Project Overview
The Colorado Department of Health Care Policy and Financing (HCPF) has contracted with HCBS Strategies to redesign the implementation of Case Management for Home and Community Based Services (HCBS) waivers and programs to achieve a high-performing case management system.
Stakeholder feedback and buy-in is a key component of this work. This blog provides stakeholders with transparency of this project's operations and provides a place to make all presentations and notes from stakeholder meetings publicly available. Stakeholders are invited to provide feedback directly on this blog by clicking here.
This project has the following stages:
- Identifying relevant stakeholder input for case management redesign through stakeholder engagement and communication.
- Development of new catchment maps using ArcGIS software to perform analysis of catchment areas of current and newly identified Case Management Agencies (CMA).
- Outlining the business operations, services, and activities required for CMAs to provide a determination of Medicaid authorities that will maximize the amount of federal financial participation (FPP) that can be drawn down with the least amount of burden.
- Re-evaluating Colorado's current rural exception guidelines and CMS' guidelines when a state is justified in waiving the conflict of interest requirements included in the HCBS rules, then using ArcGIS software to analyze areas with limited provider capacity.
- Analyzing the Organized Health Care Delivery System (OHCDS) through an operations review within Colorado and compared to other states' implementations.
- Performing a human rights committee analysis to develop safeguards to help ensure the rights of waiver participants are respected, including robust stakeholder input.
- Performing quality case management research through investigating current performance expectations for case management and waiver quality management in other states.
