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2023 Memo Series Communication

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 TitleIssue DateAudienceKeywordsLinks and Attachments
PM 23-009Discontinuance of Agreement Not to Sponsor Affidavit for Medical Assistance12/20/2023County Departments of Human/Social Services, Eligibility Sites, EAP Sites, Stakeholders, MembersAgreement Not to Sponsor, Immigration, Citizenship, Affidavit of Support, Non-Citizen, Legal ImmigrantNone
PM 23-008New Licensure Requirement for Personal Care Service Providers Under Community First Choice10/13/2023Home 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

Department Interest Form 

CDPHE License Letter of Intent

Department HCBS Enrollment Overview PowerPoint

Department HCBS Provider Enrollment Webpage

Provider Portal Adding A Specialty Quick Guide

Provider Enrollment Portal

PM 23-007Addition of Benefits Planning and Workplace Assistance to the Developmental Disabilities (DD) and Support Living Services (SLS) Medicaid Waivers, and the State SLS Program8/24/2023Case Management Agencies, Current & Potential DD/SLS Providers, DD.SLS Waiver Members, State SLS Members, Families, Advocates & StakeholdersBenefits 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 23-006Removal of the Individual Supported Employment Services from Service Plan Authorization Limits (SPAL) in the Supported Living Services (SLS) Waiver8/22/2023Case Management Agencies, Current and Potential SLS Providers, SLS Waiver Members, Families, Advocates & StakeholdersService Plan Authorization Limit (SPAL), Supported Employment, Supported Living Services, SLSNone
PM 23-005Postpartum Medical Assistance Expansion to 12 Months7/5/2023Counties, Eligibility Sites, Stakeholders, MembersPostpartum, Expansion, MAGI, CHP, BUY-IN, Medicaid, GuaranteeNone
PM 23-004Joint Agency Policy Memo on Law Enforcement in Mobile Crisis Response6/15/2023Mobile Crisis Response Providers and Law EnforcementMobile Crisis Response, Co-response, Law enforcement, American Rescue Plan ActNone
PM 23-003Unwinding Appendix K Flexibilities5/5/2023StakeholdersHome and Community-Based Services, HCBS, Waiver, The Centers for Medicare & Medicaid Services, CMS, BI, CES, CHCBS, CHRP, CLLI, CMHS, DD, EBD, CIH, SLS, Public Health Emergency, PHE, COVID-19, Appendix K, UnwindNone
PM 23-002Joint Policy Memo on Facility-Based Mobile Crisis Response in Colorado4/19/2023Mobile Crisis Response (MCR) Service Providers & StakeholdersMobile Crisis Response, Hospitals, Medicaid Payments, Behavioral Health AdministrationNone
PM 23-001Developmental Disability Waiver for Working Adults with Disabilities2/24/2023County Departments of Human/Social Services, Eligibility Staff, Supervisors & Medicaid Assistance SitesColorado 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

Developmental Disabilities Waiver (DD)

 

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 TitleIssue DateAudienceKeywordsLinks and Attachments
OM 23-0792024 Social Security Cost of Living Adjustments12/28/2023Eligibility Sites, Eligibility Technicians and Supervisors, County Departments of Human/Social Services2024 COLA, 2024 Cost of Living Adjustment, SSI, Home Maintenance Allowance, HMA, Patient Payment, PNA, Personal Needs Allowance, Spousal Protection, Community Spouse, CSRA, Home Equity MaximumNone
OM 23-0782024 Increase to resource limits – Medicare Savings Program and Low-Income Subsidy12/28/2023Eligibility Site StaffIncrease to resource limits, Medicare Savings Programs, Qualified Medicare Beneficiaries, Specified Low-Income Beneficiaries, Qualified Individuals-1, Qualified disabled and working individuals, Low Income SubsidyNone
OM 23-077Joint Operational Memo on Safety Net Provider Timeline12/19/2023Behavioral Health Safety Net Providers and StakeholdersSafety Net Providers, Behavioral Health Safety Net Providers, Comprehensive Community Behavioral Health Providers, Essential Behavioral Health Safety Net Providers, Community Mental Health CentersNone
OM 23-076Medical Assistance Appeals Strategy During the COVID Unwind12/12/2023Eligibility Sites, Eligibility Technicians and Supervisors, County Departments of Human/Social ServicesEligibility, Appeals, Hearing Process, Dispute ResolutionCMS Colorado Fair Hearing E14 Approval Letter
OM 23-075Parental Provision of Community Connector & Homemaker Services in the CES & CHRP Waivers12/11/2023Members, Stakeholders, Families, Case Managers, ProvidersCommunity Connector, Homemaker, Appendix K, CES, CHRPNone
OM 23-074Minimum Monthly Maintenance Needs Allowance (MMMNA)11/17/2023Eligibility Site StaffMinimum Monthly Maintenance Needs Allowance, MMMNA, Monthly Income Allowance, MIA, Spousal Allowance, Shelter Allowance, Long-Term CareNone
OM 23-073PHE Long Term Care Extension Outreach11/15/2023County Departments of Human/Social ServicesLTC, 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 23-072PACE Participant Adverse, Automatic, and Expedite Appeals11/13/2023PACE OrganizationsPACE, Appeal, Adverse, Automatic, Expedited, Extension Request

