COVID-19 Updates Colorado Department of Health Care Policy & - - PowerPoint PPT Presentation
COVID-19 Updates Colorado Department of Health Care Policy & Financing August 21, 2020 1 Overview Colorado Department of Public Health & Environment (CDPHE) Update Melanie Roth-Lawson, Trainer/ Emergency Response Coordinator,
August 21, 2020
Colorado Department of Health Care Policy & Financing
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Colorado Department of Public Health & Environment (CDPHE) Update
CDPHE Updates New Guidance Resources
ilva, Office of Community Living Director, HCPF
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urveyor Testing
state.co.us
Per Public Health Order 20-20 (amended July 30), regular reporting to CDPHE is now required for Residential Care Settings Reporting will be done through EM Resource, a web-based tool used to assist the S tate with situational awareness and identification of providers' resource needs
t at e monit ors t he dat a t hat providers ent er int o EM Resource several t imes each week t o creat e crit ical needs report s t hat go t o t he st at e's emergency healt hcare lead
Timeline:
Cont act : melanie.rot h-lawson@ st at e.co.us
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Melanie Rot h-Lawson
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○ 93%
with 214 facilities reporting
○ 2 facilities reporting outstanding PPE needs
○ 21%
with 152 facilities reporting
○ 2 facilities reporting outstanding PPE needs
○ 37%
with 52 facilities reporting
○ 0 facilities reporting outstanding PPE needs
*data as of 8/ 19/ 2020
care for *additional residents and/ or t o *support a surge: 37
t o care for *additional residents and/ or t o *support a surge: 42
not have t o st aff t o care for *additional residents and/ or t o *support a surge: 4
up to 90 days at a time
/ HHS for at least 2-months notice prior to allowing the Public Health Emergency to end with 90 days to re-determine eligibility on impacted members, but they may not comply
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Public Health Emergency Ending Example Scenarios
If Public Health Emergency Ends… Then SPAs,1135 Waivers, and Optional Uninsured Testing Group Ends Then Continuous Coverage Requirement Ends Then MOE Requirement keep Eligibility Levels & Benefits the Same and Enhanced 6.2% FMAP Ends October 23, 2020 October 23, 2020 October 31, 2020 December 31, 2020 January 21, 2021 January 21, 2021 January 31, 2021 March 31, 2021
Employment (CDLE), Connect for Health Colorado
urvey sent by CDLE on 07/ 31 as part of broader message about federal benefits expiring
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8.97%- employer extended health care benefits 4.73%
15.94%
2.18%
10.70%
22.47%
.21%
15.47%
19.33%
*Examples of coverage respondents listed include: Medicare, Medicare Advantage Plans, VA, TriCare, COBRA and other insurance purchased directly from a carrier but not through Connect for Health Colorado.
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If you are currently uninsured, or anticipate being uninsured, do you plan to:
Colorado
insurance company
(CO Medicaid)
Plus (CHP+)
insurance
insurance
coverage
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Connect for Health Colorado, 8.92% Direct from Carrier, 2.70% Health First Colorado, 20.00% CHP+, 0.99% Spouse, 1.71% Parents, 0.09% Get Covered, None of the Above, 4.95% Other, 14.50% Go Without, 46.13%
Connect for Health Colorado Direct from Carrier Health First Colorado CHP+ S pouse Parents Get Covered, None of the Above Other
Help us reach Providers who need to enroll in Medicaid
Coloradans are losing j obs and therefore their employer sponsored coverage. To retain their patients and revenue, care providers not currently enrolled in Medicaid need to do so. Help us spread the word to providers please. Post, share, communicate this attachment.
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The Colorado Anti-Discrimination Act protects against discrimination in health care by making it unlawful to discriminate against individuals in "places of public accommodation," which is any place of business serving the "health, appearance, or physical condition of a person" including any "dispensary, clinic, hospital, convalescent home, or other institution for the sick, ailing, aged, or infirm [ ]." C.R.S. 24-34-601(1).
Two contradictory outcomes:
rolled back ACA LGBTQ anti-discrimination protections that had expanded the definition
COTUS issued 6-3 decision that LGBTQ people cannot be fired for being LGBTQ pursuant to Title VII of the Civil Rights Act of 1964
upports our goal to make a Colorado that Works for All
forward, putting implementation of the new rules on hold
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started going out to providers in April or May for providers who were approved late 2015)
with further instructions
duplicate enrollments and cause claim processing issues
Revalidation Dates spreadsheet, now available on the Revalidation web page under the Health First Colorado and CHP+ Provider Revalidation section
pecial Revalidation Newsletter and S pecial Revalidation Newsletter II, available on the Provider News web page under the Newsletters > 2020 drop-down section
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community-based services (see Operational Memo 20-046 for full list)
sustaining some Telehealth in HCBS through waiver agreements
takeholder Engagement coming soon!
