2024 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 24-005 | Stable and Facility Fees in Outpatient Physical, Occupational, and Speech Therapists using Hippotherapy as a Treatment Tool | 12/4/2024 | Outpatient Physical Therapists, Outpatient Occupational Therapists, Outpatient Speech Therapists, Case Management Agencies, Non-Physician Practitioner-Group, Non-Physician Practitioner-Individual | Outpatient Speech Therapy, Outpatient Physical Therapy, Outpatient Occupational Therapy, Equine Movement, Hippotherapy, Treatment Tool, Case Management Agency, Facility Fees, Stable Fees | None |
| PM 24-004 | Children's Extensive Support (CES) Waiver: Application of Home and Community-Based Services (HCBS) Settings Final Rule to Youth Day Services | 8/27/2024 | Members, Youth Day Services Providers, Case Management Agencies & Stakeholders | CES, Youth Day Services, HCBS Settings Final Rule | None |
| PM 24-003 | Upcoming Licensure Requirement for Personal Care Services Providers Under Community First Choice | 8/2/2024 | 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 |
|
| PM 24-002 | Hospice Electronic Visit Verification (EVV) Exemption | 6/11/2024 | Hospice Providers | Hospice, Electronic Visit Verification, EVV | None |
| PM 24-001 | The Wellness Education Benefit: New monthly benefit for Children's Home and Community Based Services Waiver Members | 04/16/2024 | Children's Home and Community-Based Services (CHCBS) Waiver Members, CHCBS Case Managers, Case Management Agencies (CMAs) | Children's Home and Community-Based Services (CHCBS) Waiver Members, CHCBS Case Managers, Case Management Agencies (CMAs), Benefits, 1915 (c) Waivers | None |
2024 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 24-067 | Supports Intensity Scale (SIS) Complaint Process Updates | 12/19/2024 | Case Management Agencies | SIS, SIS-A, Supports Intensity Scale, Assessment, Support Level, SL, Complaints, Disputes, Appeals, HCBS-DD, HCBS-SLS, Grievance, Notice of Action, NOA | Health First Colorado and Child Health Plan Plus Grievance Form LTSS Case Management Forms and Tools - SIS |
| OM 24-066 | Monitoring Contacts in the Home and Community-Based Services Program | 12/19/2024 | Case Management Agencies | 803, HCBS, Home and Community-Based Services, Monitoring, Long Term Care Notice of Action, LTC NOA, Targeted Case Management, TCM | None |
| OM 24-065 | Implementation of the FY 2024-25 Accuracy and Performance Compliance Incentives | 12/19/2024 | County Departments of Human/Social Services | Accuracy, County Incentives, Incentive Program, Incentive Targets, Performance Compliance, Tier, Quality Assurance, MAP Dashboard Measures | Eligibility Quality Assurance (EQA) Case Review Process Manual How to access MAP Tableau: MAP Dashboard Access Requirements |
| OM 24-064 | Implementation of the FY 2024-25 County Incentives Program Customer Service Incentive | 12/19/2024 | County Departments of Human/Social Services | County Incentives, Customer Service, Incentive, Call Center, Survey, Tier | Customer Service Tier 2 Inbound/Outbound Call Survey Average Spped to Answer (ASA) Targets for Tier 1 FY 24-25 Call Center Annual Reporting Data Elements for Tier 1 Counties Customer Service Tiers - All Counties |
| OM 24-063 | Case Manager Process for Requesting a Department of Local Affairs - Community Access Team Housing Voucher for Supported Living Services Waiver Members | 12/19/2024 | Case Managers and Case Management Agencies | Supported Living Services, SLS, Home and Community Based Services, HCBS, SLS Flexibilities, SLS Exceptions, Housing Voucher, Case Management Agencies, CMAs | None |
| OM 24-062 | Protected Rights and Rights Modifications in the Home and Community-Based Services Program | 12/17/2024 | Case Management Agencies and Provider Agencies | HCBS, Home and Community-Based Services, HRC, Human Rights Committee, CCM, Information Management System Informed Consent, Monitoring Contacts, Rights Modification, HCBS Settings Final Rule, Waiver | HCBS by Health First Colorado (Rights and Rights Modifications Videos) HCBS Settings Final Rule (website) HCBS Settings Final Rule Ongoing Monitoring Guide
|