Adverse Appeal Report Form

Expedited Appeal Extension Request Form

OM 23-071Enrollment Denial of Potential Participants of Programs of All-Inclusive Care for the Elderly11/13/2023PACE OrganizationsPACE, Enrollment, Denial, Potential, ParticipantEnrollment Denial Report Form
OM 23-070Disenrollment of Programs of All-Inclusive Care for the Elderly Participants11/13/2023PACE OrganizationsPACE, Voluntary, Involuntary, DisenrollmentInvoluntary Disenrollment Request Form
OM 23-069Changes to Signature Requirements for Member Paperwork10/26/2023Case Management AgenciesCASE 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 PROGRAMSNone
OM 23-068Case Management Contact Requirements and In-Person Meetings10/17/2023Case Management AgenciesCOVID-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 FacilitiesNone
OM 23-067State Requirements for Eligibility Site Medical Assistance Training10/17/2023County departments of human/social services and eligibility sitesTraining, Staff Development, SDDNone
OM 23-066Residential Habilitation Services and Supports and Supported Community Connections Services Provided by Same Direct Care Worker10/13/2023Home and Community-Based Services (HCBS) Provider Agencies, Case Management Agencies, Members, and StakeholdersHome and Community-Based Services, HCBS, Residential Services & Supports, RHSS, Supported Community Connections, SCC, Host Home Provider, HHP, IRSS, GRSSNone
OM 23-065American Rescue Plan Act (ARPA) Enhanced Home Modification Benefit End and Close Out Timelines10/11/2023Case Management Agencies (CMAs), Case ManagersHome 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, DOLANone
OM 23-064Home and Community-Based Services (HCBS) Base Wage Rate Increase 2023 Attestation Final Notice10/11/2023HCBS waiver providersBenefits and Services, Home and Community-Based Services, HCBS, CHRP, Rate Increase, Base Wage, Wage Attestation, Wage Reporting, Wage ComplianceNone
OM 23-063Pediatric Behavioral Therapies (PBT) and Outpatient Speech Therapy (ST), Occupational Therapy (OT) and Physical Therapy (PT) Co-Treatment Operational Memo10/10/2023Pediatric Behavioral Therapists, Outpatient Speech Therapists, Outpatient Physical Therapists, Outpatient Occupational TherapistsPediatric 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 TherapyNone
OM 23-062Behavioral Health Administration Community Services10/10/2023Eligibility WorkersBehavioral Health Services, Mental Health, Substance Use Services,
Behavioral Health Administration, High-Level Program Group, CBMS, Peak, PeakPro
None
OM 23-061Case Management Agency Caseload Requirements10/05/2023Case Management AgenciesCase Management, CMA, Case Management Agencies, CMRD, Case Management Redesign, CaseloadNone
OM 23-060Denver Minimum Wage Billing Guidance for Non-Medical Transportation09/29/2023Providers, Case Managers, Members, AdvocatesDenver Minimum Wage Billing, Guidance, Non-Medical Transportation, NMT
Legal
None
OM 23-059Addition of the Developmental Disabilities (DD) Waiver to the Buy-In Program and Process to Opt-Out10/11/2023Members, Case Managers, StakeholdersDD Waiver, Buy-In, HCBS, Opt-OutNone
OM 23-058CBMS Limited Medicaid Benefits for Incarcerated Individuals9/19/2023Individuals involved in the Colorado Criminal Justice System, County Departments of Human/Social Services, Medical Assistance Sites, State, County, and City Corrections and Law Enforcement AgenciesSenate Bill 08-006, Senate Bill 22-106, Incarceration, Medicaid Eligibility, Criminal Justice Involved Populations, Inmate, Corrections, Prison, JailNone
OM 23-057Second Round of Physical Security Improvements for County Departments of Human/Social Services9/18/2023County Departments of Human/Social ServicesPhysical Security, County Human Services, Information Security, ARPA, Assessments, Public SafetyNone
OM 23-056Case Management Redesign - Member Exceptions Process9/6/2023Colorado Home and Community-Based Services Case Management AgenciesHome and Community-Based Services, HCBS, Case Management Agencies, CMA, Case Management Redesign, CMRD, Member Choice, Member TransitionsNone
OM 23-055HCBS Acupuncture Service Procedure Code Change9/5/2023Case Management Agencies, Single Entry Point Agencies, Acupuncture Service ProvidersHome and Community-Based Services, (HCBS), Prior Authorization Requests (PAR), Procedure Code, Service Planning, Acupuncture, Claims, Billing, Complementary and Integrative Health (CIH) WaiverNone
OM 23-054Eligibility Dispute Resolution Tracking8/30/2023County Departments of Human/Social Services and Medical Assistance Sites “Eligibility Sites”Dispute Resolution Conference, Eligibility Appeals, House Bill 16-1277, TrackingDispute Resolution Conference Tracking Form
OM 23-053Children's Habilitation Residential Program (CHRP) Support Need Level Review and Negotiated Rate Process8/28/2023CHRP Providers, Parents/Legally Responsible Parties, Families, and StakeholdersHome 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 LivingNone
OM 23-052New Service Mental Health Transitional Living Home8/25/2023HCBS Providers, Case Managers, Members, Families, AdvocatesBenefits 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 22-1303None
OM 23-051FY 2022-23 Accuracy Performance Incentive08/17/2023County Departments of Human/Social Services (Counties)Accuracy, Incentives Program, Quality Assurance, MAP Dashboard Measures, Performance, TargetsFY 2022-23 HCPF County Size List
OM 23-050Pre-Admission Screening and Resident Review (PASRR) Exempted Hospital (EHD) Update8/11/2023PASRR 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 FacilityEmergency Hospital Discharge Form
OM 23-049Updated Case Management Daily Operations During Care and Case Management (CCM) Implementation7/31/2023Case Management Agencies (CMAs), Single Entry Point Agencies, Community Centered Boards, Private Case Management AgenciesCIR, 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 DocumentationNone
OM 23-048Group In-Reach in LTC Nursing Facilities for Medicaid Members7/31/2023Nursing FacilitiesNursing Facility, Group In-Reach, Transition Services, Informed Choice, Department of Justice FindingsNone
OM 23-047Medical Assistance Returned Mail Process7/24/2023Eligibility SitesReturned Mail, Mail, EligibilityNone
OM 23-046Temporary Prohibition on Administrative Overpayment Recoveries From Medicaid Members8/11/2023Eligibility Staff, including Fraud InvestigatorsClient Fraud, Member Fraud, Overpayment, Administrative Recovery, Criminal Recovery, CMS, PHE, Investigations, Covid-19, Eligibility Termination

