1

Strengthen Case Management Redesign

The Need

The transformation of Colorado’s case management system is underway, requiring a complete reorganization of a decades-old system. Colorado is the second fastest-growing state for older adults, which is driving increased demand for HCBS services. This, in combination with the fact that 84% of HCBS members have a chronic condition, 31% of whom have 5 or more chronic conditions, is having a measurable impact on state budgets and program demands. As the case management system adapts and transforms in preparation, growing pains could be better addressed if case management agencies were better prepared. To assist with expected organizational and system changes, the 18 | Colorado HCBS Spending Plan Department proposes providing capacity-building funds, change management expertise, and evolving systems support for agencies, members, and their families.

5.01 - Case Management Capacity Building
 

Read a more in-depth summary of this project's outcomes

 

An infographic titled "Case Management Capacity Building" by HCPF describes $13 million in funding to help Case Management Agencies (CMAs) transition through the Case Management Redesign (CMRD). Supports included technical assistance, staff retention bonuses for 4,000 case managers, grants for transition support at 12 CMAs, and a learning collaborative. Ongoing benefits are expected through enhanced systems and institutional knowledge. Project category: Strengthen Case Management Redesign. Icon represents social and community context.

 

Back To Top 


 

5.02 - Improve and Expedite Long-Term Care Eligibility Processes
 

Read a more in-depth summary of this project's outcomes

 

An infographic titled "Improve and Expedite Long-Term Care Eligibility Process" outlines a project to streamline financial and physical eligibility processes for HCBS and LTSS. Systems enhancements, research, and process roadmaps were implemented. 1,169 applications were processed to support the Public Health Emergency (PHE) unwind. Continued improvements, including presumptive eligibility, are underway. Project category: Strengthen Case Management Redesign. Icons represent healthcare access and universal benefit.

 

Back To Top 


 

Initiative 5.03 -  Case Management Rates
 

Read a more in-depth summary of this project's outcomes

 

An infographic titled "Case Management Rates" highlights a project that provided increased payments to support case management services for members transitioning from institutional care to community settings. These funds were used to improve the timeliness and quality of services. Future use of the rate-setting tools will help sustain these improvements. Project category: Strengthen Case Management Redesign.

 

Back To Top 


 

Initiative 5.04 - Case Management Best Practices 
 

Read a more in-depth summary of this project's outcomes

 

An infographic titled "Care & Case Management Best Practices" by HCPF describes a project to improve collaboration between Care Managers and Care Coordinators. It developed roles, responsibilities, training, communication standards, and data-sharing systems. A sustainability plan and monthly RAE-CMA Cross Agency Forum ensure continued coordination. Project category: Strengthen Case Management Redesign. Icons represent healthcare access, universal benefit, and social context.

 

Back To Top 


 

Initiative 5.05 - Case Management Agency Training Program
 

Read a more in-depth summary of this project's outcomes

 

An infographic titled "Case Management Agency Training Program" details HCPF's development of a standardized training series with 53 web-based modules, 6 virtual instructor-led sessions, and 9 certifications. Training prepares CMAs for the 2025 rollout of the Colorado Single Assessment (CSA) tool. HCPF will monitor training through a Learning Management System (LMS). Project category: Strengthen Case Management Redesign. Icon represents universal benefit.

 

Back To Top