2021 Memo Series Communication

2021 Policy Memos

Policy Memo – anything that changes Departmental policy because of the federal and/or state legislation, rules or regulations promulgated as a result of previous federal and/or state legislation, rules, regulations, policies, or procedures. A Policy Memo can interpret and provide further guidance to previously promulgated regulations.

2021 Policy Memos
Memo # Memo Title Issue Date Audience Keywords Links & Attachments
PM 21-002 Fraud Investigations, Overpayments, and Eligibility Terminations During the COVID-19 Public Health Emergency 2/2/2021 County Member Fraud Investigators Coronavirus, COVID-19, Public Health Emergency, Client Fraud, Member Fraud, Overpayment, Eligibility, Termination None
PM 21-001 Remote Application Assistance 1/6/2021 Eligibility Sites and Application Assistance Sites COVID-19, Coronavirus, Advocates, Application, Assisters, Certified Medical Assistance Sites, Eligibility, Non-MAGI, MAGI, Child Health Plan PLUS

Acknowledgement of Verbal Consent

Acknowledgement of Verbal Consent (Spanish)

2021 Operational Memos

Operational Memo – detailed instructions and/or clarifications to contracted entities and county partners to operationalize a new or existing state and/or federal law, new or existing state and/or federal rule, or Department policy.

2021 Operational Memos
Memo #  Memo Title Issue Date Audience Keywords Links & Attachments
OM 21-025 Individualized Service Addition to Day Habilitation Services 2/26/2021 Home and Community-Based Services (HCBS) Day Habilitation Provider Agencies, Case Management Agencies (CMAs), Members and Stakeholders Day Habilitation, Specialized Habilitation, Supported community Connections, SH, SCC, Providers, PASAS, Home and Community-Based Services, HCBS, Case Management Agencies, CMAS, Community-Centered Boards, CCBS, DD, SLS, SPAL None
OM 21-024 Updated Case Management Operational Changes in Response to COVID-19 2/23/2021 Case Management Agencies (CMAs) COVID-19, Coronavirus, Case Management, Functional Eligibility Assessment, Level of Care, CSR, ULTC 100.2, Professional Medical Information Page, PMIP Professional Medical Information Page Frequently Asked Questions
OM 21-023 Health First Colorado Buy-In for Working Adults with Disabilities 2021 Income Chart and Premium Guide 2/23/2021 County Departments of Human/Social Services & Medical Assistance Sites Medicaid, Buy-In, Working Adults with Disabilities, WAWD, 2021, FPL, Income, Premium None
OM 21-022 Medical Assistance - Medicare Savings Program and Low-Income Subsidy 2/23/2021 Eligibility Sites 2021 Income Limits, Medicare Savings Program, Low-Income Subsidy None
OM 21-021 2021 Federal Poverty Level Guidelines 2/19/2021 Eligibility Sites 2021 Federal Poverty Level Guidelines, Income Limits

April 2021 Medicaid Income Chart

April 2021 CHP + Income Chart Final

OM 21-020 Electronic Visit Verification (EVV) Timeline Update 2/19/2021 Stakeholders EVV, CURES Act, Claims, Payment None
OM 21-019 Reduction to the Reasonable Opportunity Period (ROP) From 90 Days to 30 Days for Income Verification 2/19/2021 Eligibility Sites Income, Reasonable Opportunity Period, Reduction, MAGI, Non-MAGI, Verification None
OM 21-018 Net Operating Loss Deduction for MAGI-Based Programs 2/19/2021 Eligibility Sites Net Operating Loss (NOL), Income Deduction, MEGI, Allowable Deductions None
OM 21-017 Long-Term Services and Supports (LTSS) Transition Plan to Telligen for Utilization Review/Utilization Management (UR/UM) Activities 2/3/2021 Case Management Agencies (CMAs) Over Cost Containment (OCC), Children's Extensive Supports (CES) Waiver, Children's Home and Community-Based Services (CHCBS) Waiver, Eligibility Reviews None
OM 21-016 New PASRR Vendor 2/2/2021 Pre-Admission Screening and Resident Review (PASRR) Stakeholders New PASRR Contractor, EQ Health, PASRR None
OM 21-015 Medical Assistance Ends Automatic Mailing for 1095-B Notices 1/29/2021 Eligibility Sites IRS, 1095-B, Proof of Insurance, Tax Forms, Peak

For County Partners: Form 1095-B: Frequently Asked Questions

Foster Care and IRS Form 1095-B: Frequently Asked Questions

OM 21-014 Participant Directed Programs Utilization Review/Utilization Management 1/29/2021 Case Management Agencies (CMAs) Utilization Review/Utilization Management (UR/UM), Participant Directed Programs, In-Home Support Services (IHSS), Consumer-Directed, Attendant Support Services (CDASS), SEP, CCB None

OM 21-013

(superceded by OM 21-024)

