Bridge Updates

PETI Communications November 2017

Case Manager PETI Communication

Provider PETI Communication

 


The DXC email address for Bridge support - COMMIT_HelpDesk@HPE.com is now ccmhelpdesk@dxc.com. To ensure your requests for Bridge support are timely addressed, please target them to the new email address.


 

 

Weekly Bridge Updates

 

October 24, 2017

Hello SEPs,

Please see the attached communication from DXC.  Some of you and/or your staff might have been on the system generated emails this morning so this is repeat. 

 

Thank you!

 

Julie M. Reed, M.A.Ed.

Case Management Unit Supervisor &

Case Management Policy Specialist

Long Term Services and Supports Division

Office of Community Living

 

Bridge Communications to Case Management Agencies 10.24.17

 

 


August 22, 2017

Hello SEPs,

Thank you for your continued support of the implementation of the Bridge. 

Reminder:  Bridge announcements are also now posted on the BUS STOP at www.colorado.gov/hcpf/benefits-utilization-system-bus-updates

Technical Assistance with Bridge Issues:

  • Options to get assistance from DXC:
    • Case Managers can call 303-390-4718 and leave a message for technical assistance with Bridge issues.
    • Case Managers can mail COMMIT_HelpDesk@HPE.com for technical assistance with Bridge Issues.
  • Email James.Ruden@state.co.us if you do not receive a satisfactory response in two business days from either of the above channels.
  • Do not call this number or use this email address to resolve claim or provider enrollment issues on behalf of providers.

PARs suspending for ineligibility/client not showing correct Benefit Plan date spans in interChange

  • It is imperative that case managers confirm financial eligibility with the County before requesting that a benefit plan be modified or before creating an electronic Prior Authorization in the Bridge.

  • At this time, the interChange only accepts prospective changes to client eligibility information and spans

  • Example:

    • Existing client’s Level of Care certification and PAR ends July 31, 2017

    • Case manager submits all relevant information to the county by July 1, 2017.

    • County tech processes updates in CBMS August 18, 2017, with HCBS Waiver eligibility retroactive to August 1,, 2017.

    • interChange will only show HCBS Benefit Plan enrollment effective August 18, 2017 forward.

    • In order for interChange Benefit Plan information to reflect consistent eligibility, case manager needs to obtain CBMS screenshots from county documenting eligibility spans and email the BPA-CBMS-Mismatch email.

  • When there is a mismatch between what the CBMS is showing for client eligibility and what the Bridge is showing for client eligibility, email HCPF_BPA-CBMS-Mismatch@hcpf.state.co.us.

    • Changes to benefit plans can take up to five business days.

      • Please email Hela.Sahli@state.co.us if case managers do not receive a response on status of the request by the fifth business day after the request was made.

    • Do not use this email for claims issues as they will go unanswered.

    • Do Not contact Hela Sahli or Ravi Packisramy directly with initial requests to change benefit plans.

Technical Assistance for Claims and Provider Issues

  • Questions about claims, payment, and web portal issues affecting providers are to be resolved by directing providers to call DXC at 1-844-235-2387.
  • Email requests from case managers to resolve claim issues via the lthhpars@hcpf.state.us email will not receive responses.

Delays in PAR Processing: Provider Impact

  • If providers are experiencing financial hardship resulting from issues with PAR entry into the Bridge, please direct them to the DXC call center.
    • Providers should call 1-844-235-2387 and select option 2, then option 4.

Documenting PAR Services for Providers

  • Providers cannot currently view approved Prior Authorizations in the interChange web portal.
  • Case Management Agencies are currently the only source from which providers can get this information.
  • Case Managers must not enter Provider name or ID from the dropdown options in the Bridge when creating line item services. Entering this information may result in claim suspense or denials.
  • In addition to the service plan, all case managers must provide screenshots from the Bridge of approved PARs to each provider.
    • When necessary, provide notes from the BUS and/or Bridge clarifying units approved and provider authorized to provide the service(s),especially when multiple providers may be billing off the same line.
    • Case Managers can now print Prior Authorizations out of the Bridge.
    • Any client information containing PHI provided using email, must be sent using encryption software.