www.colorado.gov/ hcpf/ OCL-stakeholder-engagement
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they are not following the same school schedule
use of HCBS during “ routine” school hours
being provided does not overlap with any of the curriculum or school-based needs of the child or youth receiving HCBS
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Testing devices being provided by CMS
trike Team is actively working on re-looking at the guidance for communal dining and small group activit ies
guidance and the new, soon to be released, indoor visitation guidance
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733 Registered Job Seekers
(RNs)
Assist ant s/ Pat ient Care Technicians
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New or Upcoming New Features
For Employers:
st at us of each j ob seeker (Can indicat e on t heir mat ch list if t hey are int erest ed, or have cont act ed, int erviewed or hired t he j ob candidat e)
et t ings coming soon! For Job Seekers:
document s
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
OM 20-083
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TITLE: DAY HABILITATION SERVICES IN RESPONSE TO COVID-19
Link: OM 20-083
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Habilitation may be provided to HCBS waiver members under the Protect Our Neighbors Executive Order
service delivery in the community whenever possible as the risk of transmission of the COVID-19 illness is lower outdoors
(does not supersede OM 20-070: Updated Information Pertaining to Day Program S ervices in Response to COVID-19, but rather provides additional guidance)
S upported Community Connections
CC does not have to “ utilize the community as a learning environment”
everal other modifications to S CC are being made to help providers help members access S CC (see memo for list)
S setting or Group Home determine to return to S CC service agency or have the IRS S
CC service (See memo for instructions. Residential provider must be approved S CC provider.)
S pecialized Habilitation
H may include virtual individual and/ or group activities, hosted by the current S H service agency.
S setting who are considered “ at risk,” or do not feel comfortable returning to group settings, S H may also continue to be provided 1:1 in the member’s home by the S H service agency. Note: this does not apply to Group Home settings.
services that are provided under S H, such as assistance with feeding, toileting, self-care,
H service to members who live in the home.
Department of Health and Human S ervice (HHS ) press release on July 31
providers
distributions, including providers that had a change of ownership and providers that are new (started billing Medicare/ Medicaid after the prior cutoffs), can also go into the portal as of August 10 to apply for a distribution
ee the Medicaid provider F AQs for additional information
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HCPF_HCBS _Questions@ state.co.us
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Memos, Webinar Info, and FAQs - Updated Regularly
www.colorado.gov/ hcpf/ long-term-services-and-supports-covid-19-response
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Case Management Agencies
Operational Changes
P AS RR Changes
Critical Incident Reporting for COVID-19
Level of Care Changes
Transition Coordination
In-Person & Travel Add-On
HCBS Providers
HCBS Therapy S ervices
Guidance for Class B Providers
Changes to Benefits & S ervices (Table)
Telemedicine
Host Home Inspections
CDAS S S ick Time
Changes to Benefits & S ervices Rates (Table)
Flexibility in Hiring
CC & S CC Clarifications
Additional Provider Relief Funds
Non-Medical Transportation
Retainer Payments Ending
Guidance for Reopening or Expanding Day Programs
CDPHE TA for IRS S
Updated Residential Guidance
Telehealth Billing Requirements
Facilities and P ACE
Infection Control And Prevention in NHs (CMS )
QS O-20-14-NH Telemedicine in Nursing Facilities
Training & Certification
Rate Increase
Options Counseling
S timulus Payments
Civil Money Penalty (CMP)
All COVID-19 and LTS S related memos and FAQs can be found here: www.colorado.gov/ hcpf/ long-term-services-and-support s-covid-19-response
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Added a “ COVID-19 Resources for LTSS” document to our webpage:
www.colorado.gov/ hcpf/ long-t erm- services-and-supports-covid-19- response
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If you or your organization are experiencing a shortage or outage of personal protective equipment (masks, gloves, gowns, etc.) to conduct essential or life saving functions during this crisis, please reach
health department. Find Your Local Community Emergency Manager Find Your Local Public Health Department
To report issues in
notify:
Sadie Martinez Access and Functional Needs Coordinator Office of Emergency Management 720.610.1691 sadie.martinez@ state.co.us
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www.cdc.gov/ coronavirus/ 2019-ncov/ www.cms.gov/ About-CMS / Agency-Information/ Emergency/ EPRO/ Current- Emergencies/ Current-Emergencies-page covid19.colorado.gov Local Public Health Agencies
www.colorado.gov/ cdphe/ find-your-local-public-health-agency
www.colorado.gov/ hcpf/ COVID
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Reducing frequency for existing Department webinars in S eptember.
eptember 11 and October 9, 2020 at 2 p.m. – 3 p.m.
eptember 11 and October 9, 2020 at noon – 1 p.m.
eptember 25 and October 23, 2020 at noon – 1 p.m.
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S tay up to date on meeting times at: www.colorado.gov/ hcpf/ long-term- services-and-supports-covid-19-response
Residential Care S trike Team
the S trike Team will:
t o-dat e, including dat a met rics
hare upcoming init iat ives and areas of focus
from S t akeholders
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Friday, August 28, 2020 10:30 a.m. - 11:30 a.m. MDT
Repeat ing Every Ot her Friday
Webinar Link:
https:/ / cohcpf.adobeconnect.com/ rlzrh590rzxq/
Webinar Call-in Information:
Local: 720-279-0026 Toll Free: 1-877-820-7831 Participant Code: 303146#
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