Care and Case Management System News

Care and Case Management (CCM) system Update

In our special edition newsletter, sent on March 15, we shared that a No Go decision was made for the anticipated March 14 GoLive. If you did not receive that message, read more about that decision and HCPF's path forward from Amanda Lofgren, case management and quality performance division director.

Unfortunately, we do not have an update on our implementation schedule yet. When there is an update, HCPF will communicate it via email to agency leadership and individual case managers will receive communications from Gainwell. If you are not signed up to receive communications from Gainwell, sign up here (it is recommended case managers subscribe to "00-All Provider Emails" and "11- Case Manager").

Change to MEUPs login page

The MEUPs login page for the Colorado interChange will be moving to a new location. Please bookmark the new MEUPS URL for use beginning Monday, March 27, 2023.

Phase I CCM System Functionality

Phase I: CCM Statewide

• Includes: Legacy ULTC 100.2 SP in the CCM
• Excludes: Streamline Eligibility & CSA & PCSP

Systems Access: Provisioning, Train and Production Support

Pre-Go Live Support and Assistance for Train

Join the standing Teams Meeting Link to receive live support Monday through Friday from 10 a.m. – 2 p.m. MT, or email COMMIT_HelpDesk@gainwelltechnologies.com for questions about access (including user name and password resets) to the Care and Case Management System Train Environments through March 31, 2023. 

Go Live Support and Assistance

Case managers are to contact the Provider Services Call Center at 1-844-235-2387 or email COMMIT_HelpDesk@gainwelltechnologies.com beginning the day the CCM goes live to obtain help with CCM Train/Prod.

When calling, case managers should say “Case Manager” when prompted/“password” when asked, “how may I help you?”

3rd Party Access Form Submission

• All 3rd Party access forms received on or after Feb. 15, 2023, will be processed after Go Live.
• Submit new forms to HCPF_OCLSystemApplications@state.co.us.
• Application tracking for the Bridge and the CCM, most current form will continue to be provided on the BUS Stop for now.
• CCM User Support

Training Resources  

How to Register for Training



• Case Managers: Learning Management System

Where to Find Recorded Training and Resources

• Case Managers: Learning Management System
• Support Staff/case aides: Training will be posted to CCM System Training Website as it becomes available
• Google Resource Folder

Webpage Resources  



• Roadmap to Success Quick Guide
• CCM FAQ - Updates now posted!
• CCM System Webpage
• CSA/PCSP Webpage
• CCM BPR Webpage
• Known Issues Webpage
• Health First Colorado Communications Sign Up

Other News for Case Managers

Presentation of Related OCL Projects Affecting Home and Community-Based Services (HCBS) Waiver Members

During the April 2023 Community First Choice (CFC) Council and Children's Disability Advisory Committee (CDAC) meetings, OCL will make presentations tying together projects that impact HCBS waiver members, including:

• Case Management Redesign (CMRD)
• Children’s Home and Community-Based Services (CHCBS) and Children with Life-Limiting Illness (CLLI) waiver merger
• Community First Choice (CFC)
• Wellness Benefit (WEB)

These projects impact all HCBS waivers and members, but especially CHCBS Waiver members. The presentations will cover how each project is connected and OCL's solutions to ensure a seamless transition for waiver members, while also expanding services.

Background

• CFC is an option for states to provide HCBS through Colorado's Medicaid state plan. Service plans are person-centered and allow for services to be self-directed to promote independence in the community. Consumer-Directed Attendant Support Services (CDASS) is a consumer-directed service delivery option that will be available under CFC.

• Case Management Redesign (CMRD) refers to several initiatives that will help make accessing long-term services and supports easier by changing case management agencies to serve all HCBS waivers so people have one place to go, making sure there are the right number of case management agencies in Colorado, and increasing the quality of case management services.

CFC Council Meeting

The CFC Council collaborates with the Department on the design and implementation of a CFC option in Colorado. The CFC Council needs input from Coloradans with Disabilities, Coloradans over 65 years or older, and advocates to help ensure CFC is implemented in a way that best meets Colorado’s needs. Everyone is welcome!

CFC Council meetings will be held on the first Wednesday of each month from 10 a.m. - 12 p.m., through May 2023. These meetings are open to the public.

April 2023 CFC Council Meeting

Wednesday, April 5, 2023

10 a.m. - 12 p.m.

Join online

Or by phone 1-260-230-1249, PIN: 719 313 221#

Meeting information and resources will be posted on the Community First Choice Stakeholder Opportunities webpage.

Children's Disability Advisory Committee (CDAC)

The CDAC serves in an advisory capacity to HCPF. It makes recommendations on issues related to benefits for children and youth with disabilities age 20 and younger, provider education interventions, and application of standards. The CDAC is scheduled to meet on the second Wednesday of every month from 10 a.m. to 12 p.m.

April 2023 CDAC meeting

Wednesday, April 12, 2023

10 a.m. – 12 p.m.

Join online

Or by phone 1-650-667-2698, PIN: ‪194 068 900 #

Meeting information and resources will be posted on the Children’s Disability Advisory Committee webpage.

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
• Over Cost Containment
• 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 Friday, May 12, 2023. 

Meeting Details

Thursday, May 18, 2023 

10:30 a.m. - 12 p.m. 

Please register to join

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

CDASS Fraud and MANE Reporting

Participant Directed Programs (PDP) require that the Financial Management Services (FMS) and Training and Operations (T&O) contractors report claims of fraud, waste, and misuse as well as MANE (mistreatment, abuse, neglect, and exploitation).

Suspected fraud, waste or misuse includes identification of intentional deception or misrepresentation by a person with the knowledge that the deception could result in some unauthorized benefit to the individual or some other person, whether it constitutes possible criminal fraud under federal or state law or violation of federal or state civil false claims statutes. Visit the Colorado Department of Human Services for more information on MANE.

Upon discovery or receiving a claim, contractors shall immediately make a verbal fraud report to HCPF's Program Integrity Contract Oversight Section and submit a written fraud report within two business days of the verbal report. The contractors must copy the PDP unit as well as the member's case manager. The process is the same for MANE reports with the exception that verbal reports are provided to the applicable local or state authorities (APS, child welfare, police, etc.).

The FMS and T&O contractors should copy case managers on the report email so they have an awareness of the claim and are able to add any pertinent information about the situation. Case managers may also use their discretion to address the claim with the member and/or Authorized Representatives and determine if retraining is needed by the T&O (Consumer Direct). Case managers are expected to log note reports they are copied to in the BUS (soon to be CCM).

CDASS & IHSS Mediation Services

Consumer Direct for Colorado (CDCO) is contracted by HCPF to assist with mediation for both Consumer-Directed Attendant Support Services (CDASS) and In-Home Support Services (IHSS). CDCO will act as a mediator for any disagreements in service authorizations that occur between parties. Parties can be members, IHSS agencies or FMS contractors, case managers, or a combination of these.

The most common types of mediation involve Care Plan discrepancies, lack of understanding or miscommunications about tasks, or guidance and mediation over Task Worksheets. However, CDCO is available for mediation on other items.

Members/Authorized Representatives, IHSS or FMS agencies, or case managers/case management agencies can request mediation; however, members/Authorized Representatives must consent to mediation.

To make a request, visit CDCO's website and download the “Care Plan Medication Request Form" from the IHSS or CDASS Resources tab. Fill it out and email it to InfoCDCO@ConsumerDirectCare.com. Direct questions to CDCO's main phone number 844-381-4433 or email.