Entering Multiple Lines for the Same Service

  • Although the Bridge allows it, the Department advises you to refrain from entering multiple lines for the same service with the same certification span or overlapping dates as the claims will pay using all available units on the first line before dropping to the next. This may result in claims denials and a need for PAR revisions..
  • If multiple providers bill for the same service with the same rate, case managers are responsible for providing information from the service plan regarding how many units each provider is approved to deliver.
  • Example:
    • Client attends Day Services at locations operated by two different providers
    • Rate paid each provider is the same
    • Only one line is entered on the PAR for all approved services
    • Case Manager provides screenshots of the Service Plan from the BUS or other information for providers to know how many units they’re authorized to provide.

PARs Suspending in the Bridge: Common Causes

  • Attached is a complete list of reasons why PARs may suspend in the Bridge, which was sent previously but attached here again for your reference.
  • Below are common reasons and suggested steps to resolution.
  • Report other reasons for suspense to Hela.Sahli@state.co.us.

Bridge Suspense Reasons and Resolutions

Suspense Code

Suspense Reason

Steps to Resolve Suspension

 Multiple codes – see attached

Supervisory Review Required

Case Manager must alert Supervisor of PAR and Supervisor must approve limits and hit “check limits” button.

 B074

Breaks in, or no eligibility

Obtain CBMS Screenshots from County and send to Department Mismatch email at HCPF_BPA-CBMS-Mismatch@hcpf.state.co.us.

 B053

Duplicate PAR in Existence

Appears when there are identical/overlapping date spans for two PARs for the same client. If the duplicate PARs are within the same agency, close out one PAR. If the PAR is with another agency, contact the other agency. If the PAR cannot be found, contact the COMMIT Helpdesk at:  Commit_HelpDesk@HPE.com                             

 B006

Support Level Missing

Enter the data into the Bridge. If it isn't missing, contact the COMMIT Helpdesk.

 

CCBs Only: If Support Level not showing correctly in the Bridge

  • If the Support Level is not showing correctly in the Bridge, verify data entered in SIS Online matches the Bridge Data and update SIS online to ensure everything matches data in the Bridge.
  • Contact Lori Darrington if an override is needed.
  • Contact Hela.Sahli@state.co.us if this issue persists.

 

Fixes that went into Production Since June 30, 2017 Communication

Should issues identified as resolved continue to cause problems, please contact the COMMIT Helpdesk.

Fixes affecting CCBs, SEPs, and Private Case Management Agencies

  • The dollar limits of inactive lines are no longer being counted against the threshold limits of each service.

  • Clients with EBD and CMHS Buy-in eligibility are now visible in the Bridge.

  • Searching client PAR certification dates requires entry of definite spans/”hard” dates.

  • Personal Goals can be updated within the Bridge after a PAR has been approved.

  • Line-level rate revisions can be saved when one or more units have been billed/used.

  • Case managers can now print Prior Authorizations from the Bridge application.

Fixes and Updates that went into production Since June 30, 2017 Communication

Fixes affecting CCBs only

  • The dollar limits of inactive lines are no longer being counted against a client’s SPAL or the client’s average daily cost.

Department staff-initiated support level overrides are correctly showing in the Bridge.

Fixes that went into Production Since June 30, 2017 Communication

Fixes affecting SEPs only

  • Homemaker and Health Maintenance rates are now correctly loaded in the Bridge.

 

Known Issues Across CCBs, SEPs, and Private Case Management Agencies

Note: The Department acknowledges that there are issues for which there are not workarounds and is diligently working to find workarounds as long-term solutions are identified and implemented. Where known, workarounds have been provided below.

  1. Lines with modifier errors for which claims have paid cannot be revised.

    1. A resolution for this issue has been identified and a target completion date will be communicated once known.

  2. HCBS PARs sent to the Department for keying directly into interChange are not immediately visible upon entry into the system.

    1. Keyed PAR are uploaded into the Bridge weekly on the following Sunday

    2. Example:  PARs with the CDASS Service Delivery Option

Known SEP Issues Identified Pending a Fix:

  1. PETI – Clients Gross Income not displaying correctly in the Bridge.
    1. This was previously reported as corrected.
    2. The Department is researching short-term workarounds and long-term solutions to correct this issue.
  2. Existing: BI Waiver PARs Medication Reminder Monitoring Service will be added (Proc Code S5185)  & T2029 will stay unchanged.

Known CCB Issues Idnetified Pending a Fix:

  1. New: The Bridge is not processing SIS Updates from SIS Online and not uniformly calculating a new Support Level.
    1. Verify that SIS Online matches all client information in the Bridge.
    2. Contact Lori Darrington with all necessary documentation to perform a Support Level Override.
    3. Contact Hela Sahli or Ravi with systems issues that cannot be corrected with either an update to SIS Online or a Support Level Override.

