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HCI Primary Care Medical Provider Monthly Newsletter
October 2022
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IN THIS ISSUE:
Provider Resources:
- Health Literacy Month
- Breast Cancer Awareness Month
- October is National Depression and Mental Health Screening Month
- Colorado Prescription Drug Monitoring Program
- Colorado's Canadian Drug Importation Plan
- New Emergency Department Utilization Report
- Reporting Adverse Incidents
- Ensuring Full Continuum Substance Use Disorder (SUD) Benefits
- Contexture-Digital Health Record System
- Screening, Brief Intervention, and Referral to Treatment (SBIRT) Program
- Econsult Platform-Electronic Consultation Platform
- Health First Colorado Data Analytics Portal (DAP)
- Online PCP Toolkit for Behavioral Healthcare Management
- Prescriber Tool Pre-Alternative Payment Model (APM) Provider Toolkit
- Primary Care Medical Provider Handbook
- Member Complaint and Appeal Information for Providers
Public Health Information:
- Monkeypox Resources
- Stay Updated on the Public Health Emergency Declaration
- COVID-19 Outpatient Therapeutics Flowsheets and Resources
- COVID-19 Therapeutics Program for Health Care Providers
- CDPHE Quick COVID-19 Provider Guide
- State Wide Vaccine Information
Member Resources
Events & Webinars
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HEALTH LITERACY MONTH
A large portion of the people we serve are poor and medically underserved. They need help understanding and navigating a complex health care system. They require culturally competent providers who speak their language so they can make informed health care choices. A number of patients may be confused with certain medical language, have difficulty understanding English, struggle with filling out forms, or have limited access to health providers in their community. With the proper training, health care professionals can identify patients' specific health literacy levels and make simple communication adjustments. For more information and resources, please utilize the links below.
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BREAST CANCER AWARENESS MONTH
Breast cancer is the second most common cancer among women in the United States. Finding breast cancer early and getting state-of-the-art cancer treatment are the most important strategies to prevent deaths from breast cancer. Breast cancer that’s found early, when it’s small and has not spread, is easier to treat successfully. Getting regular screening tests is the most reliable way to find breast cancer early. Below are resources and websites for you to utilize.
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OCTOBER IS NATIONAL DEPRESSION AND MENTAL HEALTH SCREENING MONTH
This observance brings awareness to the need for depression and mental health screenings. A number of different factors can often come into play with depression that can include a mix of environmental, genetic, psychological, and biological /biochemical components. Not everyone experiences depression in the same way, but it can affect anyone at any time. So, it is important to take that next step and seek out professional help and be screened if someone feels they may be depressed. Depression is a highly treatable condition with many different options available, but a professional should be sought out to help determine the best course of action for every individual that is suffering from it. Mental health screenings allow for early identification and intervention and help bridge the gap. Early identification and treatment leads to better outcomes. Early treatment may also lessen long-term disability and prevent years of suffering. Below are facts sheets and resources that are at hand.
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COLORADO PRESCRIPTION DRUG MONITORING PROGRAM
The Colorado Prescription Drug Monitoring Program (PDMP) is a powerful tool for prescribers and dispensers to help reduce prescription drug misuse, abuse, and diversion: helping them to make more informed decisions when considering prescribing or dispensing a controlled substance to a patient.
Click here to be taken to the webpage with more information.
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COLORADO'S CANADIAN DRUG IMPORTATION PLAN
The Polis-Primavera administration and the Colorado Department of Health Care Policy & Financing have announced partnerships with key supply chain partners that will help Colorado operationalize the importation of lower cost medications from Canada to save people money, while ensuring the health and safety of Coloradans. Colorado’s Canadian Importation Program, once approved by the Food and Drug Administration (FDA), is poised to save consumers and employers an average of more than 60% on prescription medications. For more information, read the press release.
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NEW EMERGENCY DEPARTMENT UTILIZATION REPORT
The Colorado Department of Health Care Policy & Financing has released its first ever in-depth analysis on emergency department (ED) utilization. Topics include which members use the ED most often and why, the impact COVID-19 has had on the ED, opportunities for improving the health care safety net, and spotlights on behavioral health and housing issues. The Department maintains an internal data dashboard on ED utilization and will continue to monitor trends over time. Check out the report here.
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REPORTING ADVERSE INCIDENTS
Managing care effectively and assuring the safety of members is a principal philosophy of Beacon Health Options Colorado. Every provider is required to report incidents involving Medicaid members who have either harmed or and occurrence exists with had the potential to harm a member. This includes members receiving services now, and those discharged in the last 90 days. Click here for information on the requirement.
