2023 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 23-008 | New Licensure Requirement for Personal Care Service Providers Under Community First Choice | 10/13/2023 | Home and Community-Based Services (HCBS), SLS Waiver Personal Care Providers, SLS waiver members, Case Management Agencies (CMAs) | Home and Community-Based Services, HCBS, Program Approved Service Agency, PASA, Class A License, Class B License, CDPHE, Community First Choice (CFC), Supported Living Services Waiver (SLS), Case Management Agency | 6 CCR 1011-1 Standards for Hospitals and Health Facilities Chapter 2 General Licensure Standards 6 CCR 1011-1 Standards for Hospitals and Health Facilities: Chapter 26 – Home Care Agencies CDPHE License Letter of Intent Department HCBS Enrollment Overview PowerPoint Department HCBS Provider Enrollment Webpage |
| PM 23-007 | Addition of Benefits Planning and Workplace Assistance to the Developmental Disabilities (DD) and Support Living Services (SLS) Medicaid Waivers, and the State SLS Program | 8/24/2023 | Case Management Agencies, Current & Potential DD/SLS Providers, DD.SLS Waiver Members, State SLS Members, Familites, Avocates & Stakeholders | Benefits Planning, Workplace Assistance, Development Disabilities, DD, Supported Living Services, SLS, Medicaid Waivers, State SLS Program | Benefits Planning Provider Enrollment Instructions - August 2023 Supported Employment Provider Enrollment Instructions - August 2023 |
| PM 23-006 | Removal of the Individual Supported Employment Services from Service Plan Authorization Limits (SPAL) in the Supported Living Services (SLS) Waiver | 8/22/2023 | Case Management Agencies, Current and Potential SLS Providers, SLS Waiver Members, Families, Advocates & Stakeholders | Service Plan Authorization Limit (SPAL), Supported Employment, Supported Living Services, SLS | None |
| PM 23-005 | Postpartum Medical Assistance Expansion to 12 Months | 7/5/2023 | Counties, Eligibility Sites, Stakeholders, Members | Postpartum, Expansion, MAGI, CHP, BUY-IN, Medicaid, Guarantee | None |
| PM 23-004 | Joint Agency Policy Memo on Law Enforcement in Mobile Crisis Response | 6/15/2023 | Mobile Crisis Response Providers and Law Enforcement | Mobile Crisis Response, Co-response, Law enforcement, American Rescue Plan Act | None |
| PM 23-003 | Unwinding Appendix K Flexibilities | 5/5/2023 | Stakeholders | Home and Community-Based Services, HCBS, Waiver, The Centers for Mediare & Medicaid Services, CMS, BI, CES, CHCBS, CHRP, CLLI, CMHS, DD, EBD, CIH, SLS, Public Health Emergency, PHE, COVID-19, Appendix K, Unwind | None |
| PM 23-002 | Joint Policy Memo on Facility-Based Mobile Crisis Response in Colorado | 4/19/2023 | Mobile Crisis Response (MCR) Service Providers & Stakeholders | Mobile Crisis Response, Hospitals, Medicaid Payments, Behavioral Health Administration | None |
| PM 23-001 | Developmental Disability Waiver for Working Adults with Disabilities | 2/24/2023 | County Departments of Human/Social Services, Eligibility Staff, Supervisors & Medicaid Assistance Sites | Colorado Senate Bill 21-039, Medicaid Buy-In for Workers with Disabilities, Medicaid Eligibility, Waiver, Developmental Disabilities, Long Term Services and Supports | Health First Colorado Buy-In Program For Working Adults With Disabilities |
2023 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 23-074 | Minimum Monthly Maintenance Needs Allowance (MMMNA) | 11/17/2023 | Eligibility Site Staff | Minimum Monthly Maintenance Needs Allowance, MMMNA, Monthly Income Allowance, MIA, Spousal Allowance, Shelter Allowance, Long-Term Care | None |
| OM 23-073 | PHE Long Term Care Extension Outreach | 11/15/2023 | County Departments of Human/Social Services | LTC, Outreach, PHE, Extension, Renewals | Long Term Care Extension Outreach - Visual Process Map Health and Human Services (HHS) - Letter to US Governor's on Medicaid Redeterminations |
| OM 23-072 | PACE Participant Adverse, Automatic, and Expedite Appeals | 11/13/2023 | PACE Organizations | PACE, Appeal, Adverse, Automatic, Expedited, Extension Request | |
| OM 23-071 | Enrollment Denial of Potential Participants of Programs of All-Inclusive Care for the Elderly | 11/13/2023 | PACE Organizations | PACE, Enrollment, Denial, Potential, Participant | Enrollment Denial Report Form |
| OM 23-070 | Disenrollment of Programs of All-Inclusive Care for the Elderly Participants | 11/13/2023 | PACE Organizations | PACE, Voluntary, Involuntary, Disenrollment | Involuntary Disenrollment Request Form |
| OM 23-069 | Changes to Signature Requirements for Member Paperwork | 10/26/2023 | Case Management Agencies | 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, STATE GENERAL FUND PROGRAMS | None |
| OM 23-068 | Case Management Contact Requirements and In-Person Meetings | 10/17/2023 | Case Management Agencies | COVID-19, Coronavirus, Case Management, Monitoring, Functional Eligibility Assessment, Level of care, Targeted Case Management, TCM, rural add-on, HCBS, CMA, Case Management Agency, Continued Stay Review, CSR, SIS, ICAP, Inventory for Client and Agency Planning Assessments, Support Intensity Scale, PASRR, Skilled Nursing Facilities | None |