| OM 24-061 | New Learning Management System for Home and Community-Based Services Providers: Required Training Materials for Licensure, Provider Enrollment, Revalidation, Best Practices, and Settings Rule | 12/17/2024 | Home and Community-Based Services (HCBS) Providers, Case Management Agencies (CMAs) | Enrollment, Revalidation, Provider Specialty, Training, Department of Public Health and Environment, CDPHE, License, Survey and Certification, C&T, Home and Community-Based Services, HCBS, Program Approved Service Agency, PASA, Waiver, Case Management Agency, CMA, Settings Rule, Best Practices | None |
| OM 24-060 | Pediatric Long-Term Home Health (LTHH) PAR Resumption Information for Members | 12/17/2024 | Members, Family Members, Providers, Stakeholders and Advocates | Certified Nursing Assistant (CNA), Long-Term Home Health (LTHH), Maintenance of Effort (MOE), Occupational Therapy (OT), Pediatric, Physical Therapy (PT), Prior Authorization Request (PAR), Registered Nursing (RN), Speech Therapy/Speech-Language Pathology (ST/SLP), Therapy | None |
| OM 24-059 | N/A | N/A | N/A | N/A | N/A |
| OM 24-058 | 2025 Increase to Resource Limits - Medicare Savings Programs and Low-Income Subsidy | 11/26/2024 | Eligibility Site Staff | 2025, Increase, Resource Limits, Medicare Savings Programs, Qualified Medicare Beneficiaries, Specified Low-Income Beneficiaries, Qualified Individuals-1, Qualified Disabled and Working Adults, Low Income Subsidy | None |
| OM 24-057 | Developmental Disability Waiver Reserved Capacity Enrollments | 12/4/2024 | Case Management Agencies, Case Managers, Home and Community-Based (HCBS) Waiver Members and Stakeholder | CES, Children's Extensive Supports, Children's Habilitative Residential Program, CHRP, DD, Deinstitutionalization, Developmental Disabilities Wavier, DI, EER, Eligibility Emergency Enrollment, Home and Community-Based Services, HCBS, Reserved Capacity, Waitlist, Youth Transition | None |
| OM 24-056 | Long Term Care and Buy-In Eligibility Extension | 12/4/2024 | Eligibility Sites | Long-Term Care, LTC, Level of Care, LOC, PEAKPro, LTSS Streamline, Working Adults with Disability, WAwD, Children with Disability Buy-In, CBwD | None |
| OM 24-055 | Case Management Agency and Case Manager Roles and Responsibilities | 11/26/2024 | Case Management Agencies | Case Management, Case Manager, Long-Term Care, LTC, Long-Term Care Services and Supports, LTSS | |
| OM 24-054 | 2025 Social Security Cost of Living Adjustments | 11/26/2024 | Eligibility Sites, Eligibility Technicians and Supervisors, County Departments of Human/Social Services | 2025 COLA, 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 24-053 | Admission, Discharge, and Transfer Event Notifications in the Care and Case Management System | 11/21/2024 | Case Management Agencies | Admission, ADT, Care and Case Management, CCM, Discharge, RAE, Regional Accountable Entity, Transfer | None |
| OM 24-052 | Cover All Coloradans Guidance | 11/19/2024 | Eligibility Sites, County Departments of Human/Social Services, Medical Assistance (MA) Sites, and Eligibility Application Partners (EAP) | Cover All Coloradans, Pregnant, Children, Postpartum, Non-Citizen, Immigrant | None |
| OM 24-051 | Emergency Medicaid Services (Updated Guidance) | 11/19/2024 | Eligibility Sites, County Departments of Human/Social Services, Medical Assistance (MA) Sites, and Eligibility Application Partners (EAP) | Emergency Medicaid, Medical Emergency, Immigration or Citizenship Requirements, Qualifying Life and/or Limb Threatening Medical Emergency | None |
| OM 24-050 | Group Employment Setting Definition | 11/26/2024 | Case Management Agencies (CMA) HCBS-Supported Employment Providers, DD/SLS Waiver Members, State SLS Members | Supported Employment, Group Supported Employment, Workplace Assistance, Home and Community-Based Services, HCBS Waivers, Developmental Disabilities (DD), Supported Living Services (SLS), State Support Living Services | Supported Employment Meetings and Resources |
| OM 24-049 | Revised Adult Long-Term Home Health (LTHH) PAR Process | 10/3/2024 | Home Health Agencies, Case Management Agencies, Utilization Review Contractor | Long-Term Home Health (LTHH), Prior Authorization Requests (PARs), Case Management Agencies (CMAs), Long Term Care (LTC), Level of Care (LOC) | None |
| OM 24-048 | Targeted Case Management Documentation Requirements for Home and Community-Based Services Waivers | 10/3/2024 | Case Management Agencies | Billing, Claims, Documentation, Case Management Agency, CMA, Home and Community-Based Services, HCBS Waivers, Targeted Case Management, TCM, Case Management Agency Data Entry and Payment Guide | None |
