Research, Data and Grants

County Fact Sheets
An overview of Medicaid expenditures by county

Section 1202 Primary Care "Bump" Payments

Section 1202 of the ACA required Medicaid to reimburse primary care providers at or above Medicare Part B rates, also referred to as “bump” payments. The purpose of the policy is to increase the number of primary care providers accepting Medicaid, improve Medicaid beneficiaries’ access to quality primary care and build more advanced models of primary care. Colorado implemented bump payments in calendar years 2013 and 2014 and elected to extend bump payments through fiscal year 2015. The Department contracted with University of Colorado, School of Medicine to conduct an analysis of the effect of the increased rates on access to care for Medicaid clients. This preliminary report presents the results of the increased payments for bump-eligible services from January 2013 to June 2014. The report examines four client-based access to care measures and two provider-based measures using Medicaid claims data from January 2010 through June 2014. A subsequent report will extend the analysis through June 2015.

Accountable Care Collaborative Evaluation

With support from the Colorado Health Foundation and Rose Community Foundation, the Department contracted with the Colorado School of Public Health to conduct an evaluation of the Accountable Care Collaborative (ACC) program. This report includes findings of the quantitative and qualitative analysis of the impact of the ACC on health care utilization, costs and quality. The quantitative study analyzes administrative claims data between July 2009 and June 2014, a period that spans the introduction and establishment of the ACC. The qualitative portion of the evaluation, which includes interviews conducted with representatives of designated primary care medical providers, is focused on practice experiences and perspectives with the program to date. The findings are being used to inform current and future implementations of the ACC program. This report presents findings from the first year of a two-year engagement for evaluation. The second year of evaluation will examine where cost savings occurred, key performance indicator performance, quality measures utilized in an Oregon companion project, unique aspects of rural and frontier areas, what support is most helpful for practices, and a deeper dive into care coordination and the team-based approach.

Certified Community Behavioral Health Clinics Grant (CCBHC)

The Quality and Health Improvement Unit (QHI) of HCPF has been awarded one of the Planning Grants for Certified Community Behavioral Health Clinics (CCBHCs) by the Substance Abuse and Mental Health Services Administration (SAMHSA). The purpose of this program is to support states to certify clinics as CCBHCs, establish prospective payment systems for Medicaid reimbursable services, and prepare to participate in a two year demonstration program. Populations to be served are adults with serious mental illness, children with serious emotional disturbance, and those with long term and serious substance use disorders, as well as others with mental illness and substance use disorders. Learn more about the CCBHC Grant.

Colorado Advanced Interoperability Initiative Grant

The Office of the National Coordinator for Health Information Technology (ONC) awarded Colorado Dept. of Health Policy & Financing the Colorado Advanced Interoperability Initiative grant in 2015. CORHIO and Quality Health Network, Colorado’s two health information exchange (HIE) organizations, have been selected to provide HIE services for the program.

Colorado All Payer Claims Database (CO APCD)

The Colorado All Payer Claims Database (CO APCD) is the most comprehensive source of health claims data in the state with claims from Medicaid, Medicare, and commercial payers in the state. The public website allows consumers to shop for health care services and also provides statewide cost and utilization information. Scholarships are available for custom data requests to support projects to improve care, improve quality and lower costs in the state. Visit the data showcase to see how organizations are using custom data from the CO APCD. The Center for Improving Value in Health Care (CIVHC) is the administrator of the CO APCD and is responsible for ensuring the database operates in accordance with the legislation and securing the necessary funds to support the ongoing operation of the database. Learn more about the CO APCD.

Colorado All Payer Database Data Submission Guide

Colorado Dental Health Care Program for Low-Income Seniors

The purpose of this program is to promote the health and welfare of Colorado’s low-income seniors by providing access to dental care to individuals age 60 and over who are not eligible for dental services under any other dental health care program, such as Medicaid.

Learn more

Colorado State Innovation Model

Between February, 2015 and January 2019, the State of Colorado will receive up to $65 million from the Centers for Medicare and Medicaid Services with oversight from the Center for Medicare and Medicaid Innovation (CMMI) to implement and test its State Health Care Innovation Plan.

Colorado’s plan, entitled “The Colorado Framework,” creates a system of clinic-based and public health supports to spur innovation. The state will improve the health of Coloradans by:

  1. providing access to integrated primary care and behavioral health services in coordinated community systems;
  2. applying value-based payment structures;
  3. expanding information technology efforts, including telehealth; and
  4. finalizing a statewide plan to improve population health.

Funding will assist Colorado in integrating physical and behavioral health care in more than 400 primary care practices and community mental health centers comprised of approximately 1,600 primary care providers. In addition, the state will work to establish a partnership between their public health, behavioral health and primary care sectors.

The grant proposal was led by the governor’s office, the Departments of Health Care Policy & Financing, Human Services and Public Health and Environment, Regulatory Affairs, Personnel Administration and included input from more than one hundred stakeholders from the public, private and nonprofit sectors representing governments, physical and behavioral health care providers, public and private payers, and advocates.

Learn more about Colorado SIM

Colorado Long-Term Services and Supports No Wrong Door System Grant

The No Wrong Door (NWD) initiative is part the state’s effort to streamline access to long-term services and supports for all consumers, regardless of age, disability or pay source. Through a three-year grant from the federal Administration for Community Living, Colorado will pilot three NWD regional entities to develop a model for implementing NWD statewide. Learn more about the No Wrong Door Implementation Grant project.

Person- and Family-Centered Care Implementation Grant

With grant funding from the Colorado Health Foundation (CHF), the Institute for Patient and Family Centered Care (IPFCC) conducted a three day site visit in 2012 to interview Department staff and stakeholders about person and family-centered care and stakeholder engagement. In December 2012, IPFCC delivered a report with recommendations, entitled Advancing the Practice of Client- and Family-Centered Care for the Colorado Department of Health Care Policy and Financing. The Department used this report to secure funding from CHF to implement several key recommendations. The Department has begun to implement person-and family-centered practices by involving clients and families as a feedback mechanism to the Department through in-person and virtual advisory councils made up of solely Medicaid and Child Health Plan Plus clients and family members/caretakers. Internally, we have established a group of staff Champions to work to implement person-centered approaches to each section’s work; we are incorporating person-centered values into our hiring, on-boarding and performance planning process; providing relevant trainings; and continuing to seek support to extend such trainings to the contractors and providers with whom we work, so that we approach all of our work in a way that is person-centered

School-Based Health Center Improvement Project (SHCIP)

The goal of this funding opportunity is to establish and evaluate a national quality system for children’s health care provided through the Medicaid program and the Children’s Health Insurance Program (CHIP). Learn more about SHCIP.

School-Based Substance Abuse Prevention and Intervention (SAPI) Program 

The School Based Substance Abuse Prevention and Intervention (SAPI) Program is a program that grants funds to schools, community-based organizations and health organizations to reduce the risk of marijuana use, alcohol use and prescription drug misuse by Colorado youth between 12-19 years old. Learn more about SAPI

 

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