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ENSURING FULL CONTINUUM SUBSTANCE USE DISORDER (SUD) BENEFITS
The Department of Health Care Policy and Financing (the Department) is committed to better health outcomes for the whole person by offering a full range of healthcare services for Health First Colorado (Colorado’s Medicaid program) members. Health First Colorado members get physical health and dental services and are also eligible for behavioral health services, which include substance use disorder (SUD) treatment. Behavioral health services including SUD treatment are available to all members without the need for a referral or copay. Click here to be taken to the Department's webpage with more information on this topic.
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CONTEXTURE-DIGITAL HEALTH RECORD SYSTEM
Colorado Health Information Exchange, formally COHRIO, is now Contexture. Contexture helps "connect the digital health record systems" for healthcare providers so that regardless of where a patient goes for care, their medical history is accessible to the physicians and healthcare professionals who need it". For more information, please visit this webpage.
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SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) PROGRAM
Screening, Brief Intervention, and Referral to Treatment is designed to prevent members from developing a substance use disorder, for early detection of a suspected substance use disorder, or to refer members for treatment. These services are not intended to treat members already diagnosed with a substance use disorder or those members already receiving substance use disorder treatment services. The Colorado Department of Health Care Policy & Financing has provided a webpage with extensive information regarding this program.
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ECONSULT PLATFORM-ELECTRONIC CONSULTATION PLATFORM
The Colorado Department of Health Care Policy and Financing is implementing a statewide Medicaid electronic consultation platform called the eConsult Platform. This platform will promote the Department's mission to improve healthcare equity, access and outcomes for the people we serve. For more information, please visit this webpage.
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HEALTH FIRST COLORADO DATA ANALYTICS PORTAL (DAP)
For Primary Care Medical Providers (PCMP)-
To support the Accountable Care Collaborative's (ACC's) goal of improving member health and reducing costs, the Colorado Department of Health Care Policy & Financing (HCPF) along with IBM Watson Health have created this data analytics tool for PCMPs and Regional Accountable Entities (RAEs) for population and performance information. For more information, click here to be directed to the webpage.
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ONLINE PCP TOOLKIT FOR BEHAVIORAL HEALTH CARE MANAGEMENT
Primary care settings are increasingly the first line of identification for behavioral health (BH) issues. As your patients’ primary medical practitioner, you already know the large number of patients who present with both physical and behavioral health disorders. Beacon Heath Options (Beacon) supports PCPs as the locus of treatment for a wide variety of BH diagnoses. To that end, Beacon offers PCPs this toolkit to help with identification and next steps in treatment of BH conditions. Click here to access the PCP toolkit online resource.
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PRESCRIBER TOOL PRE-ALTERNATIVE PAYMENT MODEL (APM) PROVIDER TOOLKIT
The Colorado Department of Health Care Policy & Financing has designed this toolkit to help guide practices through steps to participate in the Pre-APM phase of the Prescriber Tool APM. This Tool refers to a collection of capabilities that healthcare providers can access through their Electronic Health Records (EHR) system, including prescription benefit information, electronic prior authorization, and access to an opioid risk module for Health First Colorado members. Click here for more information, FAQs and additional links.
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PRIMARY CARE MEDICAL PROVIDER HANDBOOK
As a reminder, you can access The Provider Handbook on Health Colorado's website under the Provider Handbooks & Policies section. Please utilize these resources to answer questions in regards to member services, provider information, key performance indicators, etc.
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MEMBER COMPLAINT AND APPEAL INFORMATION FOR PROVIDERS
Health First Colorado members have the right to file a complaint at any time and also have the right to file an appeal. Please familiarize yourself with the following document in the event a member has questions. You will then be able to direct them appropriately. This can also be found on the Health Colorado, Inc. website.
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Public Health Information | |
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MONKEYPOX RESOURCES
The Centers for Disease Control (CDC) has a webpage with Monkeypox information, resources and vaccine information.
The Colorado Department of Public Health & Environment (CDPHE) also has a webpage with local statistics and information as well as a social media tookit which is encouraged to share with the public.
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BECOME A MONKEYPOX VACCINE PROVIDER
The Colorado Department of Public Health & Environment has provided the resources below for providers who are interested in becoming a Monkeypox vaccine provider.
If you have any questions, email cdphe_covidvax@state.co.us.
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STAY UPDATED WITH THE PUBLIC HEALTH EMERGENCY DECLARATIONS
Another extension started July 15, 2022, and if extended the full 90 days, runs through October 13, 2022.