| OM 24-047 | Public-Facing Provider Search Tool - "Find a Doctor" | 10/3/2024 | Case Management Agencies (CMAs), Health First Colorado Providers, Regional Accountable Entities (RAEs), Members, Other Involved Stakeholders | Provider Search Tool, PEAK Member Portal, Provider Specialty, Training, Home and Community-Based Services, HCBS, Program Approved Service Agency, Case Management Agency, CMA, American Rescue Plan Act, ARPA, Best Practices | None |
| OM 24-046 | Launch of PEAKPro Referral Functionality for Case Management Agencies | 9/13/2024 | Case Management Agencies | Case Management, CMA, PEAKPro, Referrals, Long-Term Services and Supports, Long-Term Care | None |
| OM 24-045 (superseded by OM 24-049) | Adult Long-Term Home Health (LTHH) PAR Process | 9/6/2024 | Home Health Agencies, Case Management Agencies, Utilization Review Contractor | Long-Term Home Health (LTHH), Prior Authorization Requests (PARs), Case Management Agencies (CMAs) | None |
| OM 24-044 | Income Trusts - Revised Forms and Additional Guidance | 8/30/2024 | Stakeholders | Income Trust, Long-Term Care, Medical Assistance, Eligibility, Special Income Standard, Home and Community-Based Services, PACE, Nursing Facility |
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| OM 24-043 | Medical Assistance (MA) Ending Pregnancy Records | 8/30/2024 | Eligibility Sites | Pregnancy, Pregnancy Record, Overdue, 12 Month Postpartum, End Date Pregnancy Record | None |
| OM 24-042 | Automatic Enrollment of QMB for Medicaid Part A and SSI Eligible Members | 8/30/2024 | Eligibility Sites, Eligibility Technicians and Supervisors, County Departments of Human/Social Services | SSI, QMB, Auto, Autoenrollment, Enrollment, Eligibility, Disability | None |
| OM 24-041 | Consideration of FAMLI Income for All Programs | 8/30/2024 | Eligibility Sites, County Departments of Human/Social Services, Medical Assistance (MA) Sites, Eligibility Application Partners (EAP) | Family Medical Leave Insurance Program, FAMLI, Unearned Income, Medical Leave Benefits, Wage Replacement, CBMS | None |
| OM 24-040 | Program of All-Inclusive Care for the Elderly (PACE) Organization Contract Deliverable Due Date Extension Request Policy | 8/27/2024 | PACE Organizations | PACE, Contract Deliverable, Due Date Extension | None |
| OM 24-039 | Consumer-Directed Attendant Support Services (CDASS) Changes to Per-Member-Per-Month (PMPM) Rates | 8/14/2024 | Case Managers, Case Management Agencies, Home and Community-Based Service (HCBS) Members | Consumer-Directed Attendant Support Services, CDASS, Case Management Agency, CMA, Participant Direction, Contractor, Per-Member-Per-Month | None |
| OM 24-038 | Waiting List Management for One-Time Appropriations | 8/12/2024 | Case Management Agencies | Case Management, Waiting List, HCBS-DD, Enrollments, Authorization, Waiting List Protocol, Intellectual and Developmental Disabilities, I/DD, One-Time Appropriations | |
| OM 24-037 | Remote Support Services | 8/2/2024 | Home and Community-Based Services (HCBS) Members, Case Management Agencies, HCBS Provider Agencies, Advocates, and Stakeholders | HCBS, Benefits and Services, Remote Supports, Personal Care, Homemaker, Activities of Daily Living, Telehealth, Assistive Technology, Enabling Technology, Virtual Supports, Electronic Visit Verification, Telehealth | None |
| OM 24-036 | Health, Safety, and Welfare Roles and Responsibilities for Case Management Agencies, Provider Agencies, and Human Rights Committees | 7/29/2024 | Home and Community-Based Services (HCBS) Waiver Members, Provider Agencies, Stakeholders, Case Management Agencies, Human Rights Committees | Human Rights Committee, HRC, Case Management Agency, CMA, Provider Agency, Stakeholders, Behavioral Services, Rights Modifications, Psychotropich Medications, Informed Consent, Investigation, Administrative Review, State Administrative Review | None |
| OM 24-035 | Long-Term Care Level of Care Streamline Process | 7/17/2024 | Long-Term Care Medicaid Eligibility Staff, Supervisors, and Outside Agencies | Long-Term Care, LTC, Level of Care, LOC, PEAKPro, LTSS Streamline | None |
| OM 24-034 | Waiting List, Developmental Disabilities (DD) Waiver Enrollment Requirements, and Reserved Capacity Enrollment Reminders | 7/16/2024 | Case Management Agencies, Case Managers | Developmental Disabilities (DD) Waiver, DD, Home and Community-Based Services, HCBS, Emergency Enrollments, EER, Level of Care, LOC, Professional Medical Information Page, PMIP, Criteria | None |
