2025 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 Number | Memo Title | Issue Date | Audience | Topic | Subtopic | Keywords | Expiration Date | Attachment(s) |
|---|---|---|---|---|---|---|---|---|
| PM 25-001 | Upcoming Licensure Requirement for Personal Care Service Providers Under Community First Choice | 2/6/2025 | Home and Community-Based Services (HCBS), SLS Waiver Personal Care Providers, SLS Waiver Members, Case Management Agencies (CMAs) | HCBS | Provider Guidance | 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 | 2/6/2028 |
|
2025 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 Number | Memo Title | Issue Date | Audience | Topic | Subtopic | Keywords | Expiration Date | Attachment(s) |
|---|---|---|---|---|---|---|---|---|
| OM 25-029 | HCBS Provider Contact Information Update for 2025 Base Wage Reporting Compliance | 5/15/2025 | HCBS Waiver Providers | Accurate Provider Contact Information in Provider Web Portal | HCBS | Benefits & Services, Home and Community-Based Services, HCBS, Provider Web Portal, Base Wage Reporting, Base Wage Compliance | 5/11/2026 | None |
| OM 25-028 | Member Eligibility Verification Requirements for Non-Emergent Medical Transportation (NEMT) Providers | 5/14/2025 | NEMT Providers Outside of the Transdev Broker Network | Benefit Eligibility Process | NEMT | NEMT, Non-Emergent Medical Transportation, Eligibility, Member Verification, Coverage Verification, HIPAA Compliance | 5/9/2027 | None |
| OM 25-027 | Notice of Action Requirements for Case Management Agencies | 5/2/2025 | Case Management Agencies | Notice of Action | Case Management | 803, Denial, Discontinuation, Notice of Action, Eligibility, LTC NOA, Long-Term Care Notice of Action, Case Management Agencies, CMA | 5/2/2027 | |
| OM 25-026 | Community First Choice (CFC) Program Implementation | 4/30/2025 | Case Managers, Case Management Agencies, Providers, Health First Colorado Members, HCBS Waiver Members | LTSS | Community First Choice Implementation | Home and Community-Based Services (HCBS), Community First Choice (CFC), Long-Term Care (LTC), Long-Term Services and Supports (LTSS), Case Management Agencies (CMAs), Providers | 5/1/2027 | None |
| OM 25-025 | Intake Referral and Enrollment Processes for Case Management Agencies | 4/25/2025 | Case Management Agencies (CMAs) | Intake Referral and Enrollment | Case Management | Certification Periods, CIST, Colorado Intake Screening Tool, Eligibility, Enrollment, Intake, Level of Care, LOC, Referral, Screening, Stabilization, Timelines | April 1, 2027 | None |
| OM 25-024 | Children with Complex Health Needs (CwCHN): New children’s waiver combining the Children’s Home and Community-Based Services (CHCBS) and Children’s Life Limiting Illness (CLLI) waivers | 4/25/2025 | Case Managers, Case Management Agencies (CMAs), Providers | HCBS | HCBS-Multiple | Children's Home and Community-Based Services (CHCBS) Waiver, Children’s Life Limiting Illness (CLLI) Waiver, Case Managers, Case Management Agency (CMAs) | July 1, 2027 | Community First Choice (CFC) Program Implementation Operational Memo Long-Term Services and Support Training Webpage Children with Complex Health Needs Waiver Attestation Form Case Manager Decision Tree for HCBS-CwCHN Level of Care and Targeting Criteria |
| OM 25-023 | Educated Choice in Community Transitions | 4/25/2025 | Transition Coordinators, Transition Coordination Agencies | HCBS | Provider Guidance | Educated Choice, Member Choice, Transitions, Transition Coordinator, Transition Coordination Agency, Department of Justice Findings | April 30, 2027 | Transitions Options Form How to Submit an Escalation Sheet Salesforce Webform |
