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.
The following resources are intended to help members and families, case managers, providers, and other stakeholders navigate to HCPF resources related to these concurrent challenges.
HCPF Landing Page – Updates on state-led efforts to stabilize LTSS:
Stabilizing Long-Term Services and Supports (LTSS)
HCPF Escalations Form – Providers are urged to continue using this form:
Escalations Form for LTSS members experiencing eligibility issues
Message from HCPF to Members and Families re: challenges and issues facing Long Term Supports and Services
Mensaje de HCPF a los miembros y sus familias sobre los desafíos y problemas que enfrentan los apoyos y servicios a largo plazo – Espanol
Learn more about why Case Management Redesign is happening in Colorado
