Long-Term Care Projects
Additional LTC Communications with Partners
Alternative Care Facility(ACF)/Institute for Mental Disease(IMD) Issue
October 29, 2008 - Memorandum from Joan Henneberry, Executive Director
October 1, 2008 - Letter from Barbara Prehmus, Long-Term Benefits Division Director
HB 07-1374 Long-Term Care Transitions Working Group / Final Report
Department Response to HB 07-1374
Long-Term Care Partnership A program to help Coloradans plan for long-term care.
Long-Term Care Pilot Program Request for RFP (February 15, 2007)
Questions and Answers regarding the Long-Term Care Pilot Program (January 31, 2007)
Nursing Facilities Communications
Nursing Facilities Audited Rates on the Web
Nursing Facility Pay for Performance Application 2010
Report on Pay-for-Performance Application Review (For Applications Submitted 1/31/09)
Nursing Facility Supplemental Programs Application
Nursing Facility Provider Fee
The Nursing Facility Provider Fee was implemented in accordance with the provisions of Colorado House Bill 08-1114, which was signed into law by the Governor of Colorado in 2008. The law calls for the enactment of a new Medicaid reimbursement system for Medicaid recipients who reside in nursing homes classified as Class 1 nursing facilities by statute. Class 1 nursing facilities provide for general skilled nursing care to residents who require 24 hour care. The new Medicaid reimbursement system is funded via a provider fee assessed to all nursing facility providers which meet state licensing requirements, with certain exceptions as defined in the law. The law assesses the fee retroactively to July 1, 2008.
General questions and questions about the provider fee invoicing process, due dates and late penalties should be addressed to the Colorado Department of Health Care Policy & Financing Nursing Facility Provider Fee Accountant at 303-866-3820.
Questions regarding the calculation of the provider fee or the per diem rates determined as a result of the new Medicaid reimbursement system should be addressed to Diane Taylor, Nursing Facilities Section Manager, at 303-866-2336, or to Dick Gallagher, Nursing Facilities Section Auditor, at 303-866-2858.
Please refer to the following documents for more information about the Provider Fee and the Invoicing process. Also check back here for updates as they become available.
Nursing Facility Provider Fee -- Documents & Descriptions
Provider Fee Invoicing Document
Proivder Fee Timelines Flow Chart
April 23, 2009 Webinar Presentation Slides
Coming Soon - April 23, 2009 Webinar Frequently Asked Questions
Coming Soon - April 23, 2009 Webinar Audio Broadcast
Period 1 Mass Adjustment Guidance
Text of Senate Bill 09-263 , including changes to Nursing Facility reimbursement methodology for FY 09-10.
Legislation and Studies prior to HB 08-1114
SB 06-131 Nursing Facility Rates Final Report
- Appendix #1 Cost Classification
- Appendix #2 Behavior Subcommittee Report and Recommendations
- Appendix #3 Supplemental Program Criteria
- Appendix #4 Pay for Performance Subcommittee Report and Recommendations
- Appendix #5 Pay for Performance Model
- Appendix #6 Fiscal Impact Summary
- Appendix #7 CAHSA statement