HCPF:Interim Process

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County and MA Site Director Letters

Text

Interim Process

Colorado Department of Health Care Policy & Financing

1570 Grant Street, Denver, Co 80203-1818 (303)866-2993

(303)866-4411 Fax

(303)866-3883 TTY

Bill Owens, Governor - Stephen C. Tool, Executive Director

December 27, 2006

Re: Finalization of the Interim Process

INFORMATIONAL ONLY

Dear County Director and Medical Assistance Site Director:

The draft process of the Interim Procedure to ensure compliance with the Deficit Reduction Act of 2005 and HB 06S-1023 was distributed at the CSSDA on November 28, 2006. We have incorporated the feedback received by the December 11, 2006 deadlines. This letter is to inform you that that process is now finalized.

The Department understands that this letter supports the use of a manual process at the counties and medical assistance sites until CBMS can be updated with the necessary cues for data entry. However, the manual process is necessary in order to comply with federal and state law. The Department does not have the option to allow noncompliance. The Department greatly appreciates the counties' and medical assistance sites' assistance in implementing these laws and will work to make the changes in CBMS as soon as possible.

Please ensure the distribution of the documentation attached to all technicians who process or handle ongoing case maintenance of medical assistance cases. The instructions contained in the procedure is the Department's approved process to properly notice and deny an application or discontinue benefits at both the program level and individual level until CBMS changes are made. This process requires case comments to be entered on ALL affected cases. Failure to do so will mean non-compliance with State eligibility processing for Medicaid, Old Age Pension State medical program and CHP+ under the review process. Incorrect data entry of the effective begin date and requesting assistance date, on the "Collect Case Individual Detail" window in CBMS, will result in the deletion of existing med spans. This action will result in the client's inability to have their services paid for by Medicaid or CHP+.

In addition to the procedure, templates of the manual notices have been provided, each are numbered and referred to in the procedure. Please note that when manual notice #1 and #3 are sent, the document entitled "DRA 1023 PRWORA Ref guide 10-20-06.pdf" must be included to notify the applicant of the documentation requirements.

The Department has also provided two reference documents that summarize the new requirements under the Deficit Reduction Act of 2005 and HB 06S-1023. The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 are included as a reminder of the requirements for non-citizens. The documents are entitled "Adult Programs Quick Reference 10-20-06.pdf" and "FM-CHP Quick Reference 10-20-06.pdf".

If you need additional information, please feel free to contact me at 303-866-2139 or via email at gayle.fowler@state.co.us.

Sincerely,

Gayle E. A. Fowler

Eligibility Operations Section Manager

cc:

Lisa Esgar

Heather Hewitt

Attachments

Interim Process for DRA and HB 06S-1023 102506.pdf

Manual Notice 1.doc

Manual Notice 2.doc

Manual Notice 3.doc