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HCI Provider Newsletter
A monthly collection of must-know information and resources
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In this issue:
- Provider Resources and Information
- February is American Heart Month
- Supporting Providers of Color Webinar
- Behavioral Health Stipend Fund
- Changes to the Uniform Service Coding Manual Standard
- Provider Services Call Center Verification Update
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Health Colorado COVID-19 Vaccination Contest Description
- Billing Health First Colorado Members for Services
- Care On Location: Bridge Care Program
- CAHPS Member Survey Information
- Member Complaint and Appeal Information for Providers
- SAMHSA Proposes Update to Expand Access to Opioid Treatment
- Health Colorado Member Resources
- Health Colorado Website
- Early and Periodic Screening, Diagnostic and Testing (EPSDT)
- Broadband Discount Program
- Where Do I Start Webinar
- Care on Location: Material Opioid Misuse Project
- Public Health Information
- New COVID-19 Counseling Codes
- Monkey Pox Resources
- WHO Recommends Renaming Monkey Pox
- Public Health Emergency Information
- Public Health Emergency (PHE) Planning
- COVID-19 Outpatient Therapeutics Flowsheets and Resources
- Colorado COVID-19 Health Care Provider Vaccine Information Toolkit
- COVID-19 Therapeutics Program For Health Care Providers
- Statewide COVID-19 Vaccine Information
- Upcoming events and webinars
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PROVIDER RESOURCES AND INFORMATION | |
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FEBRUARY IS AMERICAN HEART MONTH
Heart disease is the leading cause of death in the United States. The term “heart disease” refers to several types of heart conditions. In the United States, the most common type of heart disease is coronary artery disease (CAD), which can lead to heart attack. February is American Heart Month, a time when all people can focus on their cardiovascular health. This year the Division for Heart Disease and Stroke Prevention is shining a light on hypertension (high blood pressure), a leading risk factor for heart disease and stroke. Please visit the CDC’s Heart Disease webpage for useful toolkits and extensive resources to share.
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SUPPORTING PROVIDERS OF COLOR WEBINAR
When health care professionals reflect the communities they serve, it leads to greater health equity, enhanced patient care, and improved health outcomes. This webinar from the Center of Health Care Strategies will explore innovations in recruitment, training, and retention that can lead to a more representative and supported pediatric workforce. It will also discuss anti-racist training opportunities for pediatric staff and residents to better serve children most impacted by structural racism.
You may also reference the presentation slides for this webinar.
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BEHAVIORAL HEALTH STIPEND FUND
Serving Chaffee, Custer, Fremont, and Park Counties
The region 15 Opioid Settlement Governance Committee has created a Stipend Fund of $6000/year/person (max 2 years) to help behavioral health providers tackle the high cost of living in our area. This opportunity is available directly to individual providers who will be considered whether they work for an established behavioral health organization or are an independent practitioner.
To apply, please fill out this application.
FOR QUESTIONS OR TO REQUEST AN APPLICATION, PLEASE CONTACT CAROL TOGIE AT PARK COUNTY PUBLIC HEALTH:
Email: CTogie@parkco.us
Office: 719-836-4149
Mobile: 719-839-0246
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CHANGES TO THE UNIFORM SERVICE CODING MANUAL STANDARD
The following changes are effective January 1, 2023, and are included in the January 2023 edition of the Uniform Service Coding Standards Manual (USCM).
- Place of Service (POS) 18 “Place of Employment – Worksite” has been added to codes 97537, H2023 and H2025.
- Evaluation and Management (E/M) codes 99217–99220, 99224-99226, 99241, 99251, 99318, 99324-99328, and 99334 – 99337 are no longer in the USCM. These codes should not be billed for dates of service from January 1, 2023, forward.
- Substance Use Disorder (SUD) diagnoses are no longer excluded from Crisis Stabilization Unit (CSU) code H0018.
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PROVIDER SERVICES CALL CENTER VERIFICATION UPDATE
An additional verification will soon be required when a provider contacts the Provider Services Call Center. The fiscal agent is now asking for the caller to provide an 8- to 10-digit Health First Colorado (Colorado’s Medicaid program) ID and the National Provider Identification (NPI) (if applicable) to release Health Insurance Portability and Accountability Act (HIPAA) protected information.
- Providers whose enrollment types or specialties do not require an NPI may authenticate using their Health First Colorado ID only. If the caller is a submitter or trading partner calling for electronic data interchange (EDI) support, the term “EDI” can be used in order to be directed into the correct queue. Once connected to an agent, the Trading Partner ID (TPID) will be required for authentication.