Helpful Information:

TCM Transfers – CCBs only

  • The two agencies involved in the transfer must agree on the exact Transfer Date.
  • The transferring Case Management Agency can only bill for TCM up to and including the date of transfer.
  • Agencies billing for Dates of Service after the transfer date are responsible for backing out their claims.

Deceased Clients: Direction to Case Managers

  • When a client dies, case managers are to notify providers and the County immediately and end date the PAR accordingly.
  • Legacy PARs can be end dated by emailing the LTHH PAR email address.
  • Any provider that bills for dates of service after the date of death will need to back out claims.

Revising Legacy PARs: units and rates

  • Legacy PARs are PARs created in the Xerox system.
  • If there are errors in the rate or dollar amount on lines on Legacy PARs, do not revise the PAR to correct these errors.
  • Claims should still be paying correctly for these lines.
  • If providers report that lines on Legacy PARs are not paying correctly, request the claim ID from the provider – also called the InterChange Control Number (ICN) and PAR IDs and provide to james.ruden@state.co.us for escalation within the Department.

Training

  • Click Here to view a prerecorded webinar on the Bridge.  You will have to follow the steps to “register” however, it takes you to the recorded webinar.

 

 

 

CONTACT

REASON FOR CONTACT

Rebecca.spencer@state.co.us

Forms activating or revoking Bridge user access.

1-844-235-2387

Issues related to interchange web Portal and claims processing.

Commit_HelpDesk@HPE.com

1st point of contact for all Bridge related questions.  Please allow two business days  for responses. Include any bugs or systems errors.

lthhpars@hcpf.state.co.us

Submit all paper pars for LTHH and CDASS to this inbox for the Department to enter.

 

Requests to end date PARs created in the Xerox system (sometimes called Legacy PARs) Legacy PARs at the header level.

HCPF_BPA-CBMS-Mismatch@hcpf.state.co.us

Email this box at the Department when the client has an error in the Benefit Plan in the Bridge (either wrong date spans or incorrect Benefit Plan).  Must send along a screenshot from the County CBMS showing the correct dates and benefit plan, as well as a copy of the 100.2 certification page with the dates of functional eligibility.

James.ruden@state.co.us

Contact this email if providers report that lines on Legacy PARs are not paying correctly, providing the the claim ID from the provider – also called the InterChange Control Number (ICN) and PAR IDs

 

Thank you!

Julie M. Reed, M.A.Ed.

Case Management Unit Supervisor &

Case Management Policy Specialist

Long Term Services and Supports Division

Office of Community Living

P 303.866.5425  I  F 303.866.2786 I State Relay: 711

1570 Grant Street, Denver, CO  80203

julie.reed@state.co.usColorado.gov/hcpf

 


 

 

June 30, 2017

 

Hello SEPs,

Thank you for your continued support of the implementation of the Bridge.

Reminder:  Bridge announcements are also now posted on the BUS STOP at www.colorado.gov/hcpf/benefits-utilization-system-bus-updates

Some updates from previous weeks have been repeated here based on questions received by Case Management Agencies.

Response times to CMA inquires have been slower over the last few weeks.  Please help keep response times fast by coordinating questions within your agency to avoid duplicative questions to DXC.

  • If you are not receiving substantive answers to your inquiries in two business days, please contact james.ruden@state.co.us.

Fixes that went into production since June 12, 2017:

Fixes affecting only CCBs

  •      Support Level mismatches between Bridge and AAIDD have all been corrected.
  • All issues affecting adult clients with Level E SPAL issues have been corrected.
    • Any provider who experienced denials due to this issue should rebill all denied claims.
    • Direct providers to contact the DXC call center with questions.

Fixes affecting CCBs and SEPs

  • PETI form must be filled out for all clients receiving care in an Alternative Care Facility, through the Transitional Living and Supported Living Programs, regardless of income.
  • CCBs should not be completing the PETI form for any client.

