Case Management Redesign in Colorado includes many changes, one of them being the Case Management Agency (CMA) transition. All home and community-based case management services are being combined under one contract in each defined service area to better support the people we serve. The following information outlines ongoing phases as part of this transition that may be impacting the people we serve in our service area as well as across the state. Helpful information is also included at the bottom to keep you informed with resources.
CHCBS Transition Phase
beginning May 2024
Families will gradually transition to TRE using a phased approach and all CHCBS families should anticipate being fully transitioned to TRE by July 1, 2024.
Pueblo County Transition Phase
beginning March 2024
TRE was awarded the CMA contract with the Colorado Department of Health Care Policy and Financing (HCPF) to provide case management services to people enrolled or enrolling into all Long-Term Services and Supports (LTSS) in Pueblo County. TRE assumed these case management responsibilities March 1, 2024.
A coordinated process began to transition current members and their case management services for Community Centered Board (CCB) and Single-Entry Point (SEP) waivers to TRE.
LTSS Stabilization
From Colorado’s Department of Health Care Policy and Financing:
Colorado’s Long-Term Services and Supports (LTSS) system is being impacted by several challenges at the same time, including:
- Increased county workload due to the end of the Public Health Emergency (PHE);
- The implementation of a new Care and Case Management IT system with issues that have required additional work for case managers; and
- The transition of members to new case management agencies (CMAs) to achieve conflict-free case management.
The impact of all three occurring at once – which was not intended – is causing short-term challenges to member program eligibility, provider reimbursement, CMA processing and member service response time.
Helpful Information
Providers Newsletter – August
CHCBS Family Newsletter – July 2024
Provider Newsletter – June 2024
Provider Newsletter – April 2024
Provider Newsletter – March 2024
Click here for a list of TRE transition team contacts
Long-Term Home Health Prior Authorization Requests
Letters distributed to Members and Providers:
Member Notification Letter – Pueblo CBE NOV 1
Member Notification Letter – Pueblo DHS NOV 1
Provider Notification Letter – Pueblo CBE NOV 1
Provider Notification Letter – Pueblo DHS NOV 1
