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Enhance Quality Outcomes

The Need

A primary responsibility of the Department is ensuring the health, wellness, and safety of our members. As such, we must implement quality standards and maintain strict oversight of provider agencies. The Department proposes a series of projects to develop quality frameworks and oversight requirements, resulting in anticipated cost savings, provider accountability, and improved quality outcomes.

Initiative 8.02 - Provider Oversight

 

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Tools and data sharing streamline Medicaid provider certification and training

 

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Initiative 8.04 -  Pay-for-Performance for PACE
 

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Evaluation tool and test year developed to support PACE quality incentive payments

 

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Initiative 8.05 - Pay-for-Performance for Home Health & HCBS 
 

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Performance-based model to improve care quality in Home Health and HCBS programs

 

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Initiative 8.06 - PACE Licensure 
 

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Oversight tools and audits to ensure quality in PACE programs across Colorado

 

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Initiative 8.07 - eConsult To Improve Quality 
 

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Project promotes cultural competency in provider directories and eConsult system

 

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Initiative 8.08 - HCBS Provider Quality Dashboards

 

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Public dashboards track service quality and satisfaction across HCBS programs

 

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Initiative 8.09 - Waiver Quality Expansion

 

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Surveys on case management and child waiver satisfaction inform future improvements

 

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Initiative 8.10 - Criminal Justice Partnership 

 

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Partnerships supporting reentry care access for people leaving the justice system

 

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Initiative 8.11 - Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Benefits Training

 

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EPSDT training modules educate providers on Medicaid services for children’s health needs

 

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