Updated Case Management Operational Changes in Response to COVID-19 1/27/2021 Case Management Agencies (CMAs) COVID-19, Coronavirus, Case Management, Functional Eligibility Assessment, Level of Care, CSR, ULTC 100.2, Professional Medical Information Page, PMIP None
OM 21-012 Operational Changes to the Non-Emergent Medical Transportation (NEMT) Benefit for COVID-19 1/21/2021 Non-Emergent Medical Transportation (NEMT) Providers COVID-19, Coronavirus, Providers, Non-Emergent Medical Transportation, NEMT, Transportation None
OM 21-011 Change to Estate Recovery Notification Form Procedures 1/19/2021 Department of Human /Social Services  and Eligibility Sites Estate, Estate Recovery, Form, HMS, County, Notice, Property None
OM 21-010 CDASS FMS Transition Notification 1/14/2021 Consumer Directed Attendant Support Services (CDASS) Members, Case Managers and Stakeholders CDASS, FMS, Acumen, Fiscal, Agent, Case Managers, PAR, Revision, Stakeholders, Participant Directed Programs

Financial Management Services (FMS) Vendor Transition Workflow for Case Managers Member 

AR Notification of FMS Transition Letter

OM 21-009 Changes to Benefits and Services Rates in Response to COVID-19 1/14/2021 Providers & Case Management Agencies (CMAs) COVID-19, Coronavirus, Benefits and Services, Home and Community-Based Services, HCBS, Temporary Codes, GRSS, Residential Habilitation, Rate Increases, PETI, ACF, SLP None
OM 21-008 Second Temporary Provider Rate Increase for Nursing Facilities, Intermediate Care Facilities, and Regional Centers 1/14/2021 Providers & Case Management Agencies (CMAs) Skilled Nursing Facilities, SNF, Nursing Facilities, NF, Intermediate Care Facilities for Individuals with Intellectual Disabilities, ICF-IID, Regional Centers, Cost Report, MED-13, COVID-19 None

OM 21-007

(superceded by OM 21-020)

Electronic Visit Verification (EVV) Timeline Update 1/12/2021 Stakeholders EVV, Cures Act, Claims, Payment None
OM 21-006 PACE Participant Adverse and Expedited Appeals 1/12/2012 Stakeholders PACE, Appeal, Adverse, Expedited None
OM 21-005 HCPF Management Evaluation Review Program 1/12/2021 County Departments of Human/Social Services Management Evaluation, ME Review, ME Review Program Guide, Site Audit/Review ME Review Guide
OM 21-004 Improvement Action Plans and Corrective Action Plans 1/11/2021 County Departments of Human/Social Services Improvement Action Plan, IAP, Corrective Action Plan, CAP, Sanctions

Improvement Action Plan Template

Corrective Action Plan Template

OM 21-003 FY 2020-21 County Incentives Program: Training and Quality Incentive: Quarters 2 and 3 Quality Meetings 1/8/2021 County Departments of Human/Social Services Training, Incentives, Quality Quality Assurance Maturity Level by County
OM 21-002 Fraud Investigations and Overpayments 1/8/2021 Department of Human/Social Services Client Fraud, Member Fraud, Overpayment, Recovery, Interest Fraud Interest Legislative Report Form - Attachment A
OM 21-001 Nursing Facility Guidance on MDS Section Q Referrals 1/5/2021 Medicaid Certified Nursing Facilities MDS, Section Q, Options Counseling, Resident Rights None

2021 Informational Memos

Informational Memo – important information for contracted entities, county partners and external stakeholders that is strictly informational and timely.

2021 Informational Memos
Memo # Memo Title Issue Date Audience Keywords Attachments
IM 21-021 Case Management Redesign Stakeholder Engagement Survey 2/26/2021 Stakeholders Case Management Redesign, Conflict Free Case Management, CFCM, CMRD Case Management Redesign Stakeholder Engagement Survey
IM 21-020 Member Choice for All Service Providers 2/25/2021 Stakeholders Members, Providers, Choice, HCBS Services, HCBS Waivers None
IM 21-019 New Funding Rate for Community Centered Boards for Expedited Testing in DD Eligibility Determinations for PASRR Evaluations 2/25/2021 Community Centered Boards (CCBs) PASRR, Developmental Disability Determination, IDD, Behavioral Functioning Assessment, Psychological IQ Assessments, Community Centered Boards, Funding FY2020-21 Expedited DD Determination Testing Invoice
IM 21-018 Health Maintenance Activities Documentation 2/23/2021 Case Managers (CMs) and Stakeholders Health Maintenance Activities, HMA, Documentation, CMA, Case Management Agency, IHSS, CDASS, UR/UM, Functional Eligibility Assessment, Level of Care, ULTC 100.2 Health Maintenance Activities Documentation Guide
IM 21-017 National Core Indicator - Staff Stability Survey 2/22/2021 Intellectual and Developmental Disability (IDD) Services Providers, Program Approved Service Agencies (PASAs), and Community Centered Boards National Core Indicators, Survey, Staff Stability, Program Approved Service Agencies, Direct Service Providers None
IM 21-016 National Core Indicator - Child and Family Survey (CFS) 2/22/2021 Families with children receiving services through the Children's Extensive Support (CES) Waiver Child and Family Survey, National Core Indicator, Survey, Children's Extensive Support, Home and Community-Based Services, Waiver None
IM 21-015 Public Notice for HCBS Waiver Amendments Spring 2021 2/19/2021 Stakeholders Public Notice, Waiver, Amendment, HCBS, BI, CES, CHCBS, CHRP, CLLI, CMHS, DD, EBD, SCI, SLS None
IM 21-014 Contractor Kickoff Meeting for Case Management Redesign 2/10/2021 Stakeholders Case Management Redesign, Conflict Free Case Management, CFCM, CMRD None
IM 21-013 Extending Section 1915(c) Appendix K Flexibilities 2/5/2021 Home and Community-Based Services (HCBS) Providers, HCBS Waiver Participants, Case Management Agencies (CMAs) Home and Community-Based Services, HCBS, Case Management Agencies, Providers, EBD, CMHS, DD, SLS, SCI, BI, CES, CLLI, CHCBS, CHRP