| OM 25-022 | Individual In-Reach Process for SNF's | 4/18/2025 | Skilled Nursing Facility Social Worker, Social Services Director, and Nursing Home Administrator | Transition Services | Implementation | Individual In-Reach, Options Counseling, Local Contact Agencies (LCA), Community Transitions, Home and Community-Based Services (HCBS), Long-Term Support Services (LTSS), Targeted Case Management - Transition Coordination (TCM-TC), Transition Services, Skilled Nursing Facility (SNF) | 3/1/2027 | None |
| OM 25-021 | MFP Transition Services Referral Form and MFP Rental Assistance | 4/17/2025 | Transition Coordination Agencies and Options Counseling Agencies | Transition Services | Administrative Policy | Transition Services, Transition Coordination, Options Counseling, In-reach counseling, Money Follows the Person, Transition Referral | 7/1/2026 | None |
| OM 25-020 | Closeout Plan for Utilization Review/Utilization Management (UR/UM) Activities for Home and Community Based Services | 3/28/2025 | Case Managers, Case Management Agencies (CMAs) | Long Term Care | Case Management | Utilization Review (UR), Utilization Management (UM), Case Management Agency, CMA, Pre-Admission Screening and Resident Reviews, PASRR, Children’s Home and Community-Based Services, CHCBS, Over Cost Containment, OCC, Participant-Directed Programs, Consumer-Directed Attendant Support Services, CDASS, In-Home Support Services, IHSS, Health Maintenance Activities, HMA, Telligen | 6/30/2026 | None |
| OM 25-019 | Children’s Habilitation Residential Program (CHRP) Waiver Eligibility Expansion | 3/27/2025 | Case Management Agencies (CMAs), CHRP Approved Provider Agencies, Members, Families | HCBS-CHRP | CHRP Eligibility HB 24-1038 High-Acuity Crisis for Children and Youth | Colorado Regulation Change, Eligibility, Serious Emotional Disturbance (SED) Definition, Expansion, HB 24-1038, Home and Community-Based Services (HCBS), Case Management Agencies (CMA), HCBS Provider Agencies | 1/1/2027 | None |
| OM 25-018 | Manual Ex-Parte - Use of CDHS Renewal Packet or Reported Changes for Medical Assistance Renewal Packet | 3/20/2025 | Eligibility Staff & Supervisors | Eligibility Process | Implementation | Ex Parte, CDHS Renewal, Medical Assistance Renewal | 4/1/2027 | None |
| OM 25-017 | Individual In-Reach | 3/20/2025 | Local Contact Agencies, Aging and Disability Resource Centers (ADRC), Skilled Nursing Facility Members, Advocates, Case Management Agencies (CMAs), and Stakeholders | Transition Services | Implementation | Individual In-Reach, Options Counseling, Local Contact Agencies (LCA), Home and Community-Based Services (HCBS), Targeted Case Management - Transition Coordination (TCM-TC), Transition Services, Skilled Nursing Facility (SNF) | 06/30/2026 | None |
| OM 25-016 | Decommission of Supports Intensity Scale Assessment and Implementation of Interim Support Level Assessment | 3/20/2025 | Case Management Agencies | Support Level Assessment | Case Management | Developmental Disabilities, HCBS, HCBS-DD, HCBS-SLS, Home and Community-Based Services, IDD, Intellectual Disabilities, Interim Support Level Assessment, ISLA, SIS-A, Supported Living Services, Supports Intensity Scale Assessment, Support Level, Waiver | 4/1/2027 | None |
| OM 25-015 | Long-Term Care Buy-In Eligibility Extension | 3/10/2025 | Eligibility Sites | Eligibility Policy | Implementation | Long-Term Care, LTC, Level of Care, LOC, PEAKPro, LTSS Streamline, Working Adults with Disability, WAwD, Children with Disability Buy-In, CBwD | 1/1/2027 | None |
