Care and Case Management (CCM) System News

CCM System Training Environment Access 

Case Managers are required to have access to the Care and Case Management System Training Environment for all training purposes. Case Management Agency leaders and supervisors will need to ensure their staff have access to the CCM Training Environment (TRN) for the next phase of Case Management CCM System training.  

Click here to access the CCM Training Environment Login Page. 

If your Case Management Agency needs access to the Training Environment for specific users please complete a new Third Party Access Form.   

Training Updates

Upcoming Training Sessions 

Health Coverage Learning Resources Overview and Q&A session.

July 17, 10 to 11 a.m.

Register on Webex

Known Issues Review Learning Resources Overview and Q&A session.

August 21, 10 to 11 am

Register on Webex

Participation in these training sessions is voluntary, but registration is mandatory for attendance. These sessions will not be recorded. We look forward to your participation!

Case Managers and CCM Users must access CCM Job Aids and CCM System recordings to help them complete their processes, tasks, and documentation in the CCM System.

Other News for Case Managers

COVID-19 Public Health Emergency (PHE) Unwind Ends 

April 2024 formally reflects the last month of the 12-month Medicaid continuous coverage unwind period in Colorado. Health Care Policy & Financing (HCPF) has published renewal reports and a PHE Unwind Summary on the Continuous Coverage Unwind Data Reporting page. 

HCPF and its contracted partners outreached more than 2.3 million times to over 600,000 Colorado households during the PHE Unwind according to their communication preferences - mailings, phone calls, email and texts. Thank you to the many community partners, advocates, health plan and other partners who did their part to help further raise awareness of the renewal process and for your direct member engagement throughout the renewal cycle to achieve shared goals. 

While the PHE unwind period has ended, work to continue improving the renewal and enrollment processes will be ongoing. Improvements to the online renewal and applications in PEAK, letters and ex parte are in development. HCPF is committed to learning from the unwind experience and improving the renewal process for our members. 

LTSS Extensions Remain in Place 

HCPF has temporarily paused terminations for all reasons for Long-Term Services and Supports (LTSS) members for two months past the member’s original termination date, unless the termination is for a member who has moved out of state or has passed away. This system change will remain in effect until at least December 2024 and replaces the 60-day extension for the renewal period for Long-Term Care (LTC), individuals on Home and Community Based Services (HCBS), and Buy-In recipients who have yet to return their renewal packet on time. Instead, the system will apply a two-month extension for all denial reasons. 

Ensuring coverage is maintained for LTSS members is a top priority. While many temporary waivers have been extended through June 2025, HCPF is urging CMS to make temporary waivers that impact LTSS members permanent. 

Reminder: 90 Day Reconsideration Period/Late Renewals 

Members can return their renewal packet and any missing information to their county for processing within 90 days of losing coverage and ask for retroactive coverage if they experienced a gap. Members who are determined eligible during the 90-day reconsideration period can request retroactive coverage by contacting their local county or they can request retroactive coverage in PEAK once they are approved and their new eligibility date is known.  

Appeals 

Members who disagree with a health care decision have the right to appeal. Learn more about the appeals process and share these new resources with members. 

Information about the appeals process available on the Health First Colorado website in English and Spanish helps members understand their rights and explains what they can do if they disagree with a decision about their Health First Colorado coverage.  

Watch the appeals explainer video to learn what kind of decisions can be appealed, and how to: 

• Ask for a formal hearing (state fair hearing) 
• Keep coverage during the appeal process 
• Get help 

Telligen Office Hours

Telligen is hosting office hours for case managers to answer questions regarding Utilization Review Utilization Management (URUM) reviews for:

• Health Maintenance Activities (HMA)
• Over Cost Containment (OCC)
• Supported Living Services (SLS) Exception
• Children's Home and Community-Based Services (CHCBS)
• Children's Extensive Services (CES)

Please submit any office hours topic requests by using the Telligen Support Request form no later than August 2, 2024. 

When: August 15, 2024, 11:30 a.m. to 12:30 p.m.

Register and join on Zoom.

Each attendee should register individually. Questions and answers from previous office hours are on our webpage under Telligen Office Hours.

Learning Collaborative Series for Colorado HCBS Case Managers

As we navigate change and opportunity in the Colorado HCBS system, including Case Management Redesign, this monthly series of 50-minute discussions aims to provide individual Colorado HCBS case managers the opportunity to consider new strategies, gain knowledge, and enhance strengths – especially during times of transition. Each session will offer a live presentation, attendee activities, group discussions, and time for questions and answers regarding the monthly topic. Please email any questions or concerns.  

Join us for our next session: Conflict Resolution 

In human service careers, differences in views and perspectives are inevitable. We all encounter varying interpretations of needs, rules, and ideas on what approach works best. The challenge we face is how to address disagreements to prevent them from becoming conflict and what we might do differently when basic divergences cross the line into conflict.   

This learning collaborative will present ideas and interactions designed for participants to learn to:   

1. Identify methods for recognizing common causes of conflict and the steps to address them.
2. Understand our style of addressing conflict and how that may impact our approach to conflict resolution.  

When: July 23, 2024, 11 to 11:50 a.m.

Register and join on Zoom.

 To watch previous Learning Collaboratives, visit our website.

Support Resources

Previous email blasts can be found here.

To request support for a CCM system issue, including to be assigned as a CMA to a member with no current CMA assignment, call CCM Support Center (888) 235-6944 or complete a CCM Support Request Form. Also see: FAQs page.

For User Access to CCM, Bridge, PEAKPro, please complete a 3rd Party System User Access Request Form, to include obtaining required signatures from your agency management, and submit to HCPF_OCLSystemApplications@state.co.us.

To request MEUPS Password Reset please email commit_helpdesk@gainwelltechnologies.com.

To request assistance for Bridge, including if you cannot see a member in the Bridge, please email ccmhelpdesk@gainwelltechnologies.com.

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