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Improve Access to HCBS

The Need

The Department has identified several underserved populations in HCBS programs, including individuals with disabilities living on tribal lands, those who identify as Black, Indigenous, and People of Color (BIPOC), and individuals with behavioral health needs. As a state focused on meeting the needs of all Coloradans, ensuring access across all populations through disability and culturally competent, whole-person care is a key priority for the Department.

Initiative 3.01. - Community Access to HCBS

 

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An infographic titled "Community Access to HCBS" by Colorado’s Department of Health Care Policy & Financing. It outlines a project funded by ARPA to address disparities in HCBS access among underserved populations. The project followed three phases: data analysis, stakeholder engagement, and implementation planning. 66 providers were engaged to address barriers. The "Going Forward" section emphasizes relationship-building with underserved communities. The investment category is “Improved Access to HCBS,” and icons represent universal benefit and healthcare access.

 

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Initiative 3.02. - Buy-In Analysis

 

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An infographic titled "Buy-In Analysis" from HCPF, highlighting the need to inform people with disabilities that they can work without losing Medicaid coverage. It showcases the Medicaid Buy-In Program and its promotion through videos, materials, and multilingual outreach. It notes future efforts to keep the program visible and accessible. The investment category is “Improved Access to HCBS.” Icons represent universal benefit, healthcare access, and economic stability.

 

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Initiative 3.03. - Community Transitions Support

 

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An infographic titled "Community Transitions Support" by HCPF, addressing the risk of institutionalization for Medicaid members. The project team visited all skilled nursing facilities in Colorado and assisted with 344 transition referrals. The impact includes enhanced transition services and outreach. The "Going Forward" section highlights rule changes and a transition services website. The investment category is “Improved Access to HCBS.” Icons represent social context, education access, and healthcare quality.

 

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Initiative 3.04. -  HCBS Training for Members & Families

 

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An infographic titled "HCBS Training for Members and Families" from HCPF, addressing the need for plain-language information in English and Spanish about service options and rights. It details outcomes like launching a website, creating videos, and conducting social media campaigns, with nearly 4,000 video views and 5,900 website visits from March to August 2024. The project will be sustained without additional funding. The investment category is “Improved Access to HCBS.” Icon represents universal benefit.

 

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Initiative 3.05. - Translation of Case Management Material

 

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An infographic titled "Translation of Case Management Material" from HCPF, highlighting language barriers to accessing Medicaid services. The project translated 116 documents into six languages and developed a document management system. Accessibility improvements for hearing and vision impairments were also included. A Request for Proposal (RFP) is mentioned for continued translation work. The investment category is “Improved Access to HCBS.” Icons represent universal benefit and healthcare access.

 

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Initiative 3.06. -  Expand the Behavioral Health Safety Net

 

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An infographic titled "Expand the Behavioral Health Safety Net" by HCPF, identifying behavioral health service gaps and supporting 45 providers with $26M in funding. Actions included launching training modules, improving rates, and expanding youth services. Emphasizes future support via value-based payments and outpatient substance use treatment. The investment category is “Improved Access to HCBS.” Icons represent universal benefit and social context.

 

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Initiative 3.07. - Wrap-Around Services, including Peer Supports, for Members with Complex Needs

 

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An infographic titled "Wrap Around Services for Peer Supports for Members with Complex Needs" from HCPF. The project used $17M in grants to support housing and peer services for people with serious mental illness and homelessness. It funded 56 organizations across two pilot programs. 84% of participants in the housing pilot remained housed after one year. Future funding is requested to sustain services. The investment category is “Improved Access to HCBS.” Icons represent universal benefit and neighborhood environment.

 

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Initiative 3.08. -  AI/AN Capacity Grants

 

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An infographic titled "American Indian/Alaska Native Capacity Grants" from HCPF. $3M in grants were provided to improve behavioral health services for tribal members, including support for Denver Indian Health and Family Services and the Southern Ute Indian Tribe. Services include mobile outreach, addiction treatment, and recovery. The initiative focuses on sustainability through ongoing tribal collaboration. The investment category is “Improved Access to HCBS.” Icon represents universal benefit.

 

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