| OM 25-014 | Continuous Eligibility Updates for Children Under 19 | 3/10/2025 | County Departments of Human/Social Services, Medical Assistance (MA) Site Staff, and Eligibility Application Partners (EAP) | Eligibility Policy | Administrative Policy | Continuous Eligibility, Medicaid, CHP+, Limited Family Planning, 12 Months, Agency Error, Fraud or Abuse, Marketplace, Withdraw, Noticing, Incarceration, Reasonable Opportunity Period, No Fault Period | 3/1/2027 | Continuous Eligibility FAQ |
| OM 25-013 | 2025 Increase to Income Limits-Medicare Savings Programs and Low-Income Subsidy | 3/10/2025 | Eligibility Sites, Eligibility Technicians and Supervisors, County Departments of Human/Social Services | Eligibility Policy | Income & Resource Eligibility | 2025, Increase, Resource Limits, Medicare Savings Programs, Qualified Medicare Beneficiaries, Specified Low-Income Beneficiaries, Qualified Individuals-1, Qualified Disabled and Working Individuals, Low Income Subsidy | 4/1/2026 | None |
| OM 25-012 | Health First Colorado Buy-In for Working Adults with Disabilities 2025 Income Chart and Premium Guide | 3/10/2025 | Eligibility Site Staff | Eligibility Policy | Income & Resource Eligibility | Medicaid, Buy-In, Working, Adults, Disabilities, WAwD, 2025, FPL, Income, Premium | 4/1/2026 | None |
| OM 25-011 | Health First Colorado Children with Disabilities Buy-In 2025 Income Chart and Premium Guide | 3/10/2025 | County Departments of Human/Social Services, Medical Assistance (MA) Sites and Eligibility Application Partner (EAP) Sites | Eligibility Policy | Income & Resource Eligibility | Medicaid, Buy-In, Children, Disabilities, CBwD, 2025, FPL, Income, Premiums | 4/1/2026 | None |
| OM 25-010 | 2025 Federal Poverty Level Guidelines | 3/10/2025 | County Departments of Human/Social Services, Medical Assistance (MA) Sites and Eligibility Application Partners (EAP) | Eligibility Policy | Income Standards | 2025 Federal Poverty Level Guidelines, Income Limits | 4/1/2027 | |
| OM 25-009 | Record Requirements for Provider Audits | 2/20/2025 | Home and Community-Based Services (HCBS), Long-Term Services and Supports (LTSS), Program Approved Service Agencies (PASA) | Long Term Care | Provider Guidance | Audit, Home and Community-Based Services (HCBS), Long-Term Services and Supports (LTSS), Provider Agencies (PASA), Documentation | 2/21/2027 | None |
| OM 25-008 | Revised Electronic Visit Verification (EVV) Exemption Process | 2/20/2025 | Billing Providers, Caregivers, and Members | EVV | Provider Guidance | Electronic Visit Verification (EVV), EVV Exemption, Live-in Caregiver, and Extenuating Circumstances, Reasonable Modifications under the American with Disabilities Act (ADA), ADA Reasonable Modifications | 1/22/2027 | Electronic Visit Verification Attestation of Exemption Form Electronic Visit Verification (EVV) Attestation of Understanding Form |
| OM 25-007 | Monitoring Contacts in the Home and Community-Based Services Program | 2/6/2025 | Case Management Agencies | Case Management Monitoring Contacts | HCBS | HCBS, Home and Community-Based Services, Monitoring Contact, Targeted Case Management, TCM, QM, Quarterly Monitoring | 2/6/2027 | HCBS Settings Final Rule Ongoing Monitoring Guide |
| OM 25-006 | Acute Home Health Services-60 Calendar Days Guidance | 1/29/2025 | Home Health Providers | Benefits | Provider Guidance | Acute Home Health, Acute Episodes, Home Health | 1/1/2026 | None |
| OM 25-005 | Home and Community-Based Services Developmental Disabilities Youth Transitions Reserved Capacity Enrollment Requirements | 1/21/2025 | Case Management Agencies, Home and Community-Based Children's Extensive Support Members, Home and Community-Based Children's Habilitation Residential Program Members and Stakeholders | HCBS-DD Enrollments | Case Management | CES, Children's Extensive Supports, Children's Habilitative Residential Program, CHRP, DD, Deinstitutionalization, Developmental Disabilities Waiver, DI, EER, Eligibility, Emergency Enrollment, Home and Community-Based Services, HCBS, Reserved Capacity, Waitlist, Youth Transition | 1/10/2027 | HCBS Adult Waivers Comparison Chart |