| OM 24-033 | Home and Community-Based Services (HCBS) 2024 Direct Care Worker Base Wage Attestation | 7/3/2024 | HCBS Waiver Providers | Benefits and Services, Home and Community-Based Services, HCBS, CHRP, Adult Day, Day Habilitation, SCC, CDASS, NMT, Supported Employment, Homemaker, Host Home, GRSS, Group Home, Foster Care Home, IHSS, IRSS, Mentorship, Prevocational Services, Respite Care, Base Wage Attestation, Base Wage | DCW Base Wage - Frequently Asked Questions |
| OM 24-032 | Home and Community-Based Services (HCBS) Base Wage and Rate Increase and Compliance Process 2024 | 7/3/2024 | HCBS Waiver 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, Case Wage Attestation, Base Wage Reporting, Base Wage Compliance | None |
| OM 24-031 | Wellness Education Benefit: Service Information for Case Managers | 6/27/2024 | CHCBS Case Managers & Case Management Agencies | Children's Home and Community Based Services (CHCBS), Waiver Members, CHCBS Case Managers, Case Management Agencies (CMAs), Benefits, 1915 (c) Waivers | |
| OM 24-030 | Case Management Billing Change for Children's Home and Community Based Service Waiver | 6/27/2024 | Case Management Agencies | Children's Home and Community Based Services, CHCBS, Targeted Case Management, TCM, Case Management Redesign, CMRD | None |
| OM 24-029 | FY 2024-25 HCPF County Administration Allocations | 6/27/2024 | County Departments of Human/Social Services | FY 24-25, County Administration, Allocations | FY 2024-25 HCPF County Administration County Allocations |
| OM 24-028 | FY 2024-25 HCPF County Administration Public Health Emergency (PHE) Allocation and Funding Guidance | 6/26/2024 | County Departments of Human/Social Services | Funding, PHE, Staff, Public Health Emergency, Allocation | FY 2024-25 HCPF Public Health Emergency County Administration Allocations |
| OM 24-027 | 2024 Minimum Monthly Maintenance Needs Allowance (MMMNA) | 6/18/2024 | County Departments of Human/Social Services, Eligibility Sites, EAP Sites | Minimum Monthly Maintenance Needs Allowance, MMMNA, Monthly Income Allowance, MIA, Spousal Allowance, Shelter Allowance, Long Term Care, LTC | None |
| OM 24-026 | Long Term Care Level of Care Streamline Process | 6/17/2024 | Long-Term Care Medicaid Eligibility Staff, Supervisors, and Outside Agencies | Long-Term Care, LTC, Level of Care, LOC, PEAKPro, LTSS Streamline | Communication Form |
| OM 24-025 | Implementation of the FY 2023-24 Performance Compliance Incentive | 6/17/2024 | County Departments of Human/Social Services | MAP Dashboard Measures, Performance, Targets, Management Decision Letter, Informal Action Plan, Corrective Action Plan, Incentives | None |
| OM 24-024 (superseded by HCPF OM 24-064) | Implementation of the FY 2023-24 County Incentives Program Customer Service Incentive | 6/17/2024 | County Departments of Human/Social Service | County Incentives, Customer Service, Incentive, Call Center, Survey, Tier | Customer Service Tier - All Counties Tier 1 Monthly Required Data Elements for Call Center Reporting Tier 1 ASA Benchmark Setting Required Data Elements Status Report Template for Customer Service Plans for Tier 2A and 2B Average Speed to Answer (ASA) Targets for Tier 1 FY 23-24 |
| OM 24-023 | Support Level Bridge System Enhancement | 6/12/2024 | Case Management Agencies, Community Center Boards | Risk Factor, Public Safety Risk, Extreme Risk to Self, Support Intensity Scale, SIS, HCBS-DD, HCBS-SLS, Support Level, Support Level Mismatch, PAR Authorization, Support Level E | Risk Factor Training - May 2024 |
| OM 24-022 | Group In-Reach in Nursing Facilities | 5/29/2024 | Area Agencies on Aging (AAA) and Aging and Disability Resource Centers (ADRC) | Group In-Reach, In-Reach Counselor, Nursing Facilities, Area Agencies on Aging (AAA) and Aging and Disability Resource Centers (ADRC), Transition Coordination, Informed Choice, Long-Term Care Medicaid Members, Community Based Services | None |
| OM 24-021 (superseded by OM 24-032) | Home and Community-Based Services (HCBS) Base Wage Rate Increase and Compliance Process 2024 | 5/29/2024 | HCPF Waiver 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, Base Wage Attestation, Base Wage Reporting, Base Wage Compliance | None |