Keep updated on the public health emergency declarations for COVID-19 by visiting this site. You are also encouraged to visit the state site as well.
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COVID-19 OUTPATIENT THERAPEUTICS FLOWSHEETS AND RESOURCES
The Colorado Department of Public Health and Environment has provided the following checklists with resource documents which is intended to assist prescribing providers with their assessment of the utilization of these particular therapeutic selections.
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COVID-19 THERAPEUTICS PROGRAM FOR HEALTH CARE PROVIDERS
In an ongoing effort to decrease hospitalizations for at-risk Coloradans by ensuring access to COVID-19 therapeutics, we are sharing information provided by the Colorado Department of Public Health and Environment (CDPHE) for health care providers. Included here is updated National Institutes of Health (NIH) recommendations, as well as provider eligibility and enrollment information for both the CDPHE Therapeutics program and Health and Human Services (HHS) Test to Treat program, Health care providers are encouraged to learn more about these lifesaving treatments and talk about them with patients who may be eligible to receive them.
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CDPHE QUICK COVID-19 VACCINE PROVIDER GUIDE
The Colorado Department of Public Health and Environment (CDPHE) released a quick reference guide for healthcare professionals including information on the proper storage, preparation, and administration of the currently authorized COVID-19 vaccine products in the United States.
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STATEWIDE COVID-19 VACCINE INFORMATION
Colorado Department of Public Health and Environment provides extensive resources and up to date information regarding the COVID-19 vaccine.
For vaccine information from the Colorado Department of Public Health and Environment, visit this webpage.
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BIPOC PARENT VIRTUAL LISTENING SESSIONS
This fall members of the Exceptional Student Services Unit from the Colorado Department of Education are hosting BIPOC Parent Listening Sessions. The priority is to attend to the perspectives of representative voices when making decisions about policy, training and supports designed for students with exceptionalities. The desired outcome for these four fall listening sessions is to learn from parents about ways to better serve and support BIPOC students with exceptionalities. Below are English and Spanish flyers announcing the sessions which start September 10th. Please feel free to distribute widely to parents and guardians you believe would have an interest in participating. For additional information, please contact Michael Ramirez at 303-866-6991.
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NEW!!! RAE 2 and 4 ROUNDTABLE ---2nd Fri of every month at 11am
All behavioral health and primary care medical providers are encouraged to attend! Please join the Beacon Colorado Provider Relations team every month for important updates, relevant trainings, resources, and discussion.
Click here to join the webinar.
Or By Telephone:1-669-900-6833---Webinar ID: 995 7438 8100---Passcode: 173943
Visit the HCI website for details on previous calls.
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8TH ANNUAL COLORADO HEALTH LITERACY COALITION CONFERENCE: HOW INFORMED IS YOUR CONSENT?
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ESERVICES OVERVIEW--WEBINAR
Hosted by Beacon Health Options
Webinar designed to provide an introduction and overview of the eServices platform for those health plans that use this portal. Topics covered include how to register, use, and submit claims and authorizations via eServices.
- Wednesday, October 12, 2022 12pm (MST)
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Click here to register.
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MANAGED CARE 101--WEBINAR
Hosted by Beacon Health Options
Overview of managed care terms, definitions and general guidance on working with Beacon Health Options. This is an introductory webinar for new providers.
- Tuesday, October 18, 2022 10am (MST)
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Click here to register.
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PERSON-CENTERED PLANNING--WEBINAR
Hosted by Beacon Health Options
Person Centered Planning is an ongoing problem-solving process used to help people with disabilities or serious mental illnesses plan for their future. In this 1.5-hour training, attendees will learn the principles behind Person-Centered Care Planning and understand how to effectively assess individuals and develop Person-Centered treatment plans including S.M.A.R.T. goals. This is an introductory level topic training. There is no CE credit or certification associated with this training.
- Wednesday, October 19, 2022 1pm (MST)
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Click here to register.
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ADULT UROLOGY IN PRIMARY CARE OFFICE HOURS
Hosted by ECHO Colorado in partnership with University of Colorado School of Medicine Division of Urology
This is a new, monthly, free, drop-in opportunity designed for Colorado-based primary care providers (MD, DO, NP, PA, APP) to discuss urology topics of their choice and receive feedback from a urology specialist. This ongoing series will allow participants to share de-identified cases, including de-identified patient imaging, and ask questions for peer-to-peer and specialist consultation to support one another in patient diagnosis and management.
Sessions are held virtually every second Friday of the month from 12pm-1pm (MST) starting September 9th. CLICK HERE for more information and to sign up.
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