | 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 | 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 | 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 | 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 | |
| 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 |
| 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 |
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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 |
| 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 |
|
(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 | 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 | |
| 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 | 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 21-052 | 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 | |
| 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 |
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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 | |
| 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 |
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 |