| OM 23-067 | State Requirements for Eligibility Site Medical Assistance Training | 10/17/2023 | County departments of human/social services and eligibility sites | Training, Staff Development, SDD | None |
| OM 23-066 | Residential Habilitation Services and Supports and Supported Community Connections Services Provided by Same Direct Care Worker | 10/13/2023 | Home and Community-Based Services (HCBS) Provider Agencies, Case Management Agencies, Members, and Stakeholders | Home and Community-Based Services, HCBS, Residential Services & Supports, RHSS, Supported Community Connections, SCC, Host Home Provider, HHP, IRSS, GRSS | None |
| OM 23-065 | American Rescue Plan Act (ARPA) Enhanced Home Modification Benefit End and Close Out Timelines | 10/11/2023 | Case Management Agencies (CMAs), Case Managers | Home and Community-Based Services, HCBS, American Rescue Plan Act, ARPA, Home Modifications, Home Accessibility Adaptations, Rate Increase End, Division of Housing, DOH, Department of Local Affairs, DOLA | None |
| OM 23-064 | Home and Community-Based Services (HCBS) Base Wage Rate Increase 2023 Attestation Final Notice | 10/11/2023 | HCBS waiver providers | Benefits and Services, Home and Community-Based Services, HCBS, CHRP, Rate Increase, Base Wage, Wage Attestation, Wage Reporting, Wage Compliance | None |
| OM 23-063 | Pediatric Behavioral Therapies (PBT) and Outpatient Speech Therapy (ST), Occupational Therapy (OT) and Physical Therapy (PT) Co-Treatment Operational Memo | 10/10/2023 | Pediatric Behavioral Therapists, Outpatient Speech Therapists, Outpatient Physical Therapists, Outpatient Occupational Therapists | Pediatric Behavioral Therapies, PBT, ABA, S/LP, PT, OT, PAR, Co-Treatment, education, Billing, Program Integrity, Pediatric, Outpatient Therapies, Outpatient Physical Therapy, Outpatient Occupation Therapy, Outpatient Speech Therapy | None |
| OM 23-062 | Behavioral Health Administration Community Services | 10/10/2023 | Eligibility Workers | Behavioral Health Services, Mental Health, Substance Use Services, Behavioral Health Administration, High-Level Program Group, CBMS, Peak, Peakpro | None |
| OM 23-061 | Case Management Agency Caseload Requirements | 10/05/2023 | Case Management Agencies | Case Management, CMA, Case Management Agencies, CMRD, Case Management Redesign, Caseload | None |
| OM 23-060 | Denver Minimum Wage Billing Guidance for Non-Medical Transportation | 09/29/2023 | Providers, Case Managers, Members, Advocates | Denver Minimum Wage Billing, Guidance, Non-Medical Transportation, NMT Legal | None |
| OM 23-059 | Addition of the Developmental Disabilities (DD) Waiver to the Buy-In Program and Process to Opt-Out | 10/11/2023 | Members, Case Managers, Stakeholders | DD Waiver, Buy-In, HCBS, Opt-Out | None |
| OM 23-058 | CBMS Limited Medicaid Benefits for Incarcerated Individuals | 9/19/2023 | Individuals involved in the Colorado Criminal Justice System, County Departments of Human/Social Services, Medical Assistance Sites, State, County, and City Corrections and Law Enforcement Agencies | Senate Bill 08-006, Senate Bill 22-106, Incarceration, Medicaid Eligibility, Criminal Justice Involved Populations, Inmate, Corrections, Prison, Jail | None |
| OM 23-057 | Second Round of Physical Security Improvements for County Departments of Human/Social Services | 9/18/2023 | County Departments of Human/Social Services | Physical Security, County Human Services, Information Security, ARPA, Assessments, Public Safety | None |
| OM 23-056 | Case Management Redesign - Member Exceptions Process | 9/6/2023 | Colorado Home and Community-Based Services Case Management Agencies | Home and Community-Based Services, HCBS, Case Management Agencies, CMA, Case Management Redesign, CMRD, Member Choice, Member Transitions | None |
| OM 23-055 | HCBS Acupuncture Service Procedure Code Change | 9/5/2023 | Case Management Agencies, Single Entry Point Agencies, Acupuncture Service Providers | Home and Community-Based Services, (HCBS), Prior Authorization Requests (PAR), Procedure Code, Service Planning, Acupuncture, Claims, Billing, Complementary and Integrative Health (CIH) Waiver | None |
| OM 23-054 | Eligibility Dispute Resolution Tracking | 8/30/2023 | County Departments of Human/Social Services and Medical Assistance Sites “Eligibility Sites” | Dispute Resolution Conference, Eligibility Appeals, House Bill 16-1277, Tracking | Dispute Resolution Conference Tracking Form |
| OM 23-053 | Children's Habilitation Residential Program (CHRP) Support Need Level Review and Negotiated Rate Process | 8/28/2023 | CHRP Providers, Parents/Legally Responsible Parties, Families, and Stakeholders | Home and Community Based Services (HCBS), Children’s Habilitation Residential Program (CHRP), Habilitation, Child Welfare, Foster Care Home, Group Home, Support Need Level, Negotiated Rate, Office of Community Living | None |
| OM 23-052 | New Service Mental Health Transitional Living Home | 8/25/2023 | HCBS Providers, Case Managers, Members, Families, Advocates | Benefits and Services, Home and Community-Based Services, HCBS, Community Mental Health Supports Waiver, Mental Health Transitional Living Homes, Residential Behavioral Health Beds, Assisted Living Residences, Case Management Agencies, Behavioral Health Administration, Colorado Department of Public Health & Environment, HB 22-1303 | None |