Known Issues across CCBs and SEPs  (some with Workarounds):

  1. Lines with modifier errors for which claims have paid cannot currently be revised.
    1. A resolution for this issue has been identified and a target completion date will be communicated once known
  2. Client Gross income from CBMS
    1. The client’s gross income from CBMS is now populating correctly into the Bridge, however if there is a change in income of less than .99 cents, the Bridge will not show the change.
    2. The Department is researching a fix to this issue.
  3. Long Term Home Health PARs keyed by Department staff are viewable in the provider web portal the day after they are keyed into interChange
    1. If your agency cannot see PARs in the web portal, please review the fact sheet on adding a new delegate or contact the DXC interchange call center at 1-844-235-2387.
  4. HCBS PARs sent to the Department that are keyed directly into interchange are uploaded weekly on Sundays
    1. Example: PARs with the CDASS Service Delivery Option
  5. Case Management Agencies are reporting “system crashes” when working in the Goals/Inventory of Needs section of the Bridge
    1. Please email the COMMIT Helpdesk with screenshots of this event and a description of what activities you were doing at the time.

Known SEP Issues Identified Pending a Fix:

  1. BI Waiver PARs Medication Reminder Monitoring Service will be added (Proc Code S5185)  & T2029 will stay unchanged.

Helpful Information:

TCM Transfers – CCBs only

  • The two agencies involved in the transfer must agree on the exact Transfer Date.
  • Case Management Agencies can only bill for TCM for DOS until the day the Transfer is made.
  • Agencies billing for DOS after the transfer date are responsible for backing out their claims.
  • Agencies will be subject to post payment review and possible post payment recovery.

Deceased Clients: Direction to Case Managers

  • When a client dies, case managers are to notify providers immediately and end date the PAR accordingly.
  • Legacy PARs can be end dated by emailing the LTHH PAR email address.
  • Any provider that bills for DOS after the date of death will need to back out claims.

Revising Legacy PARs: units and rates

Training

  • Click Here to view a prerecorded webinar on the Bridge.  You will have to follow the steps to “register” however, it takes you to the recorded webinar.

Who to contact regarding issues and core functions:

 

CONTACT

REASON FOR CONTACT

Rebecca.spencer@state.co.us

Forms activating or revoking Bridge user access.

1-844-235-2387

Issues related to interchange web Portal and claims processing.

Commit_HelpDesk@HPE.com

1st point of contact for all Bridge related questions.  Please allow 48 hours for responses. Include any bugs or systems errors.

lthhpars@hcpf.state.co.us

Submit all paper pars for LTHH and CDASS to this inbox for the Department to enter.

 

Requests to end date Legacy PARs at the header level.

HCPF_BPA-CBMS-Mismatch@hcpf.state.co.us

Email this box at the Department when the client has an error in the Benefit Plan in the Bridge (either wrong date spans or incorrect Benefit Plan).  Must send along a screenshot from the County CBMS showing the correct dates and benefit plan, as well as a copy of the service plan with the dates of functional eligibility.

Thank you!

 

Julie M. Reed, M.A.Ed.

Case Management Unit Supervisor &

Case Management Policy Specialist

Long Term Services and Supports Division

Office of Community Living

 


June 12, 2017

Hello SEPs,

Thank you for your continued support of the implementation of the Bridge. 

Reminder:  weekly Bridge announcements are also now posted on the BUS STOP at www.colorado.gov/hcpf/benefits-utilization-system-bus-updates

Some updates from last week have been repeated here based on questions received by Case Management Agencies.

Response times to CMA inquiries were slower last week due to staff illness at DXC. Please help keep response times fast by coordinating questions within your agency to avoid duplicative questions to DXC.

Fixes that went into production the week of June 5, 2017:

  • PETI form now only required for individuals whose income is over $793 (300%ers).
  • The client’s gross income from CBMS is now populating correctly into the Bridge.
  • Case Managers can now add line items to Prior Authorizations converted from the Xerox system. All added lines require an ADL/IADL or goal.
  • A pop up was added to clarify information about Support Level 7 clients (DD Waiver).
  • Case Managers are now able to see all 250 characters in the Goals field of the Bridge.

Known Issues across CCBs and SEPs  (some with Workarounds):

  1. Lines with modifier errors for which claims have paid cannot currently be revised.

    1. The Department continues to research solutions for this issue.

  2. My PARs are showing a status of Suspended/ I’m getting errors saying that the lines on the PAR have exceeded the unit limit

    1. That means that your agency’s supervisor needs to go into the system and sign off on the PAR.

    2. If you don’t have supervisory access please fill out the attached 3rd Party – User Acceptance Form (template provided as well as a blank form)

      1. Please email the completed form to Rebecca Spencer at rebecca.spencer@hcpf.state.co.us

    3. If PARs are suspending for other reasons for which resolution cannot be found, please provide the PAR ID and a summary of the issue to COMMIT_HelpDesk@HPE.com with a cc to james.ruden@state.co.us.

