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 23-003 | 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 23-038 | 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 | Temporary Prohibition on Administrative Overpayment Recoveries form Medicaid Members | 5/11/2023 | Eligibility Staff, Including Fraud Investigators | Client Fraud, Member Fraud, Overpayment, Administrative Recovery, Criminial Recovery, CMS, PHE, Investigations, COVID-19, Eligibility Termination |
CMS COVID-19 PHE Unwinding FAQ Document 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 | 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 | Elgibility 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 Itellectual 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 23-015 | 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 |