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HEALTH COLORADO COVID-19 VACCINATION CONTEST
Health Colorado, Inc. (HCI) is holding a regional COVID-19 Vaccination Contest to reward the top five Primary Care Organizations with the most improved vaccination rates in 2023. Current studies reveal that vaccinations have the largest impact on COVID-19 death rates as well as hospitalization rates, both at the ICU and non-ICU levels. Despite this, only 33% of HCI members are fully vaccinated for COVID-19.
HCI will reward the top five Primary Care Organizations across the region that demonstrate the greatest COVID-19 vaccination improvement based on contest logic below.
- $30,000 to the top performer
- $25,000 to the second highest performer
- $20,000 to the third highest performer
- $10,000 to the fourth highest performer
- $5,000 to the fifth highest performer
Health Colorado has provided this contest description with further details.
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ATTENTION! BILLING HEALTH FIRST COLORADO MEMBERS FOR SERVICES
It is important that all health care providers know that Health First Colorado members cannot be billed for services covered by Health First Colorado. Please visit this policy statement for more detailed information.
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CARE ON LOCATION: BRIDGE CARE PROGRAM
HCI is partnering with Care on Location to build a Bridge Care program that supports Hospital Transformation Program (HTP) initiatives and RAE 4 Access to Care standards which are amenable to telehealth modalities and care coordinators being able to connect patients directly to a care source.
Goals:
- Strengthen care transitions and bridge access to care gaps in a timely manner
- Respect local resources and workflows that already exist
- Extend access to care to those who are often lost through the cracks
Additional information and resources:
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CAHPS MEMBER SURVEY INFORMATION
The State of Colorado will be administering the Consumer Assessment of Healthcare Providers and Systems Clinician and Group Survey (CG-CAHPS) beginning December 20th, 2022, and concluding on May 23rd, 2023. We would like to inform providers of the possibility that Health First Colorado members attributed to your practice may be identified as a survey respondent for the CAHPS survey.
Please encourage your Health First Colorado Members to complete the CG-CAHPS, if surveyed. More information about to assist members to complete this survey can be found in the Consumer Assessment of Healthcare Providers and Systems Clinician and Group Survey (CG-CAHPS) memo.
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PROVIDER HANDBOOKS
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 covered services, claims, provider information, 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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HEALTH COLORADO MEMBER RESOURCES | |
Beacon and Health Colorado would like to give their providers important resources to share with members. | |
HEALTH COLORADO WEBSITE
Health Colorado's website provides many resources for members to access to keep up with their health and wellness. Get access to all things member related here and share as needed. | |
EARLY AND PERIODIC SCREENING, DIAGNOSTIC AND TREATMENT (EPSDT)
The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit provides comprehensive and preventive health care services for Health First Colorado (Colorado's Medicaid Program) members age 20 and under. EPSDT is key to ensuring that children and youth receive appropriate preventive, dental, mental health, developmental and specialty services. Click here for a flyer with more information.
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AFFORDABLE CONNECTIVITY PROGRAM
Please help spread the word about the Affordable Connectivity Program (ACP). The Affordable Connectivity Program is an FCC benefit program that helps ensure that households can afford the broadband they need for work, school, healthcare and more.
The benefit provides a discount of up to $30 per month toward internet service for eligible households and up to $75 per month for households on qualifying Tribal lands. Eligible households can also receive a one-time discount of up to $100 to purchase a laptop, desktop computer, or tablet from participating providers if they contribute more than $10 and less than $50 toward the purchase price.
The Affordable Connectivity Program is limited to one monthly service discount and one device discount per household.
Eligibility requirements apply.
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HEALTH COLORADO: WHERE DO I START? WEBINAR
Beacon and Health Colorado will assist with questions new members have regarding Medicaid benefits.
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CARE ON LOCATION: MATERNAL OPIOID MISUSE PROJECT
Leverages strong community relationships in SE CO to establish a community-based, co-location to facilitate medical navigation and social support to pregnant and postpartum women with an OUD with PEERs and those with lived experience.
The Care on Location team also has a test to treat page for more information on COVID-19 with the increased cases. Their providers are able to evaluate for risk factors, coordinate with pharmacies that have medication available and also provide further guidance on supportive therapies OTC.
More information:
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PUBLIC HEALTH INFORMATION | |
NEW COVID-19 COUNSELING CODES
The Colorado Department of Health Care Policy and Financing have uploaded new COVID-19 counseling codes that are ready to use. Please reference the links below for more information.
