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 24-002 | 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 24-031 | Wellness Education Benefit: Service Information for Case Managers | 6/27/2024 | CHCBS Case Managers & Case Management Agencies | Children's Home and Community Based Servces (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 Redsign, 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 | 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 |
| 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 | 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 | Special Advisory Bulletin: Offering Gifts and Other Inducements to Beneficiaries
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| 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 | Acknowledgment of Receipt of Verbal Consent to Sign
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| 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 24-015 | 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 | Casse 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 | Data and Metrics Template: FY 2024-25 HCPF County Grant Program
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| 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 |