| OM 24-020 | Denver Minimum Wage Billing Guidance for Home and Community-Based Services (HCBS) | 5/29/2024 | Providers, Case Managers, Members, Advocates | Denver Minimum Wage Billing, Guidance, HCBS, Provider Agencies, Case Management Agencies, CMAs, Denver County Pricing | None |
| OM 24-019 | FY 2023-24 Accuracy Incentive | 5/29/2024 | County Departments of Human/Social Services | Accuracy, Incentives Program, Quality Assurance, MAP Dashboard Measures, Performance, Targets | None |
| OM 24-018 | Administration of Medical Assistance Desk Review | 5/21/2024 | County Departments of Human/Social Services & Eligibility Sites | Oversight, Desk Review, Eligibility Site, County, Management Decision, Action Plan, Sanctions, Fiscal, Administrative, Performance, Compliance, Noncompliance | None |
| OM 24-017 | Personnel Screening Requirements for Eligibility Staff | 05/21/2024 | County Departments of Human/Social Services & Eligibility Sites | Background Check, Personnel Screening, Hiring, Eligibility Staff, CBMS Access | Personnel Screening for Staff for CBMS Access Internal Controls Template |
| OM 24-016 | Buy-In Programs Monthly Premiums Waiver Extension | 04/24/2024 | Eligibility Site Staff | Medical Assistance, Monthly Premiums, Buy-In, Waiver, Extension | None |
| OM 24-015 | Compliance Guidance on Offering Gifts and Other Inducements to Beneficiaries | 04/24/2024 | Medicaid Providers | Prohibition of Gifts, Inducements, Medicaid Members, Provider Fraud, Public Benefits Theft, Criminal Prosecution | |
| OM 24-014 | Children’s Extensive Support (CES) Waiver and Children’s Habilitation Residential Program (CHRP) Waiver Respite Service Delivery Option Expansion | 04/15/2024 | Members, Case Management Agencies, Respite Providers, Stakeholders | CES, CHRP, Respite, Skilled Respite, Unskilled Respite, RN, CNA, Therapeutic Respite | None |
| OM 24-013 | Continuous Coverage Unwind and Member Communications: RAE/MCO Reporting Requirements | 04/11/2024 | Regional Accountable Entities (RAEs), Managed Care Organizations (MCOs), Stakeholders | COVID-19, Member Outreach, public health emergency (PHE), Continuous Coverage Requirement | None |
| OM 24-012 | Professional Medical Information Page Signature Date in Care and Case Management | 04/09/2024 | Community Centered Board, Single Entry Point, Case Management Agencies | Home and Community-Based Services, HCBS, PMIP; Professional Medical Information Page; CCM, Care and Case Management; Program Record, Program Card, Long Term Care Assessment Information, Member Record, LOC Assessment, Level of Care, ULTC 100.2 | None |
| OM 24-011 | Community Centered Board Designation | 04/03/2024 | Case Management, Community Centered Board Stakeholders | Case Management, Conflict-Free Case Management, Community Centered Board, CCB, CMRD, CFCM | None |
| OM 24-010 | Health First Colorado Buy-in for working adults with disabilities 2024 income chart and premium guide | 04/03/2024 | Eligibility Sites, Eligibility Technicians and Supervisors, County Departments of Human/Social Services | Medicaid, buy-in, working adults, disabilities, WAwD, 2024, FPL, income, premium | None |
| OM 24-009 | Health First Colorado Children with disabilities buy-in 2024 income chart and premium guide | 04/03/2024 | Eligibility Sites, Eligibility Technicians and Supervisors, County Departments of Human/Social Services | buy-in, premiums, monthly, children, income, FPL, 2024, disabilities | None |
| OM 24-008 | Temporary Case Management Policy Change to Support Case Management Operations | 03/26/2024 | Case Management Agencies | Case Management Agency, CMA, Case Management, CM, Home and Community Based Services, HCBS, Level of Care Assessment | None |
| OM 24-007 | Medical Assistance Reapply function versus Rescinding | 03/26/2024 | Eligibility Sites | Eligibility, Intake, Renewal, Application, CBMS, Eligibility Workers | None |
| OM 24-006 | 2024 Federal Poverty Level Guidelines | 02/27/2024 | County Departments of Human/Social Services, Eligibility Sites, and EAP Sites | 2024 Federal Poverty Level Guidelines; Income Limits | |
| OM 24-005 | Limited Authorized Representatives for Signing Applications or Renewals | 02/21/2024 | Eligibility Sites, County Departments of Human/Social Service, Medical Assistance (MA) Sites, and Eligibility Application Partners (EAP) | Telephonic, Signature, Voice, Verbal, Attestation, Recording, Application, Renewal, Non-Magi, MAGI, CHP+, Authorized Representative | |