| OM 25-004 | Supports Intensity Scale (SIS-A) Complaint Process Updates and AAIDD Copyright Policies | 1/21/2025 | Case Management Agencies | Case Management | SIS Assessments | SIS, SIS-A, Supports Intensity Scale, Assessment, Support Level, SL, Complaints, Disputes, Appeals, HCBS-DD, HCBS-SLS, Grievance, Notice of Action, NOA | 12/1/2026 | |
| OM 25-003 | Children's Habilitation Residential Program (CHRP) Waiver Eligibility Expansion | 1/8/2025 | Case Management Agencies, CHRP Approved Provider Agencies, Members, Families | HCBS-CHRP | CHRP Eligibility - HB 24-1038 High Acuity Crisis for Children and Youth | Colorado Regulation Change, Eligibility, Serious Emotional Disturbance (SED) Definition, Expansion, HB 24-1038, Home and Community-Based Services (HCBS), Case Management Agencies (CMA), HCBS Provider Agencies | 1/1/2027 | CHRP SED Attestation Form |
| OM 25-002 | At-Risk Diversion Process | 1/2/2025 | Home and Community-Based Services (HCBS) Members, Case Management Agencies, Advocates, and Stakeholders | Community Living Options, At-Risk Medicaid Members | Home and Community-Based Services | At-Risk Diversion, Case Management Agencies (CMA), Case Manager (CM), Informed Choice, Home and Community-Based Services (HCBS), Case Management Redesign (CMRD), Health Care Policy & Financing (HCPF) Initiatives, Targeted Case Management - Transition Coordination (TCM-TC) Diversion Services, Housing Support | 1/31/2027 | None |
| OM 25-001 | Home and Community-Based Services (HCBS) Billing and Prior Authorization Request (PAR) Updates | 1/2/2025 | Provider Agencies (PASA) & Case Management Agencies (CMA) | HCBS Billing | HCBS | Home and Community-Based Services (HCBS), Prior Authorization Request (PAR), Billing, Procedure Code, Denver Minimum Wage, Denver Minimum Wage Regional Pricing | 1/1/2027 | None |
2025 Informational Memos
Informational Memo - important information for contracted entities, county partners and external stakeholders that is strictly informational and timely.
| Memo Number | Memo Title | Issue Date | Audience | Topic | Subtopic | Keywords | Expiration Date | Attachment(s) |
|---|---|---|---|---|---|---|---|---|
| IM 25-014 | FY 2025-26 County Grant Program | 5/2/2025 | County Departments of Human/Social Services | Competitive Grant Applications & Targeted Grant Letter of Intent | None | FY 2025-26, County Grants, Grant Program, Grant Funding | 6/30/2026 | Data and Metrics Template: FY 2025-26 HCPF County Grant Program
Project Work Plan Template: FY 2025-26 HCPF County Grant Program
Project Budget Template: FY 2025-26 HCPF County Grant Program
|
| IM 25-013 | Member Correspondence Improvements Stakeholder Meeting | 4/2/2025 | Stakeholders | Benefits | Stakeholder Engagement | Member Correspondence, Stakeholder, Input, Notice of Action | 4/18/2025 | None |
| IM 25-012 | American Rescue Plan Act (ARPA) Home and Community-Based Services (HCBS) Direct Provider Payment | 4/2/2025 | HCBS Providers | HCBS | Provider Funding | Home and Community-Based Services, HCBS, Provider Payment, American Rescue Plan Act (ARPA) | 6/30/2025 | None |
| IM 25-011 (superseded by IM 25-012) | American Rescue Plan Act (ARPA) Home and Community-Based Services (HCBS) Direct Provider Payment | 3/20/2025 | HCBS Providers | HCBS | Provider Funding | Home and Community-Based Services, HCBS, Provider Payment, American Rescue Plan Act (ARPA) | 6/30/2025 | None |