  3. Inability to find a client on the Bridge— ‘No Rows Found’

    1. Please Contact the COMMIT_HelpDesk@HPE.com to see which agency is attached to that client

  4. If the PAR has more than 10 Rows of services- transitioning to the next page -fix scheduled 6/22/2017

  5. Printing issues with Converted PARs

  6. Utilization of units and dollar amounts not correctly decrementing

    Known CCB Issues still Pending a Fix:

                SIS score mismatches between Bridge and AAID.

  7. Department staff targeting June 16, 2017 for the completion of this work.               

    Known SEP Issues Identified Pending a Fix:

  8. PETI excel form rounding error found Cell J3 will repost an updated form

  9. BI Waiver PARs Medication Reminder Monitoring Service will be added (Proc Code S5185)  & T2029 will stay unchanged.

    Issues with portal access to include user views and questions about claims processing

  • Contact the DXC Provider Call Center at 1-844-235-2387.
  • Record call tracking numbers.
  • Click here for helpful information about roles and delegate functions in the Portal

Helpful Information:

Revising lines: Increasing or reducing approved units

  • Prior Authorization lines with paid claims cannot be revised.
  • If a line with paid claims needs to be revised, inactivate the line and re-enter the new line or lines, ensuring that there are no overlapping effective and end dates.
  • If a client needs additional or reduced services for periods of time within an approved PAR, inactivate the original line, creating two new lines with different effective and end dates and the approved units of service for each time span.

All PARs visible in the Bridge

  • All Legacy PARs are visible in the Bridge.
  • Prior Authorizations and Revisions keyed by Department staff (all HCBS PARs and revisions sent to the LTHHPARS inbox) since March 1, 2017 are visible in the Bridge.
  • If you cannot find a PAR, contact  COMMIT_HelpDesk@HPE.com

Training

  • Click Here to view a prerecorded webinar on the Bridge

Obtaining Help with the Bridge:

If you need technical assistance on the Bridge, phone the technical support line at 303-390-4718 and leave a message. 

Or you can email the technical team at COMMIT_HelpDesk@HPE.com

If you do not receive a satisfactory response within 48 hours, please let James Ruden know at james.ruden@hcpf.state.co.us .

Issues with portal access to include user views and questions about claims processing

  • Contact the DXC Provider Call Center at 1-844-235-2387.
  • Record call tracking numbers.
  • Click here for helpful information about roles and delegate functions in the Portal


Thank you!

 

Julie M. Reed, M.A.Ed.

Case Management Unit Supervisor &

Case Management Policy Specialist

Long Term Services and Supports Division

Office of Community Living


June 05, 2017

Hello CMAs,

Thank you for your continued support of the implementation of the Bridge.  Reminder weekly Bridge announcements are also now posted on the BUS STOP at www.colorado.gov/hcpf/benefits-utilization-system-bus-updates

Fixes going into Production this week:

            None

Known Issues both CCB and SEP some with Workarounds:

  1. PAR terminations

    1. You cannot terminate an entire PAR in one step:

      1. You need to end date the PAR (certification period)

      2. You then need to end date each line item on the PAR

      3. If there are claims against the PAR outside of the end date that you selected then you cannot terminate that line unless you find the last claim date

  2. Inability to find a client on the Bridge— ‘No Rows Found’

    1. Please Contact the COMMIT_HelpDesk@HPE.com to see which agency is attached to that client

  3. My PARs are showing Suspended

    1. That means that your agency’s supervisor needs to go into the system and sign off on the PAR

    2. If you don’t have supervisory access please fill out the attached 3rd Party – User Acceptance Form (template provided as well as a blank form)

      1. Please email the completed form to Rebecca Spencer at rebecca.spencer@hcpf.state.co.us

  4. If the PAR has more than 10 Rows of services- transitioning to the next page -fix scheduled 6/22/2017

  5. Printing issues with Converted PARs

  6. Utilization of units and dollar amounts not correctly decrementing

    Known CCB Issues still Pending a Fix:

                SIS score mismatches between Bridge and AAID

    Known SEP Issues Identified Pending a Fix:

