Banner Art
Text  Increase Text SizeDecrease Text Size

November 9, 2012



The Capital Center
225 E. 16th Avenue
6th Floor Conference Room
Denver, CO 80203
November 9, 2012
9:00 A.M.

The mission of the Department of Health Care Policy and Financing is to improve health care access and outcomes for the people we serve while demonstrating sound stewardship of financial resources.


Mary Trujillo-Young, President Richard Markley
Mike Stahl, Vice President Wendell Phillips
Jeffrey Cain Ginny Riley
Kathleen Chitty Linda Andre
Brenda LaCombe

Paul Melinkovich,


1.  Roll Call


2.  General Announcements


Date and location of the next Medical Services Board meeting: The next meeting is scheduled to be held Friday, December 14, 2012 beginning at 9:00 a.m. at The Capitol Center, 225 East 16th Avenue, Denver, CO 80203, in the Sixth Floor Conference Room.

It is the policy of this Board and the Department to remind everyone in attendance that this facility is private property. The capacity of the meeting room is 38. Please do not block the doors or stand around the edges of the room. When necessary, the Department will provide overflow space with listening capabilities via audio streaming and staff support.  Board members and the Department will make certain that all attendees who want to testify on a proposed rule or in the open forum are given the opportunity to do so. Please turn cell phones off while in the meeting room as they interfere with the recording equipment.


3.  Approval of the Minutes from the October 12, 2012 meeting
4.  Rules



Document 2

MSB 12-09-18-A

Revision to the Medical Assistance Rule Concerning the Hospital Provider Fee Collection and Disbursement, Sections 8.2003 and 8.4004 (Matt Haynes, Safety Net Programs Section)




Document 03   

MSB 12-04-20-A  

Revision to the Medical Assistance Rule Concerning Claims Reimbursement and Status, Section 8.041(Chris Underwood, Provider Operations Division and Dee Cole, Fiscal Agent Operations Section)                                  

Document 04

MSB 12-07-03-A

Revision to the Medical Assistance Rule Concerning Income Limits for Children and Pregnant Women, Section 8.100.4.F and 8.100.4.G (Marivel Guadarrama, Eligibility Policy Section)


Document 05

MSB 12-09-07-A 

Revision to Children's Basic Health Plan Rule Concerning Discontinuance of the Premium Assistance (aka CHP+ At Work) Program, Sections 50, 150, 160, 220, 340, 400, 450 and 610, Valerie Baker-Easley, Managed Care Section  

Document 06

MSB 12-07-17-C

Revision to the Child Health Plan Plus Rule Concerning Insufficient Access to Other Health Coverage, Section 120 (Valerie Baker-Easley, Managed Care Section)

Document 07

MSB 12-08-31-A

Revision to the Medical Assistance Pharmacy Rule Concerning Medicare Part D Coverage, Section 8.800.4 (Cathy Traugott, Pharmacy Section)

Document 08

MSB 11-03-16-A

Revision to the Medical Assistance Rule Concerning Physician Services, Section 8.200 (Richard Delany, Benefit Policy Section)


The Medical Services Board voted that testimony on Documents 03, 04, 05, 06, 07 and 08 is complete and that these items may be placed on a consent agenda for final permanent adoption.  Board members may remove rules from the consent agenda to consider further comments.



Document 09

MSB 12-04-27-A

Revision to the Medical Assistance Rule Concerning Home Health Covered Standards and Prior Authorization, Sections 8.522 and 8.527 (Guinevere Blodgett, Benefit Program Division)



Document 10

MSB 12-09-17-A

Revision to the Children's Basic Health Plan Rule Regarding Presumptive Eligibility and Cost Sharing for Prenatal Care Program, Sections 170 and 330 (Alan Kislowitz, Health Programs Office, Managed Care Section)


Document 11

MSB 12-08-20-A

Revision to the Medical Assistance Rule Concerning Consumer Directed Attendant Support Services (CDASS) Service Definitions, Sections 8.510 (Candie Dalton, Long-Term Benefits Waiver Operations Unit)


Document 12

MSB 12-06-21-A

Revision to the Medical Assistance Rule Concerning Pharmacy Reimbursement Calculations and Associated Definitions, Section 8.800.13 and 8.800.1 (Cathy Traugott, Pharmacy Section and Jeff Wittreich, Fee-for-Service Rate Section)



Closing Motion For Rules Agenda

5.  Open Forum for Public Comments

      (All comments will be limited to a maximum of five minutes unless scheduled in advance.*)


6.  Department Updates
  • 1293 Hospital Provider Fee Update - Chris Underwood, Provider Operations Div/Department      Director Finance & Administration Services Office

  • Department Update/Questions - Susan E. Birch, Executive Director 


7.  Board Discussion
  • Meeting Start Time


8.   Adjourn



* Arrangements for open forum comments and presentations can be made by contacting the Board Coordinator by mail at 1570 Grant Street, Denver, CO 80203; by phone at 303.866.4416; or by e-mail at

Reasonable accommodations will be provided upon request for persons with disabilities.  Please notify the Coordinator at 303-866-4416 or at least one week prior to the meeting to make arrangements.