COVID-19 Updates Colorado Department of Health Care Policy & Financing May 29, 2020 1
Overview Colorado Cross-Disability Coalition (CCDC) Update • Julie Reiskin, Execut ive Direct or Colorado Department of Public Health & Environment (CDPHE) Update • Greg S chlosser, Branch Chief, CDPHE Colorado Department of Labor & Employment (CLDE) Update • Cait lin Adams, S t at e Advisor on Disabilit y Employment , CDLE Long Term Home Health & Private Duty Nursing Update Single Entry Point Transitions Residential Strike Force Update New Guidance and FAQs Resources • Bonnie S ilva, Office of Communit y Living Direct or, HCPF 2
Colorado Cross- Disability Coalition www.ccdconline.org covid@ ccdconline.org Weekly Webinars and chat spaces Opportunities for engagement Individual Advocacy including appeals
Budget Cuts Cuts Not cut • Dental moves from $1500 a • Eligibility year to $1000 a year • Long-term services and supports • 1% rate reduction for most • Medical care other than dental • Increased co-payment • Mental health • Utilization Management for • HCBS not capped IHS S and CDAS S with savings • Home health not cut by 30% targets • Transportation not ended • Not doing Community First • Dental not ended Choice
How to know what is real? Real Fake • There is a bill number or • S omeone heard something but regulation published no facts • A law or regulation has passed • No mainstream news and this is documented on a organizations government site. • An idea or proposal that has not • Use credible organizations – been through process non profits in good standing • S pokesperson not accountable to anyone
What Now • Watch the budget process next week • S EP transition in July – we are pleased with process • CDAS S EVV transition in July • HCPF committed that CDAS S / IHS S UM will not happen until S EP transition is complete • This is a good time to get involved with more committee work Pilot assessment tool, Case management, local advisory council S EP , local advisory council RAE, PDPPC 5/29/2020
Update • S tate Emergency Operations Center (S EOC) • S urvey Priorities • Isolation Plan S ubmissions • HEMS D COVID-19 Blog 7
Caitlin Adams S tate Advisor on Disability Employment caitlin.e.adams@ st ate.co.us 8
LTHH and PDN Update Department worked with stakeholders and our Utilization Management (UM) vendor (eQHealth) to resolve issues with Pediatric Long-Term Home Health (LTHH) and Private Duty Nursing (PDN) Prior Authorization Request (P AR) denial letters • Revised all UM P AR denial letters for better accuracy and readability Revised PDN and LTHH P AR denial letters go into effect early June Continued benefits for those who received PDN and LTHH P AR denial letters last fall Members/ families have been notified that continuation of benefits for those members will end June 30 • Regional Accountable Entities (RAEs) to begin contacting members/ families who have received a P AR denial in June to see if they need support • S takeholder meeting on June 10 9
Single Entry Point (SEP) Transitions • RFP Transitions vs. Emergency Procurement • 5 transitioning agencies for FY 2020-21 include: Colorado Access Mesa County S an Juan Basin Public Health Conej os County Fremont County • What's Next 10
X X X X X 11
SEP Transitions Region 1 Adams, Arapahoe, Denver, Douglas, and Elbert Counties • Transition Type: RFP • Former SEP: Colorado Access was not selected in the RFP • New SEP: Rocky Mountain Human S ervices (current CCB in Denver) • Approximate # of Members: 11,000 members Region 2 Mesa County • Transition Type: RFP • Former SEP: Mesa County chose not to continue • New SEP: Rocky Mountain Health Plans (current RAE) • Approximate # of Members: 2,200 members 12
SEP Transitions Region 3 Archuleta, La Plata, and S an Juan Counties • Transition Type: Chose not to renew contract • Former SEP: S an Juan Basin Public Health • New SEP: Community Connections Inc (current CCB in region) • Approximate # of Members: 480 members Region 4 Conej os and Costilla Counties • Transition Type: Chose not to renew contract • Former SEP: Conej os County • New SEP: Costilla County • Approximate # of Members: 300 members 13
SEP Transitions Region 5 Fremont and Custer Counties • Transition Type: Chose not to renew contract • Former SEP: Fremont County • New SEP: S tarpoint (current CCB in region) • Approximate # of Members: 350 members 14
