2025 Memo Series Communication
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 25-005 | Pediatric Behavioral Therapy Policy Clarification | 7/18/2025 | Enrolled Providers | Benefits | Administrative Policy | Billing, Coding, Enrollment, Auditing, Provider Session Notes | 4/15/2028 | None |
| PM 25-004 | Reduction to Refugee Medical Assistance Eligibility Period | 7/15/2025 | Eligibility Sites | Eligibility Policy | Refugee Medical Assistance | Refugee, Medical Assistance, RMA, Eligibility Period | 5/5/2028 | None |
| PM 25-003 | Sunsetting of Remote Assistance and Limited Authorized Representative Flexibilities | 7/9/2025 | Eligibility Sites, County Departments of Human/Social Services, Medical Assistance (MA) Sites, and Eligibility Application Parters (EAP) | Eligibility Policy | Implementation | Telephonic, Signature, Voice, Verbal, Attestation, Recording, Application, Renewal, Non-Magi, MAGI, CHP+, Authorized Representative | 7/1/2028 | None |
| PM 25-002 | Private Duty Nursing Definition Clarification | 6/26/2025 | Home Health Agencies, Utilization Review Contractor, Case Management Agencies, Members, Families, Advocates | Private Duty Nursing | Provider Guidance | Private Duty Nursing (PDN), Skilled Nursing Service, Registered Nurse (RN), Licensed Practical Nurse (LPN) | 6/1/2028 | None |
| 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 |
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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 25-053 | Government Disclosure Memo | 7/18/2025 | County Departments of Human/Social Services, Medical Assistance Sites, Certified Application Assistance Site, Eligibility Application Partners | Administrative Policy | Administrative Policy | Federal Government, Immigration, PHI, PII, HIPAA, Confidentiality, Protected Health Information, Personally Identifiable Information, Health Insurance Portability and Accountability Act | 6/30/2027 | None |
| OM 25-052 | Nurse Assessor and Skilled Care Acuity Assessment Implementation | 7/18/2025 | Members, Home Health Agencies, Case Management Agencies, Advocates | Long Term Care | Implementation | Nurse Assessor, Skilled Care Acuity Assessment, Long-Term Home Health (LTHH), Private Duty Nursing (PDN), Registered Nurse (RN), Licensed Practical Nurse (LPN), Certified Nursing Assistant (CNA), Health Maintenance Activity (HMA), Case Management Agency, CMA), Community First Choice (CFC) | 8/1/2027 | |
| OM 25-051 | ||||||||
| OM 25-050 | Community Connector Service Unit Cap & Parental Provision Code in the Children's Extensive Supports (CES) & Children's Habilitative Residential Program )CHRP) Waiver | 7/15/2025 | Members, Stakeholders, Families, Case Managers, Provider Agencies | HCBS-Multiple | HCBS-Multiple | Community Connector Services, Parental Provision, Children's Extensive Supports (CES), Children's Habilitative Residential Program (CHRP) | 7/1/2027 | None |
| OM 25-049 | HIPAA Requirements for County Departments of Human/Social Services | 7/1/2025 | County Departments of Human/Social Services | Administrative Policy | N/A | PHI, Protected Health Information, PII, Personally Identifiable Information, HIPAA, Health Insurance Portability and Accountability Act, Confidentiality | 6/30/2027 | None |
| OM 25-048 | FY 2025-26 HCPF County Administration Allocations | 7/3/2023 | County Departments of Human/Social Services | County Relations | N/A | FY 25-26, County Administration, Allocations | 6/30/2026 | FY 2025-26 HCPF County Administration County Allocations |
| OM 25-047 | Home and Community-Based Services (HCBS) Base Wage and Rate Increase and Compliance Process 2025 | 7/1/2025 | HCBS Waiver Providers | HCBS Provider Reporting Compliance | N/A | Benefits And Services, Home and Community-Based Services, HCBS, CHRP, Adult Day, Day Habilitation, SCC, CDASS, Supported Employment, Homemaker, Host Home, GRSS, Group Home, Foster Care Home, IHSS, IRSS, Mentorship, Prevocational Services, Respite Care, Base Wage Attestation, Base Wage Reporting, Base Wage Compliance | 6/30/2026 | Direct Care Workforce Base Wage Website |
| OM 25-046 | Long-Term Home Health and Private Duty Nursing Use in Residential Habilitation Settings | 6/26/2025 | Provider Agencies (PASA), Long-Term Home Health (LTHH) Agencies, Members, Stakeholders, Case Management Agencies (CMA), Certified Nursing Assistant (CNA), Private Duty Nursing | Long Term Care | Provider Guidance | Home and Community-Based Services (HCBS), Long-Term Home Health (LTHH), Residential Habilitation Services and Supports (RHSS), Certified Nursing Assistant (CNA), Developmental Disabilities (DD) Waiver, Private Duty Nursing (PDN) | 6/26/2027 | None |