| OM 23-051 | FY 2022-23 Accuracy Performance Incentive | 08/17/2023 | County Departments of Human/Social Services (Counties) | Accuracy, Incentives Program, Quality Assurance, MAP Dashboard Measures, Performance, Targets | FY 2022-23 HCPF County Size List |
| OM 23-050 | Pre-Admission Screening and Resident Review (PASRR) Exempted Hospital (EHD) Update | 8/11/2023 | PASRR Reviewers and Evaluators, Hospitals, Nursing Facilities (NF), Single Entry Point (SEP) Agencies, Community Centered Boards (CCB), Telligen and all agencies and individuals involved in the PASRR Process. | Pre-Admission Screening and Resident Review, PASRR, Hospital Discharge, Nursing Facility Admission, Hospital, Nursing Facility | Emergency Hospital Discharge Form |
| OM 23-049 | Updated Case Management Daily Operations During Care and Case Management (CCM) Implementation | 7/31/2023 | Case Management Agencies (CMAs), Single Entry Point Agencies, Community Centered Boards, Private Case Management Agencies | CIR, CCM, BUS, Critical Incident Reporting, Case Management Agency, Critical Incident Reporting; Intake Screening, Hospital and Nursing Facility Referrals, Level of Care Assessment, Functional Eligibility Notification, Certification Notice, And Log Note Documentation | None |
| OM 23-048 | Group In-Reach in LTC Nursing Facilities for Medicaid Members | 7/31/2023 | Nursing Facilities | Nursing Facility, Group In-Reach, Transition Services, Informed Choice, Department of Justice Findings | None |
| OM 23-047 | Medical Assistance Returned Mail Process | 7/24/2023 | Eligibility Sites | Returned Mail, Mail, Eligibility | None |
| OM 23-046 | Temporary Prohibition on Administrative Overpayment Recoveries From Medicaid Members | 8/11/2023 | Eligibility Staff, including Fraud Investigators | Client Fraud, Member Fraud, Overpayment, Administrative Recovery, Criminal Recovery, CMS, PHE, Investigations, Covid-19, Eligibility Termination | CMS COVID 19-PHE Unwind FAQ Document HCPF Presentation on Temporary Pause on Recoupments Member Correspondence Template - Administrative |
| OM 23-045 | Home and Community-Based Services (HCBS) Base Wage Rate Increase 2023 Attestation Reporting Past Due Notification | 7/10/2023 | HCBS Providers | Benefits and Services, Home and Community-Based Services, HCBS, CHRP, Rate Increase, Base Wage, Adult Day, Day Habilitation, SCC, CDASS, NMT, Supported Employment, Homemaker, Host Home, Group Home, Foster Home, IHSS, IRSS, Mentorship, Prevocational Services, Respite Care, Wage Attestation, Wage Reporting, Wage Compliance | None |
| OM 23-044 | Behavioral Health Administration Community Services | 6/30/2023 | Eligibility Workers | Behavioral Health Services, Mental Health, Substance Use Services, Behavioral Health Administration, High-Level Program Group, CBMS, Peak, Peakpro | None |
OM 23-043 (superseded by OM 23-049) | Case Management Daily Operations During Care and Case Management (CCM) Implementation | 6/29/2023 | Case Management Agencies (CMA), Single Entry Point Agencies, Community Centered Boards, Private Case Management Agencies | CIR, CCM, BUS, Critical Incident Reporting, Case Management Agency, Critical Incident Reporting; Intake Screening, Hospital and Nursing Facility Referrals, Level of Care Assessment, Functional Eligibility Notification, Certification Notice, And Log Note Documentation | None |
| OM 23-042 | FY 2023-24 HCPF County Administration Public Health Emergency (PHE) Allocation and Funding Guidance | 6/28/2023 | County Departments of Human/Social Services | Funding, PHE, Staff, Public Health Emergency, Allocation | FY 2023-24 HCPF Public Health Emergency County Administration Allocations |
| OM 23-041 | Denver Minimum Wage Billing Guidance | 6/26/2023 | HCBS Providers, Case Managers | Home and Community-Based Services, HCBS, Denver Minimum Wage, Billing, Rates | None |
| OM 23-040 | Home and Community-Based Services (HCBS) Base Wage Increase Attestation June 2023 | 6/14/2023 | HCBS Providers | Benefits and Services, Home and Community-Based Services, HCBS, Children’s Habilitation Residential Program, CHRP, Rate Increase, Base Wage, Adult Day, Day Habilitation, SCC, Consumer-Directed Attendant Support Services, CDASS, Supported Employment, Homemaker, Host Home, Group Home, Foster Care Home, In-Home Support Services, IHSS, Individual Residential Services and Supports, IRSS, Mentorship, Prevocational Services, Respite Care, Wage Reporting, Wage Compliance | None |
| OM 23-039 | Physical Security Improvements for County Departments of Human/Social Services | 6/8/2023 | County Departments of Human/Social Services | Physical Staff, County Human Services, Information Security, APRA, Assessments, Public Safety | None |
| OM 23-038 | Telephonic Signatures for Renewals | 6/6/2023 | Eligibility Sites, County Departments of Human/Social Services, Medical Assistance (MA) Sites, and Eligibility Application Partners (EAP) | Telephonic, Signature, Voice, Verbal, Attestation, Recording, Application, Renewal, Non-MAGI, MAGI, CHP+ | None |
