Medicaid
     •    Eligibility and Enrollment
     •    Adults Without Dependents
          •    ages 16 through 64 who do not have a Medicaid-dependent children
          •    family income at or below 10% of the FPL
          •    began April 1, 2012
     •    Medicaid Buy-In
          •    new CO Medicaid program options for children under age 19 with a qualifying disability
          •    family income up to 300% of FPL
          •    begins July 1, 2012

CHP+
     •    CHP+ Eligibility

Kaiser-Permanente KPStep
     •    Kaiser Permanente Colorado KP Step Plan
          •    must be between ages of 0 and 34
          •    must be income eligible and live in the KP Denver/Boulder service areas
          •    may be other KP options available, ask or review the website

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ACCOUNTABLE CARE COLLABORATIVE CORNER

ACCOUNTABLE CARE COLLABORATIVE UPDATES

Enrollment in the Accountable Care Collaborative (ACC) increased by nearly 19,000 clients over the past month to an estimated 125,193. The ACC Advisory Subcommittees meet monthly. Anyone interested in being involved with the ACC program is encouraged to participate in the advisory process. For more information, please contact Kathryn Jantz at 303-866-5972.


ACC ELIGIBILITY ON THE WEB PORTAL

When eligibility is checked through the Colorado Medical Assistance Program Web Portal for a client who has been enrolled into the ACC, the eligibility screen will show (1) that the client is a member of the ACC Program; (2) the RCCO that the client belongs to; and (3) the client’s Primary Care Medical Provider (PCMP). ACC members who do not have a PCMP will have the RCCO name listed in the PCMP space. In other words, for ACC members who do not have a PCMP, the RCCO name will appear twice. It is important for all clients to have a PCMP.

Please encourage clients to contact HealthColorado (Denver Metro area 303-839-2120; Outside of Denver 1-888-367-6557; TDD 1-888-876-8864) to select a PCMP or provide them with the fax enrollment form.


MEDICAL HOMES FOR CHILDREN PAYMENT

Medicaid will continue to pay the current pay-for-performance reimbursement to all Children's Medical Home providers. This includes those who are participating as PCMPs in the ACC Program, through June of 2013. Medicaid had originally planned to discontinue Children’s Medical Home pay-for-performance reimbursements in July 2012 and transition these providers to per-member-per-month payments under the ACC Program. However, Medicaid is planning to work with the RCCOs and Children’s Medical Home providers during 2012-13 to determine the best way to integrate the two programs. In preparation of greater alignment between the two programs, Medicaid encourages all Children's Medical Home providers to contact the RCCO in their region to become a primary care medical provider in the ACC Program and to participate in ACC Advisory Committee discussions about integration of the programs.

Please contact Kevin Heckman at CCHAP, kevin.heckman@childrenscolorado.org, 720-777-6309; Kathryn Jantz, Kathryn.Jantz@state.co.us, 303-866-5972; Greg Trollan, Greg.Trollan@state.co.us, 303-866-3674; or Leslie Weems, Leslie.Weems@state.co.us, 303-866-3393 with any questions.

Regional Care Collaboration Organizations Contact List Click here.
Medicaid ACC website: Click here
PCMP Fax Enrollment Form - A form that ACC patients can use to choose your office as their Primary Care Medical Provider (PCMP) if they are not already assigned to one: Click here

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PRACTICE MANAGER CORNER

PRACTICE MANAGER MEETING

Materials and recording of our April meeting are available at www.cchap.org/pmmeeting

IMMUNIZATION SERVICES POLICY

HCPF  implemented a new Immunization Services policy effective April 2, 2012. This policy clarifies the immunizations that Medicaid covers and the clients who are eligible for them. To view this policy, please Click Here.

For updates on Healthcare Common Procedure Coding System (HCPCS) or Current Procedural Terminology (CPT) billing codes, please refer to the annual Immunization Benefit Update bulletin (B1200315).


COLORADO ACCESS EXPANSION

The Child Health Plan Plus (CHP+) Program is happy to announce the expansion of Colorado Access into two additional counties effective July 1, 2012. The additional counties are El Paso and Teller. The expansion into the two additional counties will increase the services that will be available to Colorado’s CHP+ participants. Colorado Access will be the Primary CHP+ plan in both counties, with the State Managed Care Network providing the Pre-HMO and pre-natal benefits. Please contact Teresa Craig at Teresa.Craig@state.co.us or 303-866-3586 with questions.


CHP+ COPAYMENTS UPDATE

Beginning July 1, 2012, there will be a change in copayment amounts for some Child Health Plan Plus (CHP+) members. Clients in the State Managed Care
Network (SMCN) will receive new member ID cards in mid-June which will list their new copayment amounts. Clients in other managed care organizations will receive information about copayments from their individual plans. Please see a Summary of Copayment Changes on the CHP+ Web page. Visit the Web page often between now and July 1, 2012 for updates, sample letters to clients informing them about the changes, and other resources that will be posted on this site in mid-April.


COLORADO REGISTRATION AND ATTESTATION SYSTEM (CO R&A)

REMINDER: As of March 5, 2012, the CO R&A has begun accepting attestations for eligible professionals and hospitals in Colorado to receive Medicaid Electronic Health Record (EHR) Incentive payments for adopting Certified EHR Technology.

The CO R&A can be accessed through the Colorado Provider Outreach page at http://co.arraincentive.com. Centers for Medicare and Medicaid Services (CMS) EHR Incentive Program Registration and Attestation Site: https://ehrincentives.cms.gov/hitech/login.action.