CMS COVID 19-PHE Unwind FAQ Document

HCPF PM 21-002

HCPF FAQs for Counties

HCPF Presentation on Temporary Pause on Recoupments

Member Correspondence Template - Administrative

Member Correspondence Template - PHE Recovery

Talking Points for Sites

OM 23-045Home and Community-Based Services (HCBS) Base Wage Rate Increase 2023 Attestation Reporting Past Due Notification7/10/2023HCBS ProvidersBenefits 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 ComplianceNone
OM 23-044Behavioral Health Administration Community Services6/30/2023Eligibility WorkersBehavioral Health Services, Mental Health, Substance Use Services, Behavioral Health Administration, High-Level Program Group, CBMS, Peak, PeakProNone

OM 23-043

(superseded by OM 23-049)

Case Management Daily Operations During Care and Case Management (CCM) Implementation6/29/2023Case Management Agencies (CMA), Single Entry Point Agencies, Community Centered Boards, Private Case Management AgenciesCIR, 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 DocumentationNone
OM 23-042FY 2023-24 HCPF County Administration Public Health Emergency (PHE) Allocation and Funding Guidance6/28/2023County Departments of Human/Social ServicesFunding, PHE, Staff, Public Health Emergency, AllocationFY 2023-24 HCPF Public Health Emergency County Administration Allocations
OM 23-041Denver Minimum Wage Billing Guidance6/26/2023HCBS Providers, Case ManagersHome and Community-Based Services, HCBS, Denver Minimum Wage, Billing, RatesNone
OM 23-040Home and Community-Based Services (HCBS) Base Wage Increase Attestation June 20236/14/2023HCBS ProvidersBenefits 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 ComplianceNone
OM 23-039Physical Security Improvements for County Departments of Human/Social Services6/8/2023County Departments of Human/Social ServicesPhysical Staff, County Human Services, Information Security, APRA, Assessments, Public SafetyNone
OM 23-038Telephonic Signatures for Renewals6/6/2023Eligibility 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 23-037Home and Community-Based Services (HCBS) Base Wage Rate Increase Attestation Final Reminder 20235/31/2023HCBS ProvidersBenefits 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 Compliance2023 Wage Attestation Form
OM 23-036Case Management Training on Changes to the Post-Eligibility Treatment of Income and Prior Authorization Request Process5/31/2023Case Management AgenciesHome 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, EBDNone
OM 23-035Supports Intensity Scale/Support Level Rule Revisions5/24/2023Case Management AgenciesSIS, Supports Intensity Scale, Assessment, Support Level, Support Level Algorithm, Rules, Risk Factors

