HCBS FY 2014-15 Post Payment Review

Home and Community Based Services

Fiscal Year 2014-15 Post Payment Review

Important notice about fax number for submitting information:

Please use 303-694-1272 as the number for submitting documentaiton substantiating claim information. The text of the request letter for this review listed a fax number with an incorrect prefix.

Background:

In order to operate the HCBS waivers for eligible Coloradans with physical, intellectual, and/or developmental disabilities, and receive federal financial participation for these services, (the Department) enters into waiver agreements with the federal Centers for Medicaid and Medicare Services (CMS).

As a part of these agreements, the Department provides assurances of financial accountability for HCBS services, which may include documentation substantiating claims billed paid by the Department’s Medicaid Management Information System (MMIS). The Department is conducting this post payment review to provide CMS with required assurances regarding financial accountablity and programmatic oversight. The Department has contracted with Myers and Stauffer, LLC (the contractor) to perform a post payment review of a randomly selected, representative sample of Medicaid Waiver claims. Please see the communications below for more information.

May 4, 2016 Communication to Community Centered Board staff and Provider Agencies serving children and adults with intellectual and/or developmental disabilities

Example May 6, 2016 Communication to Provider Agency Directors and Administrators

Link to June 2016 Provider Bulletin (article on Page 12)