Research, Data and Grants
- Budget Documents
- Premiums, Expenditures and Caseload Reports
- Colorado Cost Shift Analysis
- Maternal Opioid Misuse (MOM) Model
- Medicaid Management Information System (MMIS) Reprocurement
- Quality and Health Improvement Reports
- Colorado Choice Transitions (CCT) and Money Follows the Person (MFP)
- No Wrong Door (NWD) System Implementation
- Colorado State Innovation Model (SIM)
- Testing Experience and Functional Assessment Tools (TEFT)
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 Health First Colorado-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 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 Health First Colorado (Colorado's Medicaid Program), 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.
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 Health First Colorado (Colorado's Medicaid Program).
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.
Colorado Long-Term Services and Supports Testing Experience and Functional Assessment Tools Grant
Colorado's "Demonstration Grant for Testing Experience and Functional Assessment Tools in Community-Based Long Term Services and Supports" (TEFT) grant program, spans four years through March 2018. This grant program is working through the field testing of an experience of communications survey, demonstration of the personal health record, refinement of the functional and assessment items and creation of a standard electronic LTSS record. Learn more about Colorado's Testing Experience and Functional Tools Grant project.
Between February, 2015 and January 2019, the State of Colorado received 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:
- providing access to integrated primary care and behavioral health services in coordinated community systems;
- applying value-based payment structures;
- expanding information technology efforts, including telehealth; and
- finalizing a statewide plan to improve population health.
Funding assisted 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 worked 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.
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 Health First Colorado (Colorado's Medicaid Program) and Child Health Plan Plus members 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. For more information, please see our Strategic Plan.
County Member Experience Project
County Departments of Human/Social Services are the first interaction many Coloradans have with the Health First Colorado (Colorado’s Medicaid Program) or Child Health Plan Plus (CHP+) programs through the eligibility determination process.
The grant funding from The Colorado Health Foundation supported two projects with the aim of bringing person-centered values and actions to the county-level experience of our members.
The County Member Experience Project consultants conducted workshops providing education around the person-centered approach and research with more than 200 Health First Colorado or CHP+ members in five volunteer counties. Their recommendations and conclusions can be found at the report linked below.
Based on the research above, the Department created the opportunity for counties to develop their own local Member Experience Advisory Councils to provide input and feedback on improving member experience at the local level. Adams and Lake Counties participated in the development project and both will be continuing their MEAC work beyond the grant-funded development period. Learn more about the project at the linked report below.
Counties or other organizations wishing to create their own MEACs can contact Sarah.Eaton@state.co.us for advice and consultation.
The Department of Health Care Policy and Financing is not responsible for the content of external websites.