Transition Management • Department has a dedicated transition team • Close Out plans for outgoing agencies and S tart Up plans for incoming • Department holds j oint meetings with ingoing/ outgoing pair for each reason • Department plans to hold regular check-in and technical assistance calls with the new S EPs post July 1 15
Residential Strike Force Update Five key strategies to mitigate the spread of the COVID-19 illness and mortality rates in residential settings: 1. Proactive and reactive monitoring and testing 2. Infection control education and enforcement 3. Providing personal protective equipment (PPE) 4. Ensuring separation and isolation of residents and workers with COVID-19 5. Helping to stabilize staffing at facilities 16
Surveillance Testing • S ince early April, the Unified Command Center has assisted 24 residential care settings and conducted nearly 5,000 tests • The S tate Lab is rolling out a surveillance testing process, with the goal of providing testing material to 86 residential care facilities and conducting apx. 10,500 tests per week over an eight-week period • The state has also contracted with CS U to partner with an additional 39 residential care settings to conduct 5,625 tests per week over an eight-week period 17
New Guidance OM 20-060 Issued All COVID-19 relat ed Memos can be f ound here: www.colorado.gov/ hcpf / long-t erm-services-and-support s-covid-19-response 18
OM 20-060 TITLE: CLARIFICATION FOR HCBS COMMUNITY CONNECTOR AND SUPPORTED COMMUNITY CONNECTIONS PROVIDERS RELATED TO COVID19 Further clarification of Memos OM 20-024, superseded by OM 20-046 To ensure the cost neutrality of this change, services provided by a legally responsible person must remain at the amount authorized on March 24, 2020 S ervice plans that were revised to add or increase Community Connector (CC) or S upported Community Connections (S CC) provided by a legally responsible person must be revised back to the services and amount authorized on March 24, 2020 S ervices that were authorized and provided prior to issuance of OM 20-046 will be paid and providers do not have liability for these claims unless rendered without appropriate case management authorization. Link: OM 20-060 19
Previous Guidance Case Management Agencies HCBS Providers Operational Changes Critical Incident Reporting for COVID-19 Long-term Care and Congregate Residential Guidance • OM 20-049 S ettings • OM 20-035 • OM 20-044 • OM 20-027 • OM 20-017 Level of Care Changes • OM 20-034 Host Home Inspections • OM 20-053 HCBS Therapy S ervices • OM 20-037 • OM 20-036 Transition Coordination • OM 20-020 • OM 20-045 Retainer Payments • OM 20-056 P AS RR Changes Guidance for Class B Providers • OM 20-039 • OM 20-043 • OM 20-023 CDAS S S ick Time Changes to Benefits & S ervices • OM 20-047 (Table) Facilities and P ACE Changes to Benefits & S ervices Rates • OM 20-046 (Table) Telemedicine Infection Control And Rate Increase • OM 20-048 Prevention of COVID-19 in • Temporary Policy • OM 20-050 Flexibility in Hiring Nursing Homes (CMS ) Options Counseling Non-medical Transportation • IM 20-019 • CMS QS O-20-14-NH • OM 20-054 • OM 20-031 S afer at Home for Day Programs Telemedicine in Nursing S timulus Payments • OM 20-057 Facilities • OM 20-059 • OM 20-032 Civil Money Penalty (CMP) Training & Certification • Link: IM 20-021 All COVID-19 and LTS S related memos can be found here: • OM 20-038 www.colorado.gov/ hcpf/ long-term-services-and-support s-covid-19-response 20
FAQ Updates S afer at Home Resuming Day Non-Medical for Host Programs Transportation Homes www.colorado.gov/hcpf/long-term-services-and-supports-covid-19-response 21
Resuming Day Programs I operate a Day Program with the building space made up of two separate suites, where each suite has its own entrance, restrooms, facilities etc. Can that be counted as two different settings and exceed the 10 person maximum? Y es, with Department approval. If a Day Program S etting can ensure that the two suites are operated as separate settings, which includes separate entrances, restrooms, staff, etc. and can keep the groups from interacting, then each setting can hold up to the maximum of 10 people (staff and members). In order to obtain Department approval, please complete this form. 22
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