| OM 24-004 | Long-Term Care Level of Care Streamline Process | 02/16/2024 | Long-Term Care Medicaid eligibility staff, supervisors, and outside agencies | Long-Term Care, LTC, Level of Care, LOC, PEAKPro, LTSS Streamline | Communication Form |
| OM 24-003 | Medical Assistance - Medicare Savings Program and Low-Income Subsidy | 02/14/2024 | Eligibility Sites, Eligibility Technicians and Supervisors, County Departments of Human/Social Services | 2024 INCOME LIMITS, FPL, MEDICARE SAVINGS PROGRAM, LOW-INCOME SUBSIDY, QMB, SLMB, LIS, QI-1, MSP, QDWI | None |
| OM 24-002 | Launch of Streamline Eligibility & PEAKPro | 01/08/2024 | Case Management Agencies | Case Management, PEAKPro, Streamlined Eligibility | None |
| OM 24-001 | Provider Enrollment Process Change: All HCBS Providers Who Require Licensure and/or Certification from CDPHE | 01/05/2024 | Home and Community-Based Services (HCBS) providers, Case Management Agencies (CMAs), Community Centered Boards (CCBs) Transition Coordination Agencies (TCAs) | Home and Community-Based Services, HCBS, Waivers, CDPHE, Certification, C&T, Program Approved Service Agencies, PASA, Alternative Care Facilities, ACF, Supported Living Program, SLP, Transitional Living Program, TLP, In-Home Support Services, IHSS, Case Management Agencies, CMAs, Transition Coordination Agencies, TCAs, Long Term Services and Supports, LTSS, Provider Enrollment, Enrollment, Change of Ownership, CHOW, Change of Address, Requirement, Changes, Provider Specialty | None |
2024 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 24-035 | Update on Long Term Care and Buy-In Eligibility Extension | 12/17/2024 | Members, Case Management Agencies (CMAs), Advocates and Stakeholders | Long-Term Care, LTC, Eligibility, Level of Care, LOC, Long-Term Services and Supports, LTSS, LTSS Stabilization, Working Adults with Disability, WAwD, Children with Disability Buy-In, CBwD | None |
| IM 24-034 | Supports Intensity Scale (SIS) Complaint Process Overview | 12/17/2024 | Case Management Agencies | Appeals, Assessment, Complaints, Disputes, HCBS-DD, HCBS-SLS, NOA, Notice of Action, SIS, SIS-A, Supports Intensity Scale, Support Level | Health First Colorado and Child Health Plan Plus Grievance Form LTSS Case Management Forms and Tools - SIS |
| IM 24-033 | Potential ARPA HCBS Direct Provider Payment | 11/26/2024 | Home and Community-Based Services (HCBS) Providers | Home and Community-Based Services, HCBS, Provider Payment, American Rescue Plan Act (ARPA) | None |
| IM 24-032 | N/A | N/A | N/A | N/A | N/A |
| IM 24-031 | 2025 Rooms and Board and Personal Needs Allowance Changes | 11/26/2024 | Case Managers, Members, Provider Agencies, and Providers | Cost-of-Living Adjustment, Personal Needs Allowance, PNA, Room and Board, SSI, Social Security Income, CHRP Habilitation | None |
| IM 24-030 | Billing for Targeted Case Management: Potential Direct Agency Payment for HCBS Case Management Agencies | 11/26/2024 | Case Management Agencies | Home and Community Based Services, HCBS, Case Management Agencies (CMAs), Provider Payment, Retroactive Rate Increase, Targeted Case Management (TCM), American Rescue Plan Act (ARPA) | None |
| IM 24-029 | Transition Coordination Performance Quality and Review | 11/21/2024 | Transition Coordination Agencies | Targeted Case Management - Transition Coordination, Transition Coordination, Service Provision Performance and Quality, State Regulation Compliance | None |
| IM 24-028 | New Local Contact Agency Referral Process | 10/22/2024 | Nursing Facility Staff, PASRR Level 2 Assessors, Local Contact Agency, Transition Coordination Agency, Ombudsmen, Community Stakeholders | Community Living Education, Transition Services, Transition Coordination Agency, Nursing Facility Transitions | None |
| IM 24-027 | At-Risk Diversion | 10/21/2024 | Home and Community-Based Services (HCBS) Members, Case Management Agencies, Advocates, and Stakeholders | At-Risk Diversion, At-Risk Members, Case Management Agencies (CMA), Case Manager, Home and Community-Based Services (HCBS, Health Care Policy & Financing HCPF), Initiatives, Targeted Case Management-Transition Coordination (TCM-TC) Diversion Services, Housing Support | None |
