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 |
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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 25-009 | 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 25-009 | 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 |