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The following are projects which are in the process of being implemented. Please refer to the appropriate topic for further information. If a project was listed here before, please refer to the Provider Resources web page for further information.
The Accountable Care Collaborative Program is Health First Colorado's primary health care delivery model. ACC Primary Care Medical Providers (PCMPs) are key to the success of the ACC. Learn more about the ACC.
New Federal Provider Screening Regulations
This month, Health Care Policy and Financing (the Department) made an emergency change to the provider screening rule to remove the March 31, 2016 deadline for providers to revalidate with Health First Colorado. The next step is to make the rule emergency rule permanent. The Department values the input of the community and our partners. To that end, comments about our emergency change and pending permanent change are welcome.
The changes are viewable in this document; please direct comments to ProviderScreeningComments@state.co.us
New federal regulations established by the Centers for Medicare and Medicaid Services (CMS) require enhanced screening and re-validation of providers enrolling with Health First Colorado. These regulations are designed to reduce the potential for fraud, waste, and abuse. The Department is seeking stakeholder feedback on how to implement these federal regulations.
Most providers will see very little change in their enrollment process but some may be required to undergo additional screening before they can be enrolled or re-enrolled in Health First Colorado. CMS has developed three levels of provider screening rigor based on the potential risk of waste, fraud and abuse. CMS has previously determined the particular risk level of most major provider types (e.g., physicians, clinics, hospitals, community mental health centers).
Provider Screening Rule - This link will direct you to the Colorado Secretary of State website. From there you will need to click on the link under "Current version"; the Provider Screening Regulation is section 8.125 and begins on page 135.
Provider Resources Page - The Department has created a dedicated web page for revalidation and screening instructions and FAQs.
The legislation allows incentive payments for eligible providers for the implementation and meaningful use of Health Information Technology (HIT).
Visit the EHR Incentive Program overview website from the Centers for Medicare and Medicaid Services for information on eligibility and meaningful use requirements for both Medicare and Medicaid programs.
The Department has implemented the Health First Colorado EHR Incentive Program, in accordance with the State Medicaid Health Information Technology Plan, which will soon be available.
The Department's Health First Colorado EHR Incentive Program implementation timeline is as follows:
CMS Approval of State Medicaid HIT Plan
October 30, 2017
Registration and Attestation System Live (Provider Registration Begins)
October 15, 2017
Incentive Payments Begin
Need help understanding meaningful use or technical assistance implementing EHR technology into your practice?
The Colorado Regional Health Information Organization (CORHIO) is the state-designated entity for all Health First Colorado EHR Incentive Program outreach activities.
CORHIO provides a wide range of assistance with program-related questions.
Visit the CORHIO website for resources and more information, or contact the Health First Colorado EHR Incentive Program Coordinator at MedicaidEHR@CORHIO.org.
Questions not addressed by these resources or specific questions about the Health First Colorado EHR Incentive Program’s implementation in Health First Colorado can be sent to coHITmedicaid@state.co.us
Targeted Health First Colorado (Colorado's Medicaid Program) Rate Increases were approved by the General Assembly for the 2015-2016 fiscal year to mitigate rate inequities, improve access to care, and improve health outcomes. Approved Across-the-Board increases, if applicable, may also apply to provider rates. Below are links to the Fact Sheet and Frequently Asked Questions for both types of rate increases.