2023 Memo Series Communication | Colorado Department of Health Care Policy & Financing

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 23-009	Discontinuance of Agreement Not to Sponsor Affidavit for Medical Assistance	12/20/2023	County Departments of Human/Social Services, Eligibility Sites, EAP Sites, Stakeholders, Members	Agreement Not to Sponsor, Immigration, Citizenship, Affidavit of Support, Non-Citizen, Legal Immigrant	None
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 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 23-007	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, Families, Advocates & 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 Medicare & 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 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 Title	Issue Date	Audience	Keywords	Links and Attachments
OM 23-079	2024 Social Security Cost of Living Adjustments	12/28/2023	Eligibility Sites, Eligibility Technicians and Supervisors, County Departments of Human/Social Services	2024 COLA, 2024 Cost of Living Adjustment, SSI, Home Maintenance Allowance, HMA, Patient Payment, PNA, Personal Needs Allowance, Spousal Protection, Community Spouse, CSRA, Home Equity Maximum	None
OM 23-078	2024 Increase to resource limits – Medicare Savings Program and Low-Income Subsidy	12/28/2023	Eligibility Site Staff	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
OM 23-077	Joint Operational Memo on Safety Net Provider Timeline	12/19/2023	Behavioral Health Safety Net Providers and Stakeholders	Safety Net Providers, Behavioral Health Safety Net Providers, Comprehensive Community Behavioral Health Providers, Essential Behavioral Health Safety Net Providers, Community Mental Health Centers	None
OM 23-076	Medical Assistance Appeals Strategy During the COVID Unwind	12/12/2023	Eligibility Sites, Eligibility Technicians and Supervisors, County Departments of Human/Social Services	Eligibility, Appeals, Hearing Process, Dispute Resolution	CMS Colorado Fair Hearing E14 Approval Letter
OM 23-075	Parental Provision of Community Connector & Homemaker Services in the CES & CHRP Waivers	12/11/2023	Members, Stakeholders, Families, Case Managers, Providers	Community Connector, Homemaker, Appendix K, CES, CHRP	None
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	Adverse Appeal Report Form Expedited Appeal Extension Request Form
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 (Memo has been removed by author)	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 (superseded by OM 24-020)	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 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 23-045	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 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 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 (superseded by OM 24-010)	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 Family 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 (superseded by OM 24-013)	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 (superseded by OM 24-009)	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	April 2023 Medicaid Income Chart April 2023 CHP+ Income Chart
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) Researching Untimely Members in County Dashboard Desk Aid
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 State Nondiscrimination Statement (Policy)
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 (superseded by OM 23-078)	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 23-046	Non-Medical Transportation (NMT) Public Transit Fare Updates	12/20/2023	Community-Centered Boards (CCB), Case Management Agencies (CMA), Provider Approved Service Agencies (PASA), Members, Families	Non-Medical Transportation, NMT, Public Transit, RTD, Home and Community-Based Services, HCBS, Community Centered Board, CCB, Case Management Agency, CMA	None
IM 23-045	Speech Therapy Prior Authorization Request (PAR) Information and Daily Limit Removal	12/14/2023	PT 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, Denials	None
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 (superseded by IM 24-010)	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 (superseded by IM 24-006	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 Attachment A - Documentation for Case File Requests Attachment B - Memos, Agency Letters, Directors Letters
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