| OM 25-045 | Implementation of the FY 2025-26 County Incentives Program | 6/26/2025 | County Departments of Human/Social Services | County Incentives Program | N/A | County Performance, County Incentives, Accuracy Incentive, Performance Compliance, Customer Service, County Collaboration, Incentive, Call Center, Survey, Tier | 6/30/2025 | Customer Service Tiers - All Counties Customer Service Tier 2 Inbound/Outbound Call Survey Call Center Annual Reporting Data Elements for Tier 1 Counties |
| OM 25-044 | Renewal Guidance for Medical Assistance Programs | 6/26/2025 | Eligibility Workers and Supervisors | Eligibility Policy | Implementation | Renewal, Eligibility, Income, Resources, Verifications, Non-MAGI, MAGI, Child Health Plan Plus | 6/26/2027 | None |
| OM 25-043 | Direct Care Services Calculator | 6/25/2025 | Case Managers, Case Management Agencies, Personal Care Providers, Homemaker Providers, Community First Choice Members, In-Home Support Services (IHSS) Agencies, Consumer Directed Attendant Support Services (CDASS) Members, CDASS Attendants | LTSS | Case Management: Community First Choice | Personal Care, Homemaker, Health Maintenance Activities (HMA), In-Home Support Services (IHSS), Consumer-Directed Attendant Support Services (CDASS), Case Managers, Case Management Agency (CMA), Community First Choice (CFC). | 6/25/2027 | Direct Care Services Calculator - Children |
| OM 25-042 | State Supported Living Services Program (State SLS) and Community First Choice Program (CFC) | 6/24/2025 | Case Managers, Case Management Agencies, Providers, Health First Colorado Members, HCBS Waiver Members | State SLS | Case Management | State Supported Living Services Program (State SLS), Community First Choice (CFC), Long-Term Care (LTC), Home and Community-Based Services (HCBS), Long-Term Services and Supports (LTSS), Case Management Agencies (CMAs), Providers | 7/1/2027 | None |
| OM 25-041 | HCBS Settings Final Rule - Updated Informed Consent for Rights Modification Template | 6/24/2025 | HCBS Case Management Agencies (CMAs) and Provider Agencies | HCBS | HCBS Settings Final Rule | HCBS, HCBS Settings Final Rule, Informed Consent, Rights Modification, HCBS Waivers | 6/24/2030 | None |
| OM 25-040 | Community First Choice (CFC) and HCBS Waiver Rate Alignment | 6/18/2025 | Case Managers, Case Management Agencies (CMAs), Providers, Health First Colorado Members, HCBS Waiver Members | LTSS | CFC and HCBS Waiver Rate Alignment | 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, Rates, Reimbursement | 7/1/2027 | None |
| OM 25-039 | Extraordinary Cleaning Waiver Benefit | 6/17/2025 | Case Management Agencies (CMAs), Provider Agencies, Supported Living Services (SLS), and Children's Extensive Support (CES) Wavier Members | Benefits | HCBS | Extraordinary Cleaning, Homemaker, HCBS, Home and Community-Based Services, Supported Living Services, SLS, Children's Extensive Support, CES | 7/1/2027 | None |
| OM 25-038 | Health, Safety, and Welfare: Roles and Responsibilities for Case Management Agencies, Provider Agencies, and Human Rights Committees | 6/17/2025 | Enrolled in Home and Community-Based Services, Provider Agencies, Stakeholders, Case Management Agencies, Human Rights Committees | Rights & Critical Incidents | Human Rights Committee and Administrative Review | Human Rights Committee, HRC, Case Management Agency, CMA, Provider Agency, Stakeholders, Behavioral Services, Rights Modifications, Psychotropic Medications, Informed Consent, Investigation, Administrative Review, State Administrative Review | 6/17/2027 | HCBS Critical Incident Reporting Website HCBS Settings Final Rule Webpage |
| OM 25-037 | Pediatric Long-Term Home Health (LTHH) Prior Authorization Request (PAR) RN and CNA Go-Live | 6/13/2025 | Members, Family Members, Home Health Agencies (HHA), Stakeholders, Advocates | Benefits | Long-Term Home Health | Go-Live, Pediatric Long-Term Home Health (LTHH), Prior Authorization Request (PAR), Skilled Nursing (Registered Nurse/Licensed Practical Nurse), Certified Nursing Assistant (CNA), Skilled Care Acuity Tool, Nurse Assessor | 4/5/2026 | None |
| OM 25-036 | Nurse Assessor, Skilled Care Acuity Assessment & Pediatric Long-Term Home Health (LTHH) - Registered Nurse (RN), Licensed Practical Nurse (LPN), Certified Nursing Aide (CNA) Prior Authorization Request (PAR) Delay | 6/13/2025 | Members, Families, Home Health Agencies (HHA), Case Management Agencies (CMAs), Advocates | Benefits | Implementation | Nurse Assessor, Skilled Care Acuity Assessment, Long-Term Home Health (LTHH), Registered Nurse (RN), Licensed Practical Nurse (LPN), Certified Nursing Aide (CNA), Health Maintenance Activity (HMA), Case Management Agency (CMA) | 12/31/2025 | None |