| OM 23-037 | Home and Community-Based Services (HCBS) Base Wage Rate Increase Attestation Final Reminder 2023 | 5/31/2023 | HCBS Providers | Benefits and services, Home and Community-based services, HCBS, CHRP, Rate Increase, Base Wage, Adult Day, Day Habilitation, SCC, CDASS, NMT, Supported Employment, Homemaker, Host Home, Group home, Foster Care Home, IHSS, IRSS, Mentorship, Prevocational Services, Respite Care, ARPA, Wage Attestation, Wage Reporting, Wage Compliance | 2023 Wage Attestation Form |
| OM 23-036 | Case Management Training on Changes to the Post-Eligibility Treatment of Income and Prior Authorization Request Process | 5/31/2023 | Case Management Agencies | Home and Community Based Services, HCBS, Case Management Agencies, CMA, Post Eligibility Treatment of Income, PETI, Prior Authorization Request, PAR, Brain Injury Waiver, BI, Community Mental Health Supports, CMHS, Elderly Blind and Disabled Waiver, EBD | None |
| OM 23-035 | Supports Intensity Scale/Support Level Rule Revisions | 5/24/2023 | Case Management Agencies | SIS, Supports Intensity Scale, Assessment, Support Level, Support Level Algorithm, Rules, Risk Factors | Supports Intensity Scale Assessment Report Cover Letter |
OM 23-034 (superseded by HCPF OM 23-046) | Temporary Prohibition on Administrative Overpayment Recoveries form Medicaid Members | 5/11/2023 | Eligibility Staff, Including Fraud Investigators | Client Fraud, Member Fraud, Overpayment, Administrative Recovery, Criminal Recovery, CMS, PHE, Investigations, COVID-19, Eligibility Termination | CMS COVID-19 PHE Unwinding FAQ Document HCPF PM 21-002 HCPF FAQs for Counties & Presentation on Temporary Pause on Recoupments |
| OM 23-033 | July 1, 2023, Consumer-Directed Attendant Support Services (CDASS) Rate Increase | 5/17/2023 | Case Management Agencies (CMAs) | Consumer-Directed Attendant Support Services, CDASS, Rate Increase, SEP, CCB, Case Management Agency, CMA | None |
| OM 23-032 | Pre-Admission Screening and Resident Review (PASRR), Targeted Case Management-Transition Coordination (TCM-TC) Service Referral Process | 5/11/2023 | PASRR Administrators and Level II evaluators, Transition Coordination Agencies (TCAs), Nursing Facility Administrators & Social Workers | Pre-Admission Screening and Resident Review (PASRR), Targeted Case Management - Transition Coordination (TCM-TC) Services, PASRR Level II Evaluations, Transition Plan to Community Warranted, Transition Coordination Agency (TCA), TCM-TC Referral | None |
OM 23-031 (superseded by IM 23-016) | Children's Habilitation Residential Program Waiver (CHRP) Expansion of Respite Limit and Provider Capacity Limits | 5/3/2023 | Case Management Agencies (CMAs), Home and Community-Based Services, Children's Habilitation Residential Program (CHRP) Providers & Stakeholders | Home and Community-Based Services (HCBS), Children's Habilitation Residential Program (CHRP), Respite, Habilitation, Child Welfare, Foster Care Home, Group Home, Office of Community Living | None |
| OM 23-030 | Staff Safety and Disclosure of Protected Health Information | 4/24/2023 | Eligibility Sites | Law Enforcement, Police, Protected Health Information, PHI, HIPAA, Safety, Security, Staff | None |
| OM 23-029 | Renewal Guidance for Medical Assistance Programs | 4/14/2023 | Eligibility Sites, County Departments of Human/Social Services, Medical Assistance (MA) Sites & Eligibility Application Partners | Renewal, Eligibility, Income, Resources, Verifications, Non-Magi, Magi, Child Health Plans Plus | None |
| OM 23-028 | Nursing Facility and Intermediate Care Facility for Individuals with Intellectual Disabilities Compliance and Post Payment Reviews | 4/12/2023 | Long Term Care Providers, Nursing Facilities (NFs) & Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IIDs) | Nursing Facility, NF, Intermediate Care Facility for Individuals with Intellectual Disabilities, ICF-IID, Post Payment Review, Personal Needs Account Review, PASRR Review, Audit, Provider | None |
| OM 23-027 | Instructions for Reporting HB 22-1247 Supplemental Payments on the Med-13 Cost Report | 4/11/2023 | Nursing Facilities & Cost Report Preparers | Nursing Facilities, NF, Skilled Nursing Facilities, SNF, Cost Report, Med-13, HB 22-1247 | None |
| OM 23-026 | HIPAA Requirements for County Departments of Human/Social Services | 4/4/2023 | County Departments of Human/Social Services | HIPAA, Protected Health Information, PHI | None |
| OM 23-025 | Merit-Based Staffing Requirements for County Departments of Human/Social Services | 4/3/2023 | County Departments of Human/Social Services | Merit-Based, Staffing, County Administration, Federal, Government Agencies | None |
| OM 23-024 | Case Management Eligibility and Notice of Action Requirements for the Ending of the COVID-19 Public Health Emergency | 3/28/2023 | Case Management Agencies (CMAs) | COVID-19, Coronavirus, Case Management, Functional Eligibility Assessment, Level of Care, CSR, ULTC 100.2, LTC-803, Notice of Action, Adverse Action, Service Planning, Termination, Denial, Continuous Coverage, Financial Eligibility Renewal | None |
