HCPF Statement on Federal Review of Pueblo Regional Center

September 26, 2016

Media Contact
Marc Williams
303-866-3144

Denver, CO - Earlier this year, the Centers for Medicare and Medicaid Services (CMS) conducted an on-site visit of the Pueblo Regional Center (PRC). In August, CMS sent the Department of Health Care Policy and Financing a report of their findings and requested development of a Corrective Action Plan based on their visit and review of prior incidents at PRC dating back to November 2014.  Earlier today the Department of Health Care Policy and Financing submitted its proposed Corrective Action Plan to CMS.  This is the first step in an ongoing process with CMS, and the Department will continue to work collaboratively with CMS to fully respond and complete the Plan’s next steps.

The Corrective Action Plan includes an overview of steps taken to address findings and proposes a series of measures in the areas of staffing, oversight, and improved reporting. The Plan also proposes system wide changes designed to improve services to residents in the regional centers and in the community.

A substantial majority of the issues identified by CMS occurred more than 18 months prior to their site visit. Since March 2015, Health Care Policy and Financing, the Colorado Department of Human Services, and the Colorado Department of Public Health and Environment have implemented multiple procedural and other changes that address most of the findings and ensure compliance with federal requirements.

Below is a statement from Susan E. Birch, Executive Director of the Department of Health Care Policy and Financing in response to the CMS on-site review.

“We take our role as the single state agency that oversees the care of residents in the regional centers very seriously. Their health, welfare and safety is our top priority.  We have increased our training, surveys and oversight at PRC. The Department of Health Care Policy and Financing appreciates our federal partners’ work, including but not limited to the recent site visit. We and the other state agencies have taken swift actions and more are underway, and we continue to engage with them in our response to CMS.”

Individuals residing at the PRC have intellectual or developmental disabilities and qualify for Medicaid. The Colorado Department of Human Services oversees staff and daily operations at PRC.  The Department of Health Care Policy & Financing contracts with the Colorado Department of Public Health and Environment to conduct site surveys to ensure services are being delivered in accordance with state and federal rules.

About the Colorado Department of Health Care Policy and Financing: The Department administers Health First Colorado (Colorado’s Medicaid Program) and Child Health Plan Plus as well as a variety of other programs for low income Coloradans who qualify. For more information about the Department, please visit Colorado.gov/HCPF.

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