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 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

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 23-038 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 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 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 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

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 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

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