Approval Letter

Colorado Appendix K: Emergency Preparedness and Response and COVID-19 Addendum

IM 21-012 Single Entry Point (SEP) Request for Proposal (RFP) Award Update 2/5/2021 Stakeholders SEP, RFP, Single Entry Point, Request for Proposal, Award None
IM 21-011 Senate Bill 19-238 Reporting Extension 1/29/2021 Agencies & Providers Senate Bill 19-238, wage Pass-Through None
IM 21-010 Statewide Billing Impacts of the Temporary Workaround for City and County of Denver Rate Increases for Home and Community-Based Services 1/28/2021 Home and Community-Based Services (HCBS) Providers & Case Managers Benefits and Services, Home and Community-Based Services, HCBS, Providers, Rates, Denver Minimum Wage Interim Billing Solution, EOB 0000, HB19-1210 None
IM 21-009 Transitional Living Program (TLP) Regulation Revisions 1/28/2021 Stakeholders Transitional Living Program, TLP, Home and Community-Based Services, HCBS, BI Transitional Living Program Regulations Revisions
IM 21-008 Stakeholder Engagement Opportunity on Human Right Committee (HRC) 1/28/2021 Stakeholders Stakeholder Engagement, Human Rights Committee (HRC), Community Centered Board (CCB), Providers None
IM 21-007 New Long Term Care UR/UM Vendor 1/21/2021 Case Management Agencies (CMAs), Nursing Facilities and Hospitals Utilization Review (UR), Utilization Management (UM), Pre-Admission Screening and Resident Revies, PASRR, Children's Extensive Support, CES, Children's Home and Community-Based Services, CHCBS, Over Cost Containment, OCC, Consumer-Directed Attendant Support Services, CDASS, In-Home Support Services, IHSS None
IM 21-006 Home and Community-Based Services (HCBS) Waiver Amendments Approval From The Centers for Medicare & Medicaid Services (CMS) 1/21/2021 Stakeholders Home and Community-Based Services, HCBS, Waiver, Amendment, Approval, The Centers for Medicare and Medicaid Services, CMS, BI, CES, CHCBS, CHRP, CLLI, CMHS, DD, EBD, SCI, SLS None
IM 21-005 Colorado's New Level of Care Screen, Assessment and Person-Centered Support Plan Overview and Update 1/27/2021 Stakeholders Home and Community-Based Services, HCBS, Long-Term Services and Supports, LTSS, Assessment, Person-Centered, Support Plan None
IM 21-004 Department of Health Care Policy and Financing Update to Providers Regarding COVID-19 and Vaccination 1/15/2021 Providers Novel Coronavirus Disease, COVID-19, Vaccine, Providers, Vaccination Plan, High-Risk, Moderate Risk None
IM 21-003 Postponed Day Habilitation Changes in Response to COVID-19 1/14/2021 Home and Community-Based Services (HCBS) Day Habilitation Provider Agencies, Case Management Agencies (CMAs(, Members and Stakeholders Day Habilitation, Specialized Habilitation, Supported Community Connections, SH, SCC, HCBS, DD, SLS None
IM 21-002 Single Entry Point (SEP) Request for Proposal (RFP) Status Update 1/11/2021 Stakeholders SEP RFP, Single Entry Point, Request for Proposal, Award None
IM 21-001 2021 National Core Indicator (NCI) Survey Announcement 1/6/2021 Long Term Services and Supports (LTSS) Members, Families, Case Managers, Providers and Advocates HCBS Waivers National Core Indicators, Developmental Disabilities, Waiver, Supported Living Services Waiver None