| IM 25-010 | Direct Agency Payment for Targeted Case Management | 3/10/2025 | Case Management Agencies (CMAs) | HCBS | Case Management | Home and Community Based Services, HCBS, Case Management Agencies (CMAs), Provider Payment, Retroactive Rate Increase, Targeted Case Management (TCM), American Rescue Plan Act (ARPA) | 4/30/2025 | None |
| IM 25-009 | Adult Long-Term Home Health (LTHH) Prior Authorization Request (PAR) Revisions | 2/20/2025 | Home Health Agencies, Case Management Agencies, Utilization Review Contractor | Benefits | Prior Authorization | Long-Term Home Health (LTHH), Prior Authorization Request (PAR), Home Health Agency (HHA), Case Management Agencies (CMAs) | 2/20/2026 | None |
| IM 25-008 | Record Requirements for Provider Agency Audits | 2/20/2025 | Home and Community-Based Services (HCBS), Long-Term Services and Supports (LTSS), Program Approved Service Agencies (PASA) | Long Term Care | Provider Guidance | Audit, Home and Community-Based Services (HCBS), Long-Term Services and Supports (LTSS), Provider Agencies (PASA), Documentation | 2/21/2026 | None |
| IM 25-007 | Difference Between Mental Health Transitional Living Home Level 1 & 2 | 2/14/2025 | HCBS Providers, Case Managers, Members, Families, Advocates | Mental Health Transitional Living Homes | Mental Health Transitional Living Homes Levels 1 & 2 | Mental Health Transitional Living Homes (MHTL), Behavioral Health, Activities Of Daily Living (ADL), Home and Community-Based Services (HCBS), Serious Mental Illness (SMI), Community Mental Health Supports (CMHS), Diagnostic and Statistical Manual of Mental Disorders (DSM) | 6/30/2025 | |
| IM 25-006 | Rulemaking Invite: County Administration Rules | 2/12/2025 | Providers, Advocates, Members, Stakeholders | County Relations | Stakeholder Engagement | Stakeholder, Rules, Input | 3/21/2025 | None |
| IM 25-005 | Children's Waiver Satisfaction Survey 2025 | 2/6/2025 | Stakeholders | HCBS | Survey | Children's Waiver Satisfaction 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 | 6/30/2025 | None |
| IM 25-004 | National Core Indicators - State of the Workforce Survey - Intellectual and Developmental Disabilities | 2/6/2025 | Intellectual and Developmental Disability (IDD) Service Providers, Home and Community-Based Services (HCBS) Waiver Providers, Long Term Home Health Agencies, Case Management Agencies | Survey | HCBS | Intellectual and Developmental Disabilities, Survey, State of the Workforce, Home and Community-Based Services, Long Term Home Health | 6/30/2025 | |
| IM 25-003 | Public Notice of 1915(c) Waiver Amendments and Renewals | 1/29/2025 | Home and Community-Based Services (HCBS) Waiver Members, Providers, and Stakeholders | HCBS | HCBS-Multiple | Public Notice, Waiver, Amendments, Renewal, HCBS, Home and Community-Based Services, BI, CES, CHCBS, CIH, CLLI, CwCHN, CMHS, EBD, SLS, DD, The Center for Medicare Services, CMS | 2/6/2026 | None |
| IM 25-002 | Supports Intensity Scale (SIS-A) Complaint Process Updates and AAIDD Copyright Policies | 1/21/2025 | Case Management Agencies (CMAs), Members, Legally Authorized Representatives (if applicable) | Case Management | SIS Assessments | SIS, SIS-A, Supports Intensity Scale, Assessment, Support Level, SL, Complaints, Disputes, Appeals, HCBS-DD, HCBS-SLS, Grievance, Notice of Action, NOA | 12/1/2026 | |
| IM 25-001 | Member Correspondence Improvements - January Webinar Announcement | 1/7/2025 | County Departments of Human/Social Services, Members, and other Stakeholders | Health First Colorado | Stakeholder Engagement | Member Correspondence, Member Letters, Communication, Health First Colorado | 1/17/2025 | None |