Medicaid has partnered with the Colorado Regional Health Information Organization (CORHIO) and the Colorado Regional Extension Center (CO-REC) program to provide program coordination and assist with provider communications and outreach regarding the Medicaid EHR Incentive Program. Feel free to contact Betsy Baker, Medicaid EHR Incentive Program Coordinator, at MedicaidEHR@corhio.org or 720-285-3232.

CORHIO May 2012 Newsletter – Click here


ADULTS WITHOUT DEPENDENT CHILDREN (AWDC) LAUNCHES

The Adults without Dependent Children program (AwDC) launched April 1. The AwDC program will provide Medicaid benefits to 10,000 eligible adults, ages 19 through 64, who are at or below 10% of the Federal Poverty Level (FPL), do not have a Medicaid-eligible dependent child living in the home and who are ineligible for Medicare and other Medicaid programs. To date, more than 2,800 applicants have been determined eligible and placed on the waitlist. Applications will be accepted through May 15 and all applicants determined eligible between April 1, 2012 and May 15, 2012 will participate in a randomized member selection process. The initial randomized selection process will occur in mid-May and is limited to 10,000 clients. All others determined eligible, but not selected and those determined eligible after May 15, will remain on a waitlist for future randomized selection as spots become available. To assist your clients through the application and the enrollment process, the Department has several resources on the Benefits for Adults without Dependent Children Web page.


UPDATE: MEDICAID BUY-IN FOR WORKING ADULTS WITH DISABILITIES (ADULT BUY-IN)

Since launching the Adult Buy-In on March 1, more than 115 clients have been enrolled.
The Adult Buy-In program is for adults with disabilities ages 16 through 64, who are employed and whose income and/or resources were previously too high to qualify for Medicaid. The Adult Buy-In allows eligible clients to pay a monthly premium based on their income to access Medicaid benefits.


MEDICAID BUY-IN FOR CHILDREN WITH DISABILITIES (CHILDREN’S BUY-IN)

The Medicaid Buy-In Program for Children with Disabilities  (Children’s Buy-In) is being prepared for implementation! This program is part of the Colorado Health Care Affordability Act and is funded by the Hospital Provider Fee.

Beginning July 1, 2012, the Children’s Buy-In Program will be an option for children with a disability to receive health care coverage. Eligible families will ‘buy-into’ Medicaid benefits for their child by paying a monthly premium based on their income.

To learn more about the Children’s Buy-In Program and how to help families apply, please register to attend one of the Children’s Buy-In outreach sessions that are being held in early May 2012. Locations and registration information are posted here: Children’s Buy-In Program outreach sessions.

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The Challenge of Low Health Literacy Among Patients and Caregivers of ALL Cultures

 
Written by Marcia Carteret M.Ed.
(Copyright 2012. All rights reserved.)

click here (.pdf)

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Best Practices in Action

BEST PRACTICE TOOLKITS

The Department of Health Care Policy and Financing has created toolkits around best practices to provide Primary Care Providers guidance on how to document and address issues of health promotion in Medicaid/CHP+ clients. Toolkits can be found at the Healthy Living website and include the following Healthy Living areas:  
•    Preventive Oral Health Services
•    Addressing Depression in Primary Care
•    Addressing Obesity
•    Addressing Tobacco Cessation

Toolkits include information regarding improved prevention, screening, diagnosis, billing, treatment, referral, and provider and community resources.  

Please note that there might be additional billing codes that your practice has not used before. CCHAP encourages practices to use the codes as outlined in the toolkits so that HCPF knows the level of work that practices are doing around prevention and can use the data to better understand the need for further resources and reimbursement in Colorado.  

CCHAP IS RECRUITING PRACTICES TO PILOT “BEST PRACTICES”

Over the last several months we interviewed and surveyed practices that have already implemented Cavity Free at Three, and have now outlined what we believe to be efficient processes that work best for implementing the program into the primary care setting.

 
Contact us today and …

• Learn “what works best” from other Colorado practices.
• Learn tips and tricks for improved program efficiency and staff compliance. 
• Receive free assistance with practice training and preparation.
• Receive sample flow sheets, step-by-step directions, educational materials, and more!

Whether you are new to Cavity Free at Three, have struggled getting the program embedded into your office flow, or would just like to learn ways to improve the program within your practice, these guidelines are for you!

Please seriously consider piloting our business model best practice guidelines for Cavity Free at Three! For more information, please contact Angie Goodger @ 720-346-4903 or angela@cchap.org.  

CCHAP IS ON FACEBOOK - JOIN US TODAY!

Facebook page, to connect with us on Facebook and get the most up to date information about CCHAP! We will also, from time to time, highlight other important and time sensitive topics. Please use our Facebook page in conjunction with the www.CCHAP.org web page, CCHAP newsletter and other CCHAP e-mail blasts.

CCHAP TEAM MEMBERS COMPLETE CAVITY FREE AT THREE TRAINING

Congratulations to Steve Poole and Angie Goodger for completing the 12-hour Train the Trainer program for Cavity Free at Three!

If you are considering implementing the Cavity Free at Three program in your primary care practice, please let us know! We would love to help ensure that your practice has the tools and skills needed to begin the Cavity Free at Three program! Additionally, we have outlined what we believe to be efficient processes that work best for implementing the program into the primary care setting. These guidelines are available – at no cost - to CCHAP affiliated practices. Contact us today for more information!

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Copyright 2012 Colorado Children's Healthcare Access Program and other entities as noted.

 CCHAP Home > Newsletter Articles > Newsletter 61, May 2012