Supports Intensity Scale Assessment Report Cover Letter

Support Level Review Request Form (updated May 2023)

HCBS Waiver Supports Intensity Scale (SIS) Assessment and Support Level Information and Disclosure (updated May 2023)

OM 23-034

(superseded by HCPF OM 23-046)

Temporary Prohibition on Administrative Overpayment Recoveries form Medicaid Members5/11/2023Eligibility Staff, Including Fraud InvestigatorsClient 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 23-033July 1, 2023, Consumer-Directed Attendant Support Services (CDASS) Rate Increase5/17/2023Case Management Agencies (CMAs)Consumer-Directed Attendant Support Services, CDASS, Rate Increase, SEP, CCB, Case Management Agency, CMANone
OM 23-032Pre-Admission Screening and Resident Review (PASRR), Targeted Case Management-Transition Coordination (TCM-TC) Service Referral Process5/11/2023PASRR Administrators and Level II evaluators, Transition Coordination Agencies (TCAs), Nursing Facility Administrators & Social WorkersPre-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 ReferralNone

OM 23-031

(superseded by IM 23-016)

Children's Habilitation Residential Program Waiver (CHRP) Expansion of Respite Limit and Provider Capacity Limits5/3/2023Case Management Agencies (CMAs), Home and Community-Based Services, Children's Habilitation Residential Program (CHRP) Providers & StakeholdersHome and Community-Based Services (HCBS), Children's Habilitation Residential Program (CHRP), Respite, Habilitation, Child Welfare, Foster Care Home, Group Home, Office of Community LivingNone
OM 23-030Staff Safety and Disclosure of Protected Health Information4/24/2023Eligibility SitesLaw Enforcement, Police, Protected Health Information, PHI, HIPAA, Safety, Security, StaffNone
OM 23-029Renewal Guidance for Medical Assistance Programs4/14/2023Eligibility Sites, County Departments of Human/Social Services, Medical Assistance (MA) Sites & Eligibility Application PartnersRenewal, Eligibility, Income, Resources, Verifications, Non-Magi, Magi, Child Health Plans PlusNone
OM 23-028Nursing Facility and Intermediate Care Facility for Individuals with Intellectual Disabilities Compliance and Post Payment Reviews4/12/2023Long 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, ProviderNone
OM 23-027Instructions for Reporting HB 22-1247 Supplemental Payments on the Med-13 Cost Report4/11/2023Nursing Facilities & Cost Report PreparersNursing Facilities, NF, Skilled Nursing Facilities, SNF, Cost Report, Med-13, HB 22-1247None
OM 23-026HIPAA Requirements for County Departments of Human/Social Services4/4/2023County Departments of Human/Social ServicesHIPAA, Protected Health Information, PHINone
OM 23-025Merit-Based Staffing Requirements for County Departments of Human/Social Services4/3/2023County Departments of Human/Social ServicesMerit-Based, Staffing, County Administration, Federal, Government AgenciesNone
OM 23-024Case Management Eligibility and Notice of Action Requirements for the Ending of the COVID-19 Public Health Emergency3/28/2023Case 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 RenewalNone
OM 23-023Home and Community-Based Services (HCBS) Base Wage Rate Increase Attestation Form 20233/28/2023Service ProvidersBenefits 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 Compliance2023 Wage Attestation Form

OM 23-022

(superseded by OM 24-010)