| OM 23-023 | Home and Community-Based Services (HCBS) Base Wage Rate Increase Attestation Form 2023 | 3/28/2023 | Service Providers | Benefits and Services, Home and Community-Based Services, HCBS, CHRP, Rate Increase, Base Wage, Adult Day, Day Habilitation, SCC, CDASS, NMT, Supported Employment, Homemaker, Host Home, Group Home, Foster Care Home, IHSS, IRSS, Mentorship, Prevocational Services, Respite Care, ARPA, ARPA Wage Attestation, ARPA Wage Reporting, ARPA Wage Compliance | 2023 Wage Attestation Form |
| OM 23-022 | Health First Colorado Buy-In for Working Adults with Disabilities 2023 Income Chart and Premium Guide | 3/28/2023 | County Departments of Human/Social Services & Medical Assistance Sites | Medicaid, Buy-In, Working Adults with Disabilities, WAWD, 2023 FPL, Income, Premium | None |
| OM 23-021 | Changes to Consumer-Directed Attendant Support Services Criminal Barrier Crimes List | 3/28/2023 | Consumer-Directed Attendant Support Services (CDASS) Stakeholders | CDASS, FMS, Background Check, Attendant Enrollment, Participant Directed Programs, Barrier Crime, Crime of High Risk, Employer Guide | CDASS Background Check Crimes of High Risk: Employer Hiring Guide (March 2023) |
| OM 23-020 | Home Delivered Meals Operations | 3/28/2023 | Home and Community-Based Services (HCBS) Providers & Case Management Agencies (CMAs) | Waivers, Home and Community-Based Services, HCBS, BI, EBD, DD, SLS, CIH, Home Delivered Meals, HDM, Medicaid | None |
| OM 23-019 | 2023 Family Planning Federal Poverty Level Income Guidelines | 3/28/2023 | Eligibility Sites | 2023 Fmaily Planning Federal Poverty Level Guidelines, Income Limits | None |
| OM 23-018 | End of Public Health Emergency for COVID-19 and Returning to Normal Operations | 3/17/2023 | Eligibility Sites | COVID-19, Continuous Enrollment, Public Health Emergency, Self-Attestation, Medical Assistance, Eligibility, Renewal, Income, Social Security number, Resources, Testing, Uninsured Limited COVID-19 Group | COVID Unwind Educational Session Feb 2023 |
| OM 23-017 | Continuous Coverage Unwind and Member Communications: RAE/MCO Reporting Requirements | 3/15/2023 | Stakeholders | COVID-19, Member Outreach, Public Health Emergency (PHE), Continuous Coverage Requirement | None |
| OM 23-016 | Health First Colorado Children with Disabilities Buy-In 2023 Income Chart and Premium Guide | 3/8/2023 | County Departments of Human/Social Services & Medical Assistance Sites | Medicaid, Buy-In, Children with Disabilities, CBWD, 2023 FPL, Income, Premium | None |
| OM 23-015 | Pre-Admission Screening and Resident Review (PASRR) COVID-19 Update | 3/7/2023 | Pre-Admission Screening and Resident Review (PASRR) Stakeholders | PASRR, Coronavirus, COVID-19, Nursing Facilities, Hospitals | None |
| OM 23-014 | Medical Assistance - Medicare Savings Program and Low-Income Subsidy | 3/1/2023 | Eligibility Sites | 2023 Income Limits, Medicare Savings Program, Low-Income Subsidy | None |
| OM 23-013 | Continuous Coverage Unwind: Revised Regional Accountable Entity & Managed Care Organization Data Pull and Member Communication Coordination | 2/24/2023 | Stakeholders | COVID-19, Member Outreach, Public Health Emergency (PHE), Continuous Coverage Requirement | PHE Unwind Specification Document - includes denial codes |
| OM 23-012 | 2023 Federal Poverty Level Guidelines | 2/21/2023 | Eligibility Sites, County Departments of Human/Social Services, Medical Assistance (MA) Sites, & Eligibility Application Partners (EAP) | 2023 Federal Poverty Level Guidelines, Income Limits | |
| OM 23-011 | |||||
| OM 23-010 | Out of State Former Foster Care Youth Guidance | 2/10/2023 | Eligibility Sites, County Departments of Human/Social Services, Medical Assistance (MA) Sites & Eligibility Application Partners (EAP) | Out of State, Former Foster Care Youth, MAGI, Support Act, Verification | Health First Colorado Out of State Former Foster Care Youth Form |
| OM 23-009 | Court Ordered Timeliness Reports | 2/3/2023 | County Departments of Human/Social Services, Medical Assistance (MA) Sites, Eligibility Application Partner (EAP) Sites & Stakeholders | Court Ordered Timeliness, Reports, CBMS, County Dashboard, MAP | Medical Assistance Performance (MAP) Dashboards (SharePoint-Log-In Required) Medical Assistance Performance (MAP) Dashboards (Tableau-Log-In Required) |
| OM 23-008 | Continuous Coverage Unwind and Member Communications: RAE/MCO Transitions in Coverage Outreach | 2/13/2023 | Regional Accountable Entities (RAEs) & Managed Care Organizations (MCOs) | COVID-19, Marketing, Marketplace, Member Contact Information, Public Health Emergency (PHE), Continuous Coverage Requirement | None |
OM 23-007 (superseded by OM 23-013) | Continuous Coverage Unwind: Regional Accountable Entity & Managed Care Organization Data Pull and Member Communication Coordination | 1/31/2023 | Stakeholders | COVID-19, Member Outreach, Public Health Emergency (PHE), Continuous Coverage Requirement | PHE Unwind Specification Document - includes denial codes |
| OM 23-006 | Continuous Coverage Unwind and Member Communications: Text Messaging | 1/31/2023 | Stakeholders | COVID-19, Member Outreach, Public Health Emergency (PHE), Text Campaign, Email Campaign, Member Contact Information, Continuous Coverage Requirement | None |