| OM 25-035 | 2025 Minimum Monthly Maintenance Needs Allowance (MMMNA) | 6/10/2025 | County Departments of Human/Social Services, Eligibility Sites, EAP Sites | Eligibility Policy | Income & Resource Eligibility | Minimum Monthly Maintenance Needs Allowance, MMMNA, Monthly Income Allowance, MIA, Spousal Allowance, Shelter Allowance, Long Term Care, LTC | 6/30/2026 | None |
| OM 25-034 | Health First Colorado Children with Disabilities Buy-In 2025 Income Chart and Premium Guide | 6/5/2025 | County Departments of Human/Social Services, Medical Assistance (MA) Sites, 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 25-033 | Pediatric Long-Term Home Health (LTHH) Prior Authorization Request (PAR) Therapy Go-Live | 6/5/2025 | Members, Family Members, Home Health Agencies (HHA) Stakeholders, Advocates | Benefits | Long-Term Home Health | Go-Live, Pediatric Long-Term Home Health (LTHH), Prior Authorization Request (PAR), Physical Therapy (PT), Occupational Therapy (OT), Speech Therapy/Speech-Language Pathology (ST/SLP) | 4/5/2026 | None |
| OM 25-032 | Utilization Management and Assessment Requirements for Qualified Residential Treatment Providers (QRTP) and Psychiatric Residential Treatment Facilities (PRTF) | 6/3/2025 | County Departments of Human/Social Services, Qualified Residential Treatment Providers (QRTP), Psychiatric Residential Treatment Facility (PRTF) Providers | Benefits | County Relations | Residential, Qualified Residential Treatment Providers, QRTP, Psychiatric Residential Treatment Facilities, PRTF, Enhanced Standardized Assessment, ESA, Utilization Management, UM, Prior Authorization, Ongoing Stay Reviews, Child Welfare | 11/15/2027 | Family First Prevention Services Act Colorado Statewide Standardization Utilization Management (SSUM) Guidelines Code of Colorado Regulations Medical Services Board 10 CCR 2505-10 8.076 Program Integrity |
| OM 25-031 | July 1, 2025, Consumer-Directed Attendant Support Services (CDASS) Rate Change | 6/3/2025 | Case Managers, Case Management Agencies | CDASS | Rate Adjustment | Case Mangers, Case Management Agencies, Home and Community-Based Services, HCBS, CDASS, Consumer Directed Attendant Support Services, Rate Change, Community First Choice, CFC | 6/3/2027 | None |
| OM 25-030 | Community First Choice (CFC) Program Implementation | 5/20/2025 | Case Managers, Case Management Agencies (CMAs), Providers, Health First Colorado Members, HCBS Waiver Members | LTSS | Community First Choice Implementation | Home and Community-Based Services (HCB)S, Community First Choice (CFC), Long-Term Care (LTC), Long-Term Services and Supports (LTSS), Case Management Agencies (CMAs), Providers | 5/1/2027 | None |
| OM 25-029 | 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 (superseded by OM 25-030) | 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 25-018 | Difficulty of Care and Community First Choice | 7/9/2025 | Provider Agencies, Live-in Caregivers, In-Home Support Services Attendants (IHSS), IHSS Agencies, Consumer-Directed Attendant Support Services (CDASS) Attendants, Family Caregivers, Financial Management Services Contractors, Home Care Agencies | HCBS Community First Choice | Difficulty of Care | Difficulty of Care Payments, Community First Choice, Live-in Caregivers | 7/9/2026 | IRS Q&A - Certain Medicaid Waiver Payments May be Excludable from Income |
| IM 25-017 | Backup Care and Staffing Requirements for Class A and Class B Licensed Home Health Agencies | 7/3/2025 | Home Health Agencies, In-Home Support Services Agencies | Home Care, Personal Care, In-Home Support Services | Provider Guidance | Backup Care, Emergency Staffing, Caregiver Availability, Staffing Levels, Home Health Agencies, Licensure Requirements, Member Safety, Home Care | 6/2/2026 | None |
| IM 25-016 | Spring 2025 1915(c) Waiver Amendments & Renewals Approval from the Centers for Medicare & Medicaid Services (CMS) | 6/24/2025 | HCBS Waiver Members, Providers, and Stakeholders | HCBS | Waiver Amendments | Amendment, Renewal, HCBS, Home and Community-Based Services, BI, CES, CHCBS, CHRP, CMHS, CIH, CwCHN, EBD, SLS, DD, CLLI, The Center for Medicare & Medicaid Services, CMS | 7/1/2026 | None |
| IM 25-015 | Billing Guidance for Individual Residential Services and Supports | 5/23/2025 | Case Management Agencies (CMAs), Provider Agencies, Members, Family Caregivers, Host Home Providers | HCBS-DD | Provider Reimbursement | Home and Community-Based Services (HCBS), Individual Residential Services and Supports (IRSS), Developmental Disabilities (DD) Waiver, Host Home, Family Caregiver, Provider Agency, Case Management Agency, Billing | 6/2/2026 | None |
| 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 |