Health First Colorado Buy-In for Working Adults with Disabilities 2023 Income Chart and Premium Guide3/28/2023County Departments of Human/Social Services & Medical Assistance SitesMedicaid, Buy-In, Working Adults with Disabilities, WAWD, 2023 FPL, Income, PremiumNone
OM 23-021Changes to Consumer-Directed Attendant Support Services Criminal Barrier Crimes List3/28/2023Consumer-Directed Attendant Support Services (CDASS) StakeholdersCDASS, FMS, Background Check, Attendant Enrollment, Participant Directed Programs, Barrier Crime, Crime of High Risk, Employer GuideCDASS Background Check Crimes of High Risk: Employer Hiring Guide (March 2023)
OM 23-020Home Delivered Meals Operations3/28/2023Home 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, MedicaidNone
OM 23-0192023 Family Planning Federal Poverty Level Income Guidelines3/28/2023Eligibility Sites2023 Family Planning Federal Poverty Level Guidelines, Income LimitsNone
OM 23-018End of Public Health Emergency for COVID-19 and Returning to Normal Operations3/17/2023Eligibility SitesCOVID-19, Continuous Enrollment, Public Health Emergency, Self-Attestation, Medical Assistance, Eligibility, Renewal, Income, Social Security number, Resources, Testing, Uninsured Limited COVID-19 GroupCOVID Unwind Educational Session Feb 2023
OM 23-017 (superseded by OM 24-013)Continuous Coverage Unwind and Member Communications: RAE/MCO Reporting Requirements3/15/2023StakeholdersCOVID-19, Member Outreach, Public Health Emergency (PHE), Continuous Coverage RequirementNone
OM 23-016 (superseded by OM 24-009)Health First Colorado Children with Disabilities Buy-In 2023 Income Chart and Premium Guide3/8/2023County Departments of Human/Social Services & Medical Assistance SitesMedicaid, Buy-In, Children with Disabilities, CBWD, 2023 FPL, Income, PremiumNone
OM 23-015Pre-Admission Screening and Resident Review (PASRR) COVID-19 Update3/7/2023Pre-Admission Screening and Resident Review (PASRR) StakeholdersPASRR, Coronavirus, COVID-19, Nursing Facilities, HospitalsNone
OM 23-014Medical Assistance - Medicare Savings Program and Low-Income Subsidy3/1/2023Eligibility Sites2023 Income Limits, Medicare Savings Program, Low-Income SubsidyNone
OM 23-013Continuous Coverage Unwind: Revised Regional Accountable Entity & Managed Care Organization Data Pull and Member Communication Coordination2/24/2023StakeholdersCOVID-19, Member Outreach, Public Health Emergency (PHE), Continuous Coverage RequirementPHE Unwind Specification Document - includes denial codes
OM 23-0122023 Federal Poverty Level Guidelines2/21/2023Eligibility Sites, County Departments of Human/Social Services, Medical Assistance (MA) Sites, & Eligibility Application Partners (EAP)2023 Federal Poverty Level Guidelines, Income Limits

April 2023 Medicaid Income Chart

April 2023 CHP+ Income Chart

OM 23-011     
OM 23-010Out of State Former Foster Care Youth Guidance2/10/2023Eligibility 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, VerificationHealth First Colorado Out of State Former Foster Care Youth Form
OM 23-009Court Ordered Timeliness Reports2/3/2023County Departments of Human/Social Services, Medical Assistance (MA) Sites, Eligibility Application Partner (EAP) Sites & StakeholdersCourt 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)

Researching Untimely Members in County Dashboard Desk Aid

OM 23-008Continuous Coverage Unwind and Member Communications: RAE/MCO Transitions in Coverage Outreach2/13/2023Regional Accountable Entities (RAEs) & Managed Care Organizations (MCOs)COVID-19, Marketing, Marketplace, Member Contact Information, Public Health Emergency (PHE), Continuous Coverage RequirementNone

OM 23-007

(superseded by OM 23-013)

Continuous Coverage Unwind: Regional Accountable Entity & Managed Care Organization Data Pull and Member Communication Coordination1/31/2023StakeholdersCOVID-19, Member Outreach, Public Health Emergency (PHE), Continuous Coverage RequirementPHE Unwind Specification Document - includes denial codes
OM 23-006Continuous Coverage Unwind and Member Communications: Text Messaging1/31/2023StakeholdersCOVID-19, Member Outreach, Public Health Emergency (PHE), Text Campaign, Email Campaign, Member Contact Information, Continuous Coverage RequirementNone
OM 23-005Continuous Coverage Unwind Member Communications: Regional Accountable Entity & Health Plan Member Communication Coordination Overview1/31/2023StakeholdersCOVID-19, Member Outreach, Public Health Emergency (PHE), Continuous Coverage RequirementNone
OM 23-004County and Eligibility Sites Customer Service and Complaint Expectations1/31/2023County Departments of Human/Social ServicesCustomer Service, Complaints, Escalations, Customer Satisfaction SurveyNone
OM 23-003County Civil Rights Plan1/27/2023County Department of Human/Social ServicesCivil Rights, Nondiscrimination, Civil Rights Plan, Complaints