  7. Some PETI Gross Income amounts pulling incorrectly from CBMS

    1. There is no allowed override of Gross Monthly Income

    2. There is an override button but that is for maintenance allowance (commonly know that CBMS was wrong in that respect

    3. Fix anticipated on June 9, 2017

  8. PETI form being required for All ACFs & SLPs, not just 300%ers (individuals under $793)

  9. PETI excel form rounding error found Cell J3 will repost an updated form

  10. BI Waiver PARs Medication Reminder Monitoring Service will be added (Proc Code S5185)  & T2029 will stay unchanged

Known SEP Issues Workarounds:

  1. Home Medications still defaulting to 1 unit

    1. At the current time please put in the total amount for the entire project

    2. Although it defaults at 1 unit (unable to change that unit), the 1 unit is not entirely accurate in this case; the provider can bill as normal it will not hold the provider to the number of units instead it will be holding the provider to the total dollar amount

      Issues with portal access to include user views and questions about claims processing

  • Contact the DXC Provider Call Center at 1- 844-235-2387.
  • Record call tracking numbers.
  • Click here for helpful information about roles and delegate functions in the Portal

All PARs visible in the Bridge

  • All Legacy PARs are visible in the Bridge.
  • Prior Authorizations and Revisions keyed by Department staff (all HCBS PARs and revisions sent to the LTHHPARS inbox) since March 1, 2017 are visible in the Bridge.
  • If you cannot find a PAR, contact  COMMIT_HelpDesk@HPE.com

Bridge Access, PAR Entry, and Training

  • If your agency cannot enter PARs, please contact either Brittani Trujillo or Julie Reed for assistance.
  • Click Here to view a prerecorded webinar on the Bridge

Transferring Cases between agencies

  1. The transferring Agency for the PAR must select “Other Agency” on the Agency tab.

  2. The transferring Agency must add the receiving agency and save changes.

  3. Once the receiving Agency is added to the case, they will be able to view and edit the PAR.

  4. The transferring agency, if not being retained as a secondary agency, is responsible for removing themselves from the Agency tab.

    Update on Obtaining Help for the Bridge:

    If you need technical assistance on the Bridge, you can try the technical support line at 303-390-4718 and leave a message. 

    Or you can email the technical team at COMMIT_HelpDesk@HPE.com

    If you do not receive a satisfactory response within 48 hours, please let James Ruden know at james.ruden@hcpf.state.co.us .

Julie M. Reed, M.A.Ed.

Case Management Unit Supervisor &

Case Management Policy Specialist

Long Term Services and Supports Division

Office of Community Living

 


May 26, 2017

Dear SEPs,

Thank you for your continued support of the implementation of the Bridge. Below please find this week’s update regarding the Bridge.  This will also be uploaded on Tuesday 5/30 to the BUS STOP.

Bridge Issue resolution: contacting DXC and Department staff

Case Managers were previously instructed to direct inquiries about issues with the Bridge via email. Please do not email DXC any longer.

Effective immediately, please start by contacting the DXC call center at 1-844-235-2387, and press 1 at the first menu, 1 at the menu, and then 6 for Prior Authorization.  Call wait times have dropped dramatically since the March 1, 2017 Go Live date.

For all issues, please request and record the call tracking number and the name of the call center representative for purposes of training and quality assurance.

Please contact james.ruden@state.co.us should you not get satisfactory resolution from the DXC support team, providing the issue, the call tracking number, and the name of the representative’s name. Issues may not be tracked or resolved if James is not contacted.

There is currently a three-day timeframe for the review and resolution of issues sent via email to James Ruden. Please do no resend queries until at least three business days have passed.

Emailing Personal Health Information (PHI)

Case Managers must use encryption software when sending emails that contain Personal Health Information. The Department is receiving emails frequently with PHI that are not encrypted.  Please remind our case managers to be cognizant of the privacy of our member and encrypt all emails that contain PHI.

Existing/eligible clients reassignment of benefit plans: CBMS-Benefit Plan mismatch

In the event the CBMS information for an existing client does not match the benefit plan, please send an encrypted email with all relevant information to   HCPF_BPA-CBMS-Mismatch@hcpf.state.co.us.

The email must contain all client information and the Medical Assistance Eligibility page from CBMS as provided by the county tech. A screenshot of this page and how to access it is provided should case managers need to provide such instruction to CBMS county techs.

For new clients, case managers must work with county eligibility staff to update CBMS eligibility.