| OM 23-005 | Continuous Coverage Unwind Member Communications: Regional Accountable Entity & Health Plan Member Communication Coordination Overview | 1/31/2023 | Stakeholders | COVID-19, Member Outreach, Public Health Emergency (PHE), Continuous Coverage Requirement | None |
| OM 23-004 | County and Eligibility Sites Customer Service and Complaint Expectations | 1/31/2023 | County Departments of Human/Social Services | Customer Service, Complaints, Escalations, Customer Satisfaction Survey | None |
| OM 23-003 | County Civil Rights Plan | 1/27/2023 | County Department of Human/Social Services | Civil Rights, Nondiscrimination, Civil Rights Plan, Complaints | Sample County Nondiscrimination Statement (Notice) - County Template
|
| OM 23-002 | Case Management Redesign: Conflict-Free Case Management Waiver | 1/20/2023 | Stakeholders | Case Management Redesign, CMRD, Conflict-Free Case Management, CFCM, Only Willing and Qualified Provider, OWQP | Conflict-Free Case Management Waiver Application |
| OM 23-001 | 2023 Increase to Resource Limits-Medicare Savings Program and Low-Income Subsidy | 1/3/2023 | Eligibility Sites | 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 |
2023 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 | Links and Attachments |
|---|---|---|---|---|---|
| IM 23-044 | Pediatric Long-Term Home Health (PLTHH) Prior Authorization Request (PAR) Pause Extension | 12/01/2023 | Pediatric Long-Term Home Health (PLTHH) members, families, advocates, and providers | Prior Authorization Request (PAR), Pediatric Long-Term Home Health (PLTHH), PAR pause, Physical Therapy (PT), Occupational Therapy (OT), Speech Language Pathology (SLP), Certified Nursing Assistant (CNA) | None |
| IM 23-043 | Targeted Case-Management-Transition Coordination (TCM-TC) Travel Guidance | 11/29/2023 | Transition Coordinators | Transition Coordination, Allowable Activities, Rural/Frontier Travel Exception, Billable Units | Federal Code of Regulations Case Management Services Colorado Code of Regulations - Transition Coordination Services Targeted Case Management - Transition Coordination (TCM - TC) Services Billing Manual |
| IM 23-042 | Colorado Single Assessment/Person-Centered Support Plan Implementation Postponed | 11/27/2023 | Stakeholders | Assessment, Case Management, Eligibility, CCM, Care and Case Management system, CSA/PCSP, Colorado Single Assessment, Person-Centered Support Plan, Support Plan, Service Plan, Streamline Eligibility, CBMS, PeakPro, LTSS, HCBS, HCBS Waiver | None |
| IM 23-041 | Organized Health Care Delivery System (OHCDS) Update for Non-Medical Transportation (NMT) | 11/21/2023 | Community Centered Boards (CCB), Case Management Agencies (CMA), Program Approved Service Agencies (PASA), Members, Families | Home and Community-Based Services, HCBS, Community Centered Board, CCB, Program Approved Service Agency, PASA, Organized Health Care Delivery System, OHCDS, Non-Medical Transportation, NMT | None |
| IM 23-040 | HCBS Transition Services Setup Expenses Increase | 11/17/2023 | Community Centered Boards (CCB), Case Management Agencies (CMA), Waiver Members, Service Provider Agencies and Stakeholders, Transition Coordination Agencies (TCA) | Home and Community-Based Services, HCBS, Community Centered Board, CCB, Case Management Agency, CMA, Transition Setup | None |
| IM 23-039 | Ex Parte Reinstatement Guidance for MCOs | 11/03/2023 | Regional Accountable Entities (RAEs), Managed Care Organizations (MCOs), CHP+ Plans | Ex Parte, PHE Unwind, Reinstatement | Medical Assistance Reinstatement Desk Aid COVID Resources for County and Eligibility Partners PHE Unwind FAQs- Ex Parte (includes sample member reinstatement letters ) |
| IM 23-038 | Revised 2024 Room and Board and Personal Needs Allowance Changes | 10/23/2023 | Case Managers, members, and providers | Cost-of-living adjustment, personal needs allowance, PNA, Room and Board, SSI, Supplemental Security Income, CHRP Habilitation | None |
IM 23-037 (superseded by IM 23-038) | 2024 Room and Board and Personal Needs Allowance Changes | 10/17/2023 | Case Managers, members, and providers | Cost-of-living adjustment, personal needs allowance, PNA, Room and Board, SSI, Supplemental Security Income, CHRP Habilitation | None |
| IM 23-036 | Upgrades to the Existing Home and Community-Based Services (HCBS) Provider Enrollment Webpage & New Provider Specialty Finder Tool | 10/12/2023 | Home and Community-Based Services (HCBS) providers, Case Management Agencies (CMAs), Community Centered Boards (CCBs) | Home and Community-Based Services, HCBS, Waivers, Provider Enrollment, Provider Specialty, Revalidation, Case Management Agencies, CMAs, Community Centered Board, CCB, Webpage, Specialty Finder Tool | None |
| IM 23-035 | 2023 Children’s Off-Cycle Home and Community-Based Services (HCBS) Waiver Amendments | 10/10/2023 | HCBS Waiver Members, Providers, Stakeholders | Public Notice, Waiver, Amendment, HCBS, Home and Community-Based Services, CES, Children’s Extensive Services, CHRP, Children’s Habilitation Residential Program | None |