Sample County Nondiscrimination Statement (Notice) - County Template

 

State Nondiscrimination Statement (Policy)

OM 23-002Case Management Redesign: Conflict-Free Case Management Waiver1/20/2023StakeholdersCase Management Redesign, CMRD, Conflict-Free Case Management, CFCM, Only Willing and Qualified Provider, OWQPConflict-Free Case Management Waiver Application

OM 23-001

(superseded by OM 23-078)

2023 Increase to Resource Limits-Medicare Savings Program and Low-Income Subsidy1/3/2023Eligibility SitesIncrease to Resource Limits, Medicare Savings Programs, Qualified Medicare Beneficiaries, Specified Low-Income Beneficiaries, Qualified Individuals-1, Qualified Disabled and Working Individuals, Low-Income SubsidyNone

 

2023 Informational Memos

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

Memo #Memo TitleIssue DateAudienceKeywordsLinks and Attachments
IM 23-046Non-Medical Transportation (NMT) Public Transit Fare Updates12/20/2023Community-Centered Boards (CCB), Case Management Agencies (CMA), Provider Approved Service Agencies (PASA), Members, FamiliesNon-Medical Transportation, NMT, Public Transit, RTD, Home and Community-Based Services, HCBS, Community Centered Board, CCB, Case Management Agency, CMANone
IM 23-045Speech Therapy Prior Authorization Request (PAR) Information and Daily Limit Removal12/14/2023PT 25, 27. Speech Therapy Providers, Non-Physician Group, Early Intervention Providers (ST)Speech Therapy, Speech Therapists, Prior Authorization Requests, Date of Service, Unit Limits, Medically Unlikely Edits, Claims, DenialsNone
IM 23-044Pediatric Long-Term Home Health (PLTHH) Prior Authorization Request (PAR) Pause Extension12/01/2023Pediatric Long-Term Home Health (PLTHH) members, families, advocates, and providersPrior 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 23-043Targeted Case-Management-Transition Coordination (TCM-TC) Travel Guidance11/29/2023Transition CoordinatorsTransition 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 23-042Colorado Single Assessment/Person-Centered Support Plan Implementation Postponed11/27/2023StakeholdersAssessment, 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 WaiverNone
IM 23-041Organized Health Care Delivery System (OHCDS) Update for Non-Medical Transportation (NMT)11/21/2023Community Centered Boards (CCB), Case Management Agencies (CMA), Program Approved Service Agencies (PASA), Members, FamiliesHome and Community-Based Services, HCBS, Community Centered Board, CCB, Program Approved Service Agency, PASA, Organized Health Care Delivery System, OHCDS, Non-Medical Transportation, NMTNone
IM 23-040HCBS Transition Services Setup Expenses Increase11/17/2023Community 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 SetupNone
IM 23-039Ex Parte Reinstatement Guidance for MCOs11/03/2023Regional Accountable Entities (RAEs), Managed Care Organizations (MCOs), CHP+ PlansEx 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 23-038Revised 2024 Room and Board and Personal Needs Allowance Changes10/23/2023Case Managers, members, and providersCost-of-living adjustment, personal needs allowance, PNA, Room and Board, SSI, Supplemental Security Income, CHRP HabilitationNone

IM 23-037

(superseded by IM 23-038)