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MONKEY POX RESOURCES
The Centers for Disease Control (CDC) has a webpage with Monkey Pox 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 toolkit which is encouraged to share with the public.
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WHO RECOMMENDS RENAMING MONKEY POX
The World Health Organization (WHO) recommends a transition from "Monkey Pox" to the term "mpox". This transition will happen gradually over the next year; details of which are depicted further in this article.
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PUBLIC HEALTH EMERGENCY INFORMATION
Another extension started January 11, 2023, and if extended the full 90 days, runs through April 11, 2023. HHS has confirmed that they will provide 60 days advance notice before an end to the PHE. If the PHE will end on April 11, 2023, we expect to receive 60 days advance notice by Feb. 10, 2023.
Keep updated on the public health emergency declarations for COVID-19 by visiting this site. The Colorado Department of Health Care Policy & Financing has also created a webpage, Public Health Emergency Planning, which includes information on planning for the end of the COVID-19 Public Health Emergency and the Renewal Process.
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PUBLIC HEALTH EMERGENCY (PHE) PLANNING
Congress has recently passed a bill that ends the continuous coverage requirement on April 1, 2023. This will allow states to begin normal renewal processes. Colorado will take 12 months (14 months including noticing) to renew members based on their annual renewal date. It will be critical for members to complete renewal packets when their renewal is due. For information on what to do to help members and further details, please visit the PHE Planning page on the HCPF website.
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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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COLORADO COVID-19 HEALTH CARE PROVIDER VACCINE INFORMATION TOOLKIT
In an effort to best organize and make readily available the wide array of health care provider vaccine resources, trainings and materials related to the COVID-19 vaccination program, the Colorado Department of Public Health and Environment (CDPHE) has created the online Colorado COVID-19 Health Care Provider Vaccine Information Toolkit. The toolkit has a variety of robust elements for providers to use.
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COVID-19 THERAPEUTICS PROGRAM FOR HEALTH CARE PROVIDERS
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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 vaccine.
For vaccine information from the Colorado Department of Public Health and Environment, visit this webpage.
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UPCOMING WEBINARS AND EVENTS | |
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CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC CRITERIA UPDATE WEBINAR
On January 5, 2023, the Substance Abuse and Mental Health Services Administration (SAMHSA) held a webinar to provide an overview of the updates to the Certified Community Behavioral Health Clinic (CCBHC) Certification Criteria. This webinar provided an overview and review of the draft of the update to the CCBHC Certification Criteria.
View the webinar and revised draft of the update to the CCBHC Certification Criteria.
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MITIGATING SAFETY AND RISK FOR CHILDREN AFFECTED BY PARENTAL SUBSTANCE USE DISORDERS INVOLVED IN THE CHILD WELFARE SYSTEM WEBINAR
NCSACW is hosting a webinar to learn about a collaborative approach to mitigate safety and risk factors for children affected by parental substance use disorders (SUDs).
Join this webinar to learn more about:
- Child welfare assessment of parental substance use as a safety or risk factor through standardized screening, examination of behavioral indicators, observations of the physical environment, and contact with other service providers
- Opportunities for substance use treatment professionals to partner with child welfare on safety planning with families affected by parental SUDs
- Collaborative strategies to support families’ efforts to overcome barriers to child safety and permanency while building parental capacities
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Beacon / HCI Webinars / Events | |
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THE IMPACT OF YOUTH VOICES IN TRANSFORMING PEDIATRIC CARE WEBINAR
This webinar is the second in a two-part series on Expanding Patient and Family Engagement to Improve Pediatric Care that will highlight the value of co-creating equitable partnerships between patients, families, community, and multidisciplinary care teams. This webinar will focus on the importance of involving youth in child health care transformation.
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BEACON UPCOMING WEBINAR AND ARCHIVE
Every month, Beacon hosts training webinars about various topics. To sign up for upcoming webinars, or to view recordings of previous webinars in the Beacon archive, please visit the Beacon Health Options Trainings webpage.
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RAE ROUNDTABLE BEHAVIORAL HEALTH---2nd Fri of every month at 11am
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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IN CASE YOU MISSED IT: RAE ROUNDTABLE RESOURCES
If you were unable to attend a previously hosted RAE Roundtable, please visit this Health Colorado’s website for information. January’s provider support call included information about Required Authorization Services vs Non required Authorization Services, RTC Request Process Review, New IA
Requirements, Provider Connect, EPSDT and the Creative Solutions Process, Supervision of Unlicensed Therapists Policy, and member access to care audits.
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