| IM 23-034 | Community Connector and Homemaker Services Engagement Opportunity | 10/10/2023 | Members, Parents, Case Managers, Advocates, Providers | Community Connector, Parents, Homemaker | None |
| IM 23-033 | Long-Term Tier 3 Day Habilitation Services | 10/05/2023 | Home and Community-Based Services (HCBS) Provider Agencies, Case Management Agencies, Members, and Stakeholders | Home and Community-Based Services, HCBS, Day Habilitation, Supported Community Connections, SCC, Specialized Habilitation, SH | None |
| IM 23-032 | Continuation of Appendix K Flexibilities | 10/04/2023 | Members, Stakeholders, Families, Case Managers, Providers | Community Connector, Homemaker, Appendix K, CES, CHRP | None |
| IM 23-031 | In-Home Support Services Authorized Representative – Frequently Asked Questions | 09/29/2023 | Member, Authorized Representative, IHSS Agency, Case Manager | In-Home Support Services (IHSS), Authorized Representative (AR), IHSS Agency, Case Management | In-Home Support Services Authorized Representative – Frequently Asked Questions |
| IM 23-030 | Participant-Directed Programs Request for Proposals (RFPs) | 9/22/2023 | Consumer-Directed Attendant Support Services (CDASS) and In-Home Support Services (IHSS) Stakeholders, Financial Management Services (FMS) Contractors, Training Contractors | Participant-Direction, CDASS, IHSS, Request for Proposal, RFP, Solicitation, Financial Management Service, FMS, Training, Information and Assistance, Contractors | None |
| IM 23-029 | National Core Indicator (NCI) - State of the Workforce Survey - Aging & Disabilities | 9/8/2023 | Aging and Disabilities (AD) Services Providers, Direct Care Workforce Agencies, Case Management Agencies (CMAs), and Single-Entry Points (SEPs) | National Core Indicators, Survey, State of the Workforce, Program Approved Service Agencies, Direct Care Workers | None |
| IM 23-028 | Organized Health Care Delivery System (OHCDS) Updates for Case Management | 9/1/2023 | Community Centered Boards (CCB), Case Management Agencies (CMA), Program Approved Service Agencies (PASA) | Home and Community-Based Services, HCBS, Community Centered Board, CCB, Program Approved Service Agency, PASA, Organized Health Care Delivery System, OHCDS, Non-Medical Transportation, NMT, Caregiver Education, Children’s Case Management | None |
| IM 23-027 | New Person-Centered Thinking Training Available | 8/28/2023 | Home and Community-Based Services (HCBS) Provider Agencies, Case Management Agencies | Person-Centered Thinking Training, PCT, Case Management Agency, CMA, e-Learning, Learning Management System, LMS | None |
| IM 23-026 | Case Manager Retention Payments and Bonus Case Management Redesign | 8/24/2023 | Colorado Home and Community Base Service (HCBS) Case Management Agencies (CMA) | Case Management Retention Payments, Case Management Redesign, Recruitment and Retention | None |
| IM 23-025 | 2023 National Core Indicator (NCI) Survey Announcement | 8/22/2023 | Long-Term Services and Supports (LTSS) Members, Families, Case Managers, Providers & Advocates | HCBS Waivers, National Core Indicators, Developmental Disabilities Waiver, Supported Living Services Waiver | None |
| IM 23-024 | Case Management Agency (CMA) Request for Proposal (RFP) Status Update | 8/11/2023 | Home and Community Based services Case Management Agencies (CMA), All Long Term Services and Supports, Intellectual and Developmental Disabilities, CMA, and other interested Stakeholders | Home and Community Based Services (HCBS), Case Management Agencies (CMA), RFP, Request for Proposal | None |
| IM 23-023 | Public Notice for Fall 2023 1915(c) Waiver Amendments | 8/8/2023 | HCBS Waiver Members, Providers & Stakeholders | Public Notice, Waiver, Amendment, HCBS, Home and Community-Based Services, BI, CES, CHCBS, CHRP, CMHS, CIH, EBD, SLS, DD, The Center for Medicare & Medicaid Services, CMS | None |
| IM 23-022 | Public Notice for Summer 2023 1915(s) Waiver Amendments | 7/5/2023 | HCBS Waiver Members, Providers, Stakeholders | Public Notice, Waiver, Amendment, HCBS, Home and Community-Based Services, BI, CES, CHCBS, CHRP, CLLI, CMHS, CIH, EBD, SLS, DD | None |
| IM 23-021 | July 2023 Home and Community-Based Services (HCBS) Waiver Amendments and Renewal Approval from the Centers for Medicare & Medicaid Services (CMS) | 6/30/2023 | HCBS Waiver Members, Providers & Stakeholders | Waiver Amendments, Waiver Renewal, The Centers for Medicare & Medicaid Services, CMS, 1915(c) Home and Community-Based Services, HCBS, Approval, BI, CES, CHCBS, CHRP, CLLI, CIH, CMHS, DD, EBD, SLS | None |
| IM 23-020 | Case Management Agencies Start Up Grant | 6/27/2023 | Home and Community-Based Services (HCBS) Case Management Agencies (CMA) awarded contracts through the Colorado CMA request for Proposal (RFP) process | Case Management Agencies, Case Management, Startup Grant Applications, CMA ARPA Grant Application | ARPA HCBS Grants, Incentives, Pilots, and Community Funding webpage |
| IM 23-019 | Children's Waiver Satisfaction Survey 2023 | 6/26/2023 | Stakeholders | Children's Waiver Satisfaction Survey, Survey, Children’s Extensive Support, Children’s Home and Community Based Services, Children with Life Limiting Illness, Children’s Habilitation Residential Program, Home And Community Based Services, Waiver, CHRP, CLLI, CES, CHCBS | None |
