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This page exists to share information about Conflict Free Case Management from the Department of Health Care Policy and Financing (the Department). Conflict Free Case Management bars the delivery of Case Management Support and Home and Community Based Direct Services by the same agency or entity.
The sections below explain why these changes are being made and how they may impact individuals with Intellectual and/or Developmental Disabilities, their families, case management agencies, and direct service providers.
We want to hear from you!
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 holding Regional Forums, including a statewide Webinar, to share the content of the draft plan. Click on the links at the top of the page to learn more and to find a meeting near you.
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.
Check back here for a document with "Frequently Asked Questions about Conflict Free Case Management."
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.
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 was formed 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 Task Group met throughout 2014 and provided recommendations to the Department. Follow this link to the Department page for the Conflict Free Case Management Task Group to learn more.
Reasonable accommodations for the meetings will be provided upon request for persons with disabilities. Please email firstname.lastname@example.org or call 303.866.5550 at least one week prior to the scheduled meeting if you need special arrangements.