2024 Room and Board and Personal Needs Allowance Changes10/17/2023Case Managers, members, and providersCost-of-living adjustment, personal needs allowance, PNA, Room and Board, SSI, Supplemental Security Income, CHRP HabilitationNone
IM 23-036Upgrades to the Existing Home and Community-Based Services (HCBS) Provider Enrollment Webpage & New Provider Specialty Finder Tool10/12/2023Home 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 ToolNone
IM 23-0352023 Children’s Off-Cycle Home and Community-Based Services (HCBS) Waiver Amendments10/10/2023HCBS Waiver Members, Providers, StakeholdersPublic Notice, Waiver, Amendment, HCBS, Home and Community-Based Services, CES, Children’s Extensive Services, CHRP, Children’s Habilitation Residential ProgramNone
IM 23-034Community Connector and Homemaker Services Engagement Opportunity10/10/2023Members, Parents, Case Managers, Advocates, ProvidersCommunity Connector, Parents, HomemakerNone
IM 23-033Long-Term Tier 3 Day Habilitation Services10/05/2023Home and Community-Based Services (HCBS) Provider Agencies, Case Management Agencies, Members, and StakeholdersHome and Community-Based Services, HCBS, Day Habilitation, Supported Community Connections, SCC, Specialized Habilitation, SHNone
IM 23-032Continuation of Appendix K Flexibilities10/04/2023Members, Stakeholders, Families, Case Managers, ProvidersCommunity Connector, Homemaker, Appendix K, CES, CHRPNone
IM 23-031In-Home Support Services Authorized Representative – Frequently Asked Questions09/29/2023Member, Authorized Representative, IHSS Agency, Case ManagerIn-Home Support Services (IHSS), Authorized Representative (AR), IHSS Agency, Case ManagementIn-Home Support Services Authorized Representative – Frequently Asked Questions
IM 23-030Participant-Directed Programs Request for Proposals (RFPs)9/22/2023Consumer-Directed Attendant Support Services (CDASS) and In-Home Support Services (IHSS) Stakeholders, Financial Management Services (FMS) Contractors, Training ContractorsParticipant-Direction, CDASS, IHSS, Request for Proposal, RFP, Solicitation, Financial Management Service, FMS, Training, Information and Assistance, ContractorsNone
IM 23-029National Core Indicator (NCI) - State of the Workforce Survey - Aging & Disabilities9/8/2023Aging 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 WorkersNone
IM 23-028Organized Health Care Delivery System (OHCDS) Updates for Case Management9/1/2023Community 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 ManagementNone
IM 23-027New Person-Centered Thinking Training Available8/28/2023Home and Community-Based Services (HCBS) Provider Agencies, Case Management AgenciesPerson-Centered Thinking Training, PCT, Case Management Agency, CMA, e-Learning, Learning Management System, LMSNone
IM 23-026Case Manager Retention Payments and Bonus Case Management Redesign8/24/2023Colorado Home and Community Base Service (HCBS) Case Management Agencies (CMA)Case Management Retention Payments, Case Management Redesign, Recruitment and RetentionNone
IM 23-0252023 National Core Indicator (NCI) Survey Announcement8/22/2023Long-Term Services and Supports (LTSS) Members, Families, Case Managers, Providers & AdvocatesHCBS Waivers, National Core Indicators, Developmental Disabilities Waiver, Supported Living Services WaiverNone
IM 23-024Case Management Agency (CMA) Request for Proposal (RFP) Status Update8/11/2023Home and Community Based services Case Management Agencies (CMA), All Long Term Services and Supports, Intellectual and Developmental Disabilities, CMA, and other interested StakeholdersHome and Community Based Services (HCBS), Case Management Agencies (CMA), RFP, Request for ProposalNone
IM 23-023Public Notice for Fall 2023 1915(c) Waiver Amendments8/8/2023HCBS Waiver Members, Providers & StakeholdersPublic Notice, Waiver, Amendment, HCBS, Home and Community-Based Services, BI, CES, CHCBS, CHRP, CMHS, CIH, EBD, SLS, DD, The Center for Medicare & Medicaid Services, CMSNone
IM 23-022Public Notice for Summer 2023 1915(s) Waiver Amendments7/5/2023HCBS Waiver Members, Providers, StakeholdersPublic Notice, Waiver, Amendment, HCBS, Home and Community-Based Services, BI, CES, CHCBS, CHRP, CLLI, CMHS, CIH, EBD, SLS, DDNone
IM 23-021July 2023 Home and Community-Based Services (HCBS) Waiver Amendments and Renewal Approval from the Centers for Medicare & Medicaid Services (CMS)6/30/2023HCBS Waiver Members, Providers & StakeholdersWaiver 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, SLSNone
IM 23-020Case Management Agencies Start Up Grant6/27/2023Home and Community-Based Services (HCBS) Case Management Agencies (CMA) awarded contracts through the Colorado CMA request for Proposal (RFP) processCase Management Agencies, Case Management, Startup Grant Applications, CMA ARPA Grant ApplicationARPA HCBS Grants, Incentives, Pilots, and Community Funding webpage
IM 23-019Children's Waiver Satisfaction Survey 20236/26/2023StakeholdersChildren'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, CHCBSNone
IM 23-018FY 2023-24 County Administration Allocations6/22/2023County Departments of Human/Social ServicesFY 23-24, County Administration, AllocationsFY 2023-24 HCPF County Administration County Allocations
IM 23-017 (superseded by IM 24-010)FY 2023-24 County Grant Program Competitive Applications6/9/2023County Departments of Human Social ServicesFY23-24, 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 23-016Children's Habilitation Residential Program Waiver (CHRP) Expansion of Respite Limit and Provider Capacity Limits6/9/2023CHRP Providers, Parent/Legally Responsible Parties, Families, and StakeholdersHome and Community-Based Services (HCBS), Children's Habilitation Residential Program (CHRP), Respite, Habilitation, Child Welfare, Foster Care Home, Group Home, Office of Community LivingNone