Status definitions in the Bridge

Below please find the definitions for statuses case managers are seeing in the Bridge.

 

  • PA Status - The current status of the PA in interChange
  • Process Status - The current stage the PPA is in
    • Work in Progress = someone could be looking at it or working in it. 
      • Unless things are changed this does not affect the overall status of the PA in the interChange
    • Submitted to iC – PPA is staged for submission to iC in the nightly batch process
    • Rejected by iC – the PPA was rejected by iC through the Batch Process.  User can look at the Messages panel for reason.
      • If the PA was originally approved and there is a MMIS PA number before submission then the original submission is intact and no changes have been made to the PA in interChange
      • If there is no MMIS PA Number and the Status is Approved but the Process Status states Rejected by iC then there is something wrong with the PPA and needs correction.
  • Amendment Status – this is new status after the original PPA was approved and now the user has been trying to amend the PPA, this will reflect the status of the changes the user is trying to implement.

Thank you!

Julie M. Reed, M.A.Ed.

Case Management Unit Supervisor &

Case Management Policy Specialist

Long Term Services and Supports Division

Office of Community Living

Medical Assistance Eligibility Span - Example for changing Benefil Plans

 


 

May 19, 2017

Hello SEPs,

Thank you for your patience as the Department continues to fine-tune operations for the Bridge. Going forward we will send out communication weekly via email and also post it on the BUS STOP. 

Here are some updates as of May 19, 2017:

Known Issues Fixed/ Work Arounds

  • Prior Authorizations and Revisions keyed by Department staff (all HCBS PARs and revisions sent to the LTHHPARS inbox) since March 1, 2017 are not visible in the Bridge.
    • As of May 19, 2017 you should now be able to view all of these PARs in the Bridge.
    • All PARs and revisions keyed by Department staff after this fix will be visible in the Bridge on a regular basis.
  • HCBS Providers cannot view PARs in the provider portal.
    • There isn’t currently a target date for the completion of this change.
    • Currently, Case Management Agencies can view PARs in the Bridge which have been entered by their agency directly into the Bridge or from Legacy Xerox conversion. 
    • Providers may contact case managers or HPE (name change to DXC) for copies of PARs.
  • LTHH Providers can search for PARs in the provider portal.
    • Case Management Agencies cannot view LTHH PARs at the current time.
    • There isn’t a current target date for the completion of this change.
  • Do Not enter a Rendering Provider ID on PARS
  • Client letter
    • Now captures notes from Goal and Support Level section; character length  has been increased to  250 characters.
    • When this Error Message is received on new PARs: “GOALS NOT ATTACHED TO SERVICE” case managers must delete the PAR and rekey a new one.
      • If the error message is received on an existing PAR (Approved with a PAR ID), a data fix by DXC will need to be made.

Implemented Fixes/ Pending Fixes – All Waivers

  • Inventory of Needs – This error is still being worked on.  It is a known issue.

Implemented Fixes/ Pending Fixes – Waivers managed by SEPS

  • PETI and ACF Rate– some issues have been fixed but in general we are still working on this fix. 
  • CDASS PARs please continue to send these PARs to the LTHHPARS inbox.  We are closer to a launch but no solid date yet.  
  • Home Modifications Units defaulting to 1 instead of 2.  This is a known issue and is being worked on.  No fix date given yet.
  • Adding a value field into the Bridge PAR to note LTHH amounts.  Needed, no fix date given.

Implemented Fixes – Waivers managed by CCBs

  • Level 7 information is now populating in the Override Panel
  • SPAL Level is now displaying the Calculated Support Level

If you are still experiencing issues with the implemented fixes or other system issues (i.e. access issues, etc.), please email  'COMMIT_Help Desk' commit_helpdesk@hpe.com or 1-844-235-2387 .  Please attach screenshots- Bridge or CBMS, client IDs, PAR #s, and any other helpful documents in the correspondence.   Call Center wait times have drastically decreased due to now having over 50 call center staff and 66 by the beginning of June. 

If your concerns/ questions are not being answered by DXC or have to deal with Policy related questions please contact Ruden, James james.ruden@hcpf.state.co.us .  James is helping me to track issues, and assure follow up.  As always feel free to also reach out to me if I can escalate or help in any other way. 

Thank you!

Julie M. Reed, M.A.Ed.

Case Management Unit Supervisor &

Case Management Policy Specialist

Long Term Services and Supports Division

Office of Community Living