| IM 24-026 | 2024 National Core Indicators - State of the Workforce Survey - Aging and Disabilities | 9/27/2024 | Aging and Disables HCBS Provider Agencies, Long Term Home Health Agencies, Direct Care Workers, and Case Management Agencies | National Core Indicators, Survey, State of the Workforce, Home and Community-Based Services (HCBS) Provider Agencies, Long Term Home Health Agencies | 2022 State of the Workforce - Aging and Disabled Survey Report |
| IM 24-025 | Update on Office of Community Living Priority Projects | 9/27/2024 | Members, Providers, Families, and Case Management Agencies | Community First Choice (CFC), Person-Centered Budget Algorithm (PCBA), Case Management, Home and Community-Based Services, HCBS | None |
| IM 24-024 | 2024 National Care Indicator (NCI) Survey Announcement | 9/19/2024 | Long-Term Services and Supports (LTSS) Members, Families, Case Managers, Case Management Agencies, Providers & Advocates | HCBS Waiver, National Core Indicators, Development Disabilities Waiver, Supported Living Services Waiver, Intellectual and Developmental Disabilities, Agings & Disabled, Brain Injury Waiver, Complementary and Integrative Health Waiver, Elderly, Blind, and Disabled Waiver, Community Mental Health Supports Waiver | None |
| IM 24-023 | Children’s Habilitation Residential Program (CHRP) Waiver Wraparound Service and Child and Youth Mentorship Procedure Code Changes | 9/13/2024 | Case Management Agencies, CHRP Approved Provider Agencies | Wraparound Services, Wraparound Plan, Prevention and Monitoring, Child and Youth Mentorship, Transition Supports, Intensive Supports, CHRP, Prior Authorization Request (PAR), Procedure Codes, Home and Community Based Services (HCBS), Case Management Agencies, HCBS Provider Agencies | None |
| IM 24-022 | Claim Holds for Home and Community-Based Services (HCBS) Providers Who Haven’t Submitted The 2023 Base Wage Attestation Form | 9/11/2204 | HCBS Waiver Providers | Home and Community-Based Services, HCBS, Base Wage, Wage Attestation, Wage Reporting, Wage Compliance | |
| IM 24-021 | End of Funding for Senate Bill 18-145 (SB18-145) Reimbursement of Nationally Recognized Supported Employment Training | 8/14/2024 | Case Management Agencies, Current and Potential Supported Employment Providers, Members, Families, Advocates, and Stakeholders | Supported Employment, Nationally Recognized Employment Training, Senate Bill 18-145 (SB18-145) | None |
| IM 24-020 | Home and Community-Based Services (HCBS) 2024 Base Wage Compliance Reminder | 8/7/2024 | HCBS Waiver Providers | Home and Community-Based Services, HCBS, Base Wage, Wage Attestation, Wage Reporting, Wage Compliance | None |
| IM 24-019 | Public Notice for Fall 2024 1915(c) Wavier Amendments | 7/29/2024 | HCBS Waiver Members, Providers, and Stakeholders | Public Notice, Waiver, Amendment, HCBS, Home and Community-Based Services, BI, CES, CHCBS, CIH, CHRP, CLLI, CMHS, EBD, SLS, DD, The Center for Medicare & Medicaid Services, CMS | None |
| IM 24-018 | Individual Service and Support Plans (ISSP) and Individual Behavioral Service and Support Plans (IBSSP) Documentation Changes | 7/24/2024 | Provider Agencies, Case Management Agencies (CMA) | Individual Services and Supports Plan (ISSP), Individual Behavioral Services and Support Plan (IBSSP), Person-Centered Support Plan, Case Management Agencies (CMA), Provider Agencies, Service Plan | None |
| IM 24-017 | Long-Term Services and Supports (LTSS) Over Cost Containment Threshold Changes | 7/17/2024 | Members, Case Management Agencies (CMAs), Providers, Stakeholders | Long-Term Services and Supports, LTSS, Home and Community-Based Services, HCBS, Over Cost Containment, OCC, Elderly, Blind, and Disabled (EBD), Brain Injury (BI), Community Mental Health Supports (CMHS), Complementary and Integrative Health (CIH) | None |
| IM 24-016 | Home and Community-Based Services (HCBS) Waiver Hippotherapy Service Prior Authorization Requests (PARS) and Transition to State Plan Benefit | 7/3/2024 | HCBS Waiver Participants & Families, Advocacy Agencies, Regional Accountable Entity, Case Management Agencies, Case Managers, HCBS Providers | Hippotherapy, Prior Authorization Requests, PARS, Home and Community-Based Services, HCBS, Case Management Agencies, CMAs, Supported Living Services (SLS) Waiver, Children's Extensive Supports (CES) Waiver, Children's Habilitation Residential Program (CHRP) Waiver, State Plan Benefits | None |
