Long-Term Services and Supports
Transition Updates: Long Term Care Utilization Review VENDOR-MASSPRO
Last updated (09/10/2012)
Weekly Conference Call Information:
Toll Free: 1(877)820-7831
Participant Passcode: 516148#
Call for PASRR, Nursing Facility, and ICF/ID Providers-
Ultilization Review process PAR/PASRR under new vendor MASSPRO
You are invited to participate in a weekly teleconference call held Tuesday mornings from 10:00 a.m. to 11:00 a.m. to address specific Masspro transition concerns and so that the Department can update you on the progress of the transition.
If you have questions contact: Casey Dills O'Donnell at telephone number (303)866-2148 or email email@example.com.
On July 1, 2012 a new contractor began handling PASRR operations and NF PARs.
PAR processing will now be electronic. PASRR operations for Level I submissions are expected to be online in Fall 2012. During the interim, the fax number to submit a NF-PAR (5615/ULTC 100.2) is 855-222-5257 and PASRR submission is 855-222-3114.
If you send emails with client information they must be encrypted and your communications must meet federal privacy standards. Additional resources and updates on submitting PARs and PASRR requests will be posted on this page and also published in the Provider Bulletin.
The Department will be holding weekly calls with providers to address any concerns and provide guidance on the new process.
Documents and Provider Resources:
Each Home and Community Based Service (HCBS) Provider has different and various standards for certification, recertification and Medicaid enrollment. The standards for certification of each service are defined with the Medicaid Rules.
The certification process begins by the provider agency submitting a letter of intent to the Department or its designated agent. Following a review, in its discretion, the Department will recommend approval, denial or provisional approval of certification. For provider agencies receiving certification approval, the certification process culminates once the agency's Provider Agreement is approved and a Medicaid Provider Number is assigned. The Department may terminate a provider agreement or deny certification whenever a provider is unable to meet or adequately correct applicable certification standards, requirement or provider agreement provisions.
The Colorado Department of Public Health and Environment (CDPHE) is the designated agent for many HCBS providers. CDPHE will send agencies information regarding the program and the required on-site survey after CDPHE receive a letter of intent. (The Department of Health Care Policy and Financing is not responsible for the content of external Web sites.)
Responsibilities for Long Term Care Utilization Management are transferring to a new contractor on July 1, 2012. General information on the transfer is provided in the following Fact Sheets:
Fact Sheet (1 of 2)
Fact Sheet (2 of 2)