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 21-002 | 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 21-035 | 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 | 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 | 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 |
|
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 21-028 | 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 |