| IM 24-015 | Spring 2024 1915 (c) HCBS Waiver Amendments and Renewals Approval from the Centers for Medicare & Medicaid Services (CMS) | 6/27/2024 | HCBS Waiver Members, Providers & Stakeholders | Waiver, Amendment, Renewal, HCBS, Home and Community Based Services, BI, CES, CHCBS, CHRP, CMHS, CIH, EBD, SLS, DD, CCLI, The Center for Medicare & Medicaid Services, CMS | None |
| IM 24-014 | PACE Participant Visit Report | 6/27/2024 | PACE Organizations | PACE, Visit Report, Regulations, Extension | None |
| IM 24-013 | Support Level Review Auto Extension | 6/18/2024 | Case Management Agencies (CMA) | Supported Living Services (SLS), Developmental Disabilities (DD), Home and Community-Based Services (HCBS), Support Level Review (SLR), Supports Intensity Scale (SIS), Support Level (SL), Extension, Waivers, Case Management Agency (CMA), Interdisciplinary Team (IDT) | |
| IM 24-012 | Organized Health Care Delivery System (OHCDS) Updates for Case Management | 6/12/2024 | Case Management Agencies (CMA), Program Approved Service Agencies (PASA) | Home and Community-Based Services, HCBS, Case Management Agency, CMA, Program Approved Service Agency, PASA, Organized Health Care Delivery System, OHCDS, Non-Medical Transportation, NMT, Caregiver Education, Children's Case Management, Hippotherapy | None |
| IM 24-011 | July 1, 2024 Consumer-Directed Attendant Support Services (CDASS) Rate Increase | 5/23/2024 | Case Managers & Case Management Agencies (CMAs) | Case Managers, Case Management Agencies, Home and Community Based Services, HCBS, CDASS, Consumer Directed Attendant Support Services, Rate Increase | None |
| IM 24-010 | FY 2024-25 County Grant Program | 04/25/2024 | County Departments of Human/Social Services | FY 2024-25, County Grants, Grant Program, Grant Funding | |
| IM 24-009 | National Core Indicator – State of the Workforce Survey | 04/11/2024 | Intellectual and Developmental Disability (IDD) Service Providers, PASAs, Long-Term Home Health Agencies, Case Management Agencies | National Core Indicators, Survey, State of the Workforce, Program Approved Service Agencies, Long-Term Home health Agencies, Direct Service Providers | None |
| IM 24-008 | HCPF Submits Amendment to 1115 SUD Waiver | 04/01/2024 | Stakeholders | 1115 Waiver, Continuous Eligibility, IMD, SMI, SED, Re-Entry Services | None |
| IM 24-007 | Minimum Data Set (MDS) Section S and Q Administration | 03/06/2024 | Nursing Facility, Transition Coordination agencies, Options Counseling agencies | MDS, Section Q, Options Counseling, Resident Rights | None |
| IM 24-006 | County PHE Retention Targeted Grant Funding Announcement | 02/01/2024 | County Departments of Human/Social Services | SFY 24, County Grants, Grant Program, Grant Funding, Public Health Emergency, PHE | None |
| IM 24-005 | Public Notice for Spring 2024 1915(c) Waiver Amendments and Renewals | 01/31/2024 | HCBS Waiver Members, Providers & Stakeholders | Public Notice, Waiver, Amendment, Renewal, HCBS, Home and Community-Based Services, BI, CES, CHCBS, CHRP, CMHS, CIH, EBD, SLS, DD, CLLI, The Center for Medicare & Medicaid Services, CMS | None |
| IM 24-004 | Colorado Department of Public Health and Environment (CDPHE) Transition to New Rules and Regulations | 01/30/2024 | Case Management Agencies (CMA), Home and Community-Based Services (HCBS) waiver members, Provider Agencies | Case Management Agencies (CMA), Home and Community-Based Services (HCBS) waivers, Program Approved Service Agencies (PASA), Department of Public Health and Environment (CDPHE), Case Management Redesign (CMRD) | None |
| IM 24-003 | Participant-Directed Programs 2023-2024 Request for Proposal Awarded Contractors | 01/19/2024 | CDASS and IHSS Stakeholders, Case Management Agencies, Financial Management Services (FMS) Contractors, HCPF Staff | Participant Direction, CDASS, IHSS, Request for Proposal, RFP, Solicitation, Training & Support | None |
| IM 24-002 | Claim Holds for Home and Community-Based Services (HCBS) Providers Who Haven’t Submitted The 2023 Base Wage Attestation Form | 01/08/2024 | HCBS waiver providers | Home and Community-Based Services, HCBS, Base Wage, Wage Attestation, Wage Reporting, Wage Compliance | Direct Care Worker Wage Attestation Form- June 2023 |
| IM 24-001 | 2023 Fall 1915(c) HCBS Waiver Amendments Approval | 01/04/2024 | HCBS Waiver Members, Providers, Stakeholders, Case Management Agencies | Home and Community-Based Services (HCBS), Waiver Amendment, 1915(c) Waivers, Fall, BI, CES, CHCBS, CHRP, CIH, CMHS, DD, EBD, SLS, Approval, The Centers for Medicare & Medicaid Services (CMS) | None |