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The sections below explain why these changes are being made and how they may impact individuals receiving home and community based services (HCBS), their families, case management agencies, and direct service providers.
House Bill 17-1343 Conflict-Free Case Management Implementation Communication Brief - December 6, 2017
July 1, 2016 Final Report regarding Conflict Free Case Management submitted to the Colorado General Assembly
Stakeholder Engagement Meeting Presentation - Updated November 2017
Implementation of Conflict Free Case Management will impact how case management and direct services are delivered to Coloradans with Intellectual and/or Developmental Disabilities and their families. Department staff wish to hear your thoughts and reactions to the draft plan.
The Department is held Regional Forums, including a statewide Webinar, to share the content of the draft plan.
Statewide Regional Forums held in April 2016 to discuss the future of case management and direct services
PowerPoint Presentation given during the Forums
UPDATE: Communication Brief announcing April 2016 statewide Regional Forums - April 20, 2016
Meeting Schedule for Regional Forums - April 20, 2016
DRAFT Conflict Free Case Management Implementation Plan Handout
Town Hall meetings were held in February and March of 2016 to gather feedback from direct service providers, Individuals with Intellectual or Developmental Disabilities, their families, guardians, and advocates.
Feedback received during the meetings informed its statutorily required plan for compliance with federal requirements regarding Conflict Free Case Management.
Follow this link to the attachments distributed for each meeting and this link to the Power Point Presentation given at each meeting.
Pursuant to authority provided by 1915(c) of the Social Security Act, the Department has established contractual agreements about services and supports provided to eligible individuals with Intellectual and/or Developmental Disabilities. Commonly called Medicaid Waivers, the federal government, through the federal Centers for Medicare and Medicaid Services (CMS), provides approximately 50% of the total funding for these Medicaid Waiver services.
The federal Centers for Medicare & Medicaid Services passed a final rule (42 CFR § 441.301(c)(1)(vi)) in March 2014 requiring separation of case management and direct services. Colorado must comply with this rule to continue receiving these funds. Click here for the pertinent portions of the final rule and here for the entire rule citation.
The Colorado General Assembly passed House Bill 15-1318 in the Spring of 2015. In addition to directing the Department to create a combined Medicaid waiver for adults with Intellectual and/or Developmental Disabilities, the legislation directed the Department to create a plan, in consultation with stakeholders, for how it will comply with the federal regulations regarding Conflict Free Case Management. The plan was submitted to the Joint Budget Committee of the Colorado General Assembly on July 1, 2016.
Waiver Implementation Council
Community Living Advisory Group
Please click here to submit questions and feedback related to Conflict Free Case Management.
At this time, submitted information will not be responded to directly. However, provided feedback will help the Department formulate its implementation plan for Conflict Free Case Management.
The Conflict Free Case Management Task Group met in 2014 to develop recommendations for consideration by the Department regarding a process to establish a conflict free-case management model for people enrolled in the Home and Community Based Services (HCBS) waiver for persons with a Developmental Disability (HCBS-DD), the HCBS Supported Living Services (HCBS-SLS) waiver, and the HCBS Children's Extensive Support (HCBS-CES) waiver. The group published a final recommendation report in 2014 to the Department. This group is no longer actively meeting.
Report of the CFCM Task Group on Conflict Free Case Management - October 2014
Department Responses to the Report of the CFCM Task Group on Conflict Free Case Management - May 2015
Submit questions and provide feedback about Conflict Free Case Management
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We also encourage all interested parties to sign up for the Department's Communication Briefs about Conflict Free Case Management and other initiatives by sending a request to email@example.com. All Communication Briefs are posted externally on the Department's Office of Community Living Communications page.
Other Long-Term Services and Supports Programs
Reasonable accommodations for meetings will be provided upon request for persons with disabilities.
Please email firstname.lastname@example.org or contact John.R.Barry@state.co.us or 303-866-3173 at least one week prior to the scheduled meeting to make arrangements.