IM 23-015

(superseded by IM 23-026)

Case Manager Retention Payments and Case Management Redesign5/24/2023Case Management Agencies (CMAs)Case Management Retention Payments, Case Management Redesign, Recruitment and RetentionNone
IM 23-014Housing Voucher Program - Vouched Availability5/2/2023Members, Stakeholders, Case Managers (CMs) & Case Management Agencies (CMAs)Supported Living Services, SLS, Housing, Department of Local Affairs, DOLA, Housing VoucherNone
IM 23-013HCBS Settings Final Rule - Heightened Scrutiny Determinations - Batch 24/25/2023StakeholdersHome and Community-Based Services, HCBS, Settings Final Rule, Heightened Scrutiny, Public NoticeNone
IM 23-012 (superseded by IM 24-006County PHE Retention Targeted County Grant Funding Announcement3/28/2023County Departments of Human/Social ServicesFY 22-23, County Grants, Grant Program, Grant Funding, Public Health Emergency, PHENone
IM 23-011Eligibility Quality Assurance Case Review Process Manual3/28/2023Eligibility SitesEligibility Quality Assurance, EQA, Accuracy Incentive, State QA, Case Reviews

EQA Case Review Process Manual

Attachment A - Documentation for Case File Requests

Attachment B - Memos, Agency Letters, Directors Letters

IM 23-010Private Duty Nursing (PDN) Prior Authorization Requests (PAR) Update for Providers3/17/2023Private Duty Nursing agenciesPDN, PAR, KEPRO, Private Duty Nursing, Temporary Administrative Approval Process None
IM 23-009Private Duty Nursing (PDN) Prior Authorization Requests (PAR) Update for Members, Families, and Advocates 3/17/2022Members, families, advocates and stakeholdersPDN, PAR, KEPRO, Private Duty Nursing, Temporary Administrative Approval Process None
IM 23-008Stakeholder Engagement Opportunities on Adult Day Services - Dementia Training Requirements2/24/2023StakeholdersAdult Day Services, ADS, Providers, Home and Community-Based Services, HCBS, Case Management Agencies, BI, CMHS, EBD, CIHNone
IM 23-007Home & Community-Based Services (HCBS) Implementation of Home Delivered Meals Expansion2/17/2023Stakeholders & ProvidersWaivers, Home and Community-Based Services, HCBS, BI, CMHS, EBD, DD, SLS, CIH, Home Delivered Meals, Medicaid, Single Entry Point, Community Centered BoardNone
IM 23-006Private Duty Nursing (PDN) Temporary Administrative Approval Process Extension2/3/2023StakeholdersLTHH, PDN, PAR, KEPRO, Private Duty Nursing, Temporary Administrative Approval ProcessNone
IM 23-005National Core Indicator-State of the Workforce Survey2/3/2023Intellectual and Developmental Disabilities (IDD) Services Providers, Program Approved Service Agencies (PASAs) & Community Centered BoardsNational Core Indicators, Survey, State of the Workforce, Program Approved Service Agencies, Direct Service Providers2020 National Core Indicators (NCI) Staff Stability Survey Report
IM 23-004Public Notice for Spring 2023 Waiver Amendments and Renewals1/31/2023StakeholdersPublic Notice, Waiver, Amendment, Renewal, HCBS, Home and Community-Based Services, BI, CES, CHCBS, CHRP, CLLI, CMHS, EBD, CIH, SLS, DDNone
IM 23-003Office of Community Living BA-07 Budget Request1/4/2023Long Term Services Supports (LTSS) Members, Families, Advocates & ProvidersDepartment of Justice, DOJ, Community First Choice, CFC, Budget Amendment, Supplemental, OCL, Budget RequestNone
IM 23-002January 2023 Home and Community-Based Services (HCBS) Waiver Amendments Approval from the Centers for Medicare & Medicaid Services (CMS)1/3/2023StakeholdersHome and Community-Based Services, HCBS, Waiver, Amendment, Approval, The Centers for Medicare & Medicaid Services, CMS, BI, CES, CHCBS, CHRP, CLLI, CMHS, DD, EBD, CIH, SLSNone
IM 23-001Providers Improper Billing HCBS Participants1/3/2023Home and Community-Based Services (HCBS) ProvidersHCBS, Home and Community-Based Services, Providers, PASASNone