| IM 23-018 | FY 2023-24 County Administration Allocations | 6/22/2023 | County Departments of Human/Social Services | FY 23-24, County Administration, Allocations | FY 2023-24 HCPF County Administration County Allocations |
| IM 23-017 | FY 2023-24 County Grant Program Competitive Applications | 6/9/2023 | County Departments of Human Social Services | FY23-24, County Grants, Grant Program, Grant Funding | FY 2023-24 County Grant Program Application – All Projects FY 2023-24 County Grant Program Preferred Projects List FY 2023-24 County Grant Program Interview Slots Appendix D: County Grant Program Conditions of Funding and Monitoring Plan |
| IM 23-016 | Children's Habilitation Residential Program Waiver (CHRP) Expansion of Respite Limit and Provider Capacity Limits | 6/9/2023 | CHRP Providers, Parent/Legally Responsible Parties, Families, and Stakeholders | Home and Community-Based Services (HCBS), Children's Habilitation Residential Program (CHRP), Respite, Habilitation, Child Welfare, Foster Care Home, Group Home, Office of Community Living | None |
IM 23-015 (superseded by IM 23-026) | Case Manager Retention Payments and Case Management Redesign | 5/24/2023 | Case Management Agencies (CMAs) | Case Management Retention Payments, Case Management Redesign, Recruitment and Retention | None |
| IM 23-014 | Housing Voucher Program - Vouched Availability | 5/2/2023 | Members, Stakeholders, Case Managers (CMs) & Case Management Agencies (CMAs) | Supported Living Services, SLS, Housing, Department of Local Affairs, DOLA, Housing Voucher | None |
| IM 23-013 | HCBS Settings Final Rule - Heightened Scrutiny Determinations - Batch 2 | 4/25/2023 | Stakeholders | Home and Community-Based Services, HCBS, Settings Final Rule, Heightened Scrutiny, Public Notice | None |
| IM 23-012 | County PHE Retention Targeted County Grant Funding Announcement | 3/28/2023 | County Departments of Human/Social Services | FY 22-23, County Grants, Grant Program, Grant Funding, Public Health Emergency, PHE | None |
| IM 23-011 | Eligibility Quality Assurance Case Review Process Manual | 3/28/2023 | Eligibility Sites | Eligibility Quality Assurance, EQA, Accuracy Incentive, State QA, Case Reviews | EQA Case Review Process Manual |
| IM 23-010 | Private Duty Nursing (PDN) Prior Authorization Requests (PAR) Update for Providers | 3/17/2023 | Private Duty Nursing agencies | PDN, PAR, KEPRO, Private Duty Nursing, Temporary Administrative Approval Process | None |
| IM 23-009 | Private Duty Nursing (PDN) Prior Authorization Requests (PAR) Update for Members, Families, and Advocates | 3/17/2022 | Members, families, advocates and stakeholders | PDN, PAR, KEPRO, Private Duty Nursing, Temporary Administrative Approval Process | None |
| IM 23-008 | Stakeholder Engagement Opportunities on Adult Day Services - Dementia Training Requirements | 2/24/2023 | Stakeholders | Adult Day Services, ADS, Providers, Home and Community-Based Services, HCBS, Case Management Agencies, BI, CMHS, EBD, CIH | None |
| IM 23-007 | Home & Community-Based Services (HCBS) Implementation of Home Delivered Meals Expansion | 2/17/2023 | Stakeholders & Providers | Waivers, Home and Community-Based Services, HCBS, BI, CMHS, EBD, DD, SLS, CIH, Home Delivered Meals, Medicaid, Single Entry Point, Community Centered Board | None |
| IM 23-006 | Private Duty Nursing (PDN) Temporary Administrative Approval Process Extension | 2/3/2023 | Stakeholders | LTHH, PDN, PAR, KEPRO, Private Duty Nursing, Temporary Administrative Approval Process | None |
| IM 23-005 | National Core Indicator-State of the Workforce Survey | 2/3/2023 | Intellectual and Developmental Disabilities (IDD) Services Providers, Program Approved Service Agencies (PASAs) & Community Centered Boards | National Core Indicators, Survey, State of the Workforce, Program Approved Service Agencies, Direct Service Providers | 2020 National Core Indicators (NCI) Staff Stability Survey Report |
| IM 23-004 | Public Notice for Spring 2023 Waiver Amendments and Renewals | 1/31/2023 | Stakeholders | Public Notice, Waiver, Amendment, Renewal, HCBS, Home and Community-Based Services, BI, CES, CHCBS, CHRP, CLLI, CMHS, EBD, CIH, SLS, DD | None |
| IM 23-003 | Office of Community Living BA-07 Budget Request | 1/4/2023 | Long Term Services Supports (LTSS) Members, Families, Advocates & Providers | Department of Justice, DOJ, Community First Choice, CFC, Budget Amendment, Supplemental, OCL, Budget Request | None |
| IM 23-002 | January 2023 Home and Community-Based Services (HCBS) Waiver Amendments Approval from the Centers for Medicare & Medicaid Services (CMS) | 1/3/2023 | Stakeholders | Home and Community-Based Services, HCBS, Waiver, Amendment, Approval, The Centers for Medicare & Medicaid Services, CMS, BI, CES, CHCBS, CHRP, CLLI, CMHS, DD, EBD, CIH, SLS | None |
| IM 23-001 | Providers Improper Billing HCBS Participants | 1/3/2023 | Home and Community-Based Services (HCBS) Providers | HCBS, Home and Community-Based Services, Providers, PASAS | None |