INSPIRE WELLNESS
NHP Provider Newsletter
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In this issue:
- Public Health Information
- Vaccines for Kids Communication Toolkit
- Influenza and RSV
- Monkey Pox Resources
- WHO Recommends Renaming Monkey Pox
- New COVID-19 Counseling Codes
- COVID-19 Therapeutics Program for Health Care Providers
- Public Health Emergency Information
- Colorado COVID-19 Health Care Provider Vaccine Information Toolkit
- Statewide COVID-19 Vaccine Information
- Colorado Healthcare Respiratory Toolkit
- Provider Resources and Information
- Slavery& Human Trafficking Prevention Month
- CAHPS Member Survey Information
- Expanded Family Planning Benefit
- Remind Members to Update Their Contact Information
- Updated Uniform Service Coding Standards Manual
- Health First Colorado Data Analytics Portal (DAP)
- Online PCP Toolkit for Behavioral Health Care Management
- RAE Roundtable Resources
- Member Complaint and Appeal Information for Providers
- Provider Handbooks
- Focus on the Member Resources
- Upcoming events and webinars
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PUBLIC HEALTH INFORMATION | |
VACCINES FOR KIDS COMMUNICATIONS TOOLKIT
Encourage members to vaccinate and boost their kids against COVID-19 by utilizing this communication toolkit provided by the Colorado Department of Public Health and Environment.
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INFLUENZA AND RSV
The Colorado Department of Public Health and Environment (CDPHE) released a press release with information about what to expect this flu season. Please visit CDPHE’s webpage for the latest information on influenza trends and activity throughout Colorado. You may also visit this webpage from the CDPHE with information on RSV and the flu in Colorado.
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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 be shared 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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NEW COVID-19 COUNSELING CODES
The Colorado Department of Health Care Policy and Financing uploaded new COVID-19 counseling codes that are ready to use. Please reference the links below for more information.
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COVID-19 THERAPEUTICS PROGRAM FOR HEALTH CARE PROVIDERS
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PUBLIC HEALTH EMERGENCY INFORMATION--PLANNING AND RENEWALS
Another extension started October 13, 2022, and if extended the full 90 days, runs through January 11, 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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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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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.
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COLORADO HEALTH CARE RESPIRATORY VIRUS TOOLKIT
The Division of Disease Control and Public Health Response at the Colorado Department of Public Health and Environment created a respiratory virus toolkit.
Respiratory viruses, including Respiratory Syncytial Virus (RSV), flu, and COVID-19 are spreading across Colorado and the nation. Below is some helpful information for providers to share with members:
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Getting vaccinated. Both flu and COVID-19 have effective, safe vaccines. Anyone 6 months and older can get vaccinated for flu and COVID-19. It is safe to get the vaccines together.
- Seeing or calling a health care provider or doctor before going to a busy emergency department when you or your child has respiratory symptoms. Your provider can help you determine the best ways to manage symptoms and when it is important to be seen in the clinic, urgent care, or emergency department.
- Staying home when sick, including not visiting or interacting with people who may be at higher risk, including older adults, young children, and infants. What might feel like a mild cold for one person can be very serious for another person. This is important to preventing the spread of viruses and causing outbreaks, which put additional strain on the hospital system.
- Wash your hands frequently for at least 20 seconds with soap and water or use hand sanitizer with 60% alcohol.
- Covering your nose and mouth with a tissue or upper arm sleeve when you cough or sneeze, throw away the tissue after you use it, and clean hands as instructed above.
- Cleaning potentially contaminated surfaces, like doorknobs, tables, handrails, etc.
- Avoiding sharing cups, eating utensils, and touching your face with unwashed hands.
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PROVIDER RESOURCES AND INFORMATION | |
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SLAVERY & HUMAN TRAFFICKING PREVENTION MONTH
January is National Human Trafficking Prevention Month . Every year since 2010, the President has dedicated the month to raise awareness about human trafficking and to educate the public about how to identify and prevent this crime. Please read and share the following information with your members and fellow providers for more information on how to fight and prevent human trafficking.
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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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EXPANDED FAMILY PLANNING BENEFIT
Starting July 1, 2022, the Colorado Department of Health Care Policy and Financing (the Department) has expanded the reproductive health benefits available to individuals who would not have otherwise been eligible for Health First Colorado services. This expanded coverage addresses barriers to our members accessing essential health care services that help all members and their families to thrive.
The new covered populations are:
- People residing in Colorado who do not meet citizenship requirements but meet all other eligibility criteria for Health First Colorado are now eligible for family planning services; and
- People residing in Colorado with incomes over 133% but under 260% FPL are now eligible for family planning and family planning related services.
The above benefit plans are delivered without co-pays to enrolled members for eligible services, and enrolled members may immediately receive a 12-month prescription and supply of contraception from their provider.
More information on the family planning benefit expansion legislative programs can be found on the Maternal, Child and Reproductive Health webpage. You may also utilize this summary and billing manual as additional resources.
Email feedback regarding this billing manual to hcpf_MaternalChildHealth@state.co.us.
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REMIND MEMBERS TO UPDATE THEIR CONTACT INFORMATION
Please assist members in getting important updates about their health coverage by making sure their mailing address, phone numbers and email addresses are up to date. This is especially important in preparing for the end of the COVID-19 public health emergency. Members can update their information in any of the following ways:
Please share this flyer (English and Spanish) with your Health First Colorado members. More information to include messaging toolkits can be found here.
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UPDATED UNIFORM SERVICE CODING STANDARDS MANUAL
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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, please visit this webpage.
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ONLINE PCP TOOLKIT FOR BEHAVIORAL HEALTH CARE MANAGEMENT
Primary care providers and primary care settings can serve a critical role in the identification and treatment of behavioral health conditions in Health First Colorado members. Beacon Health Options (Beacon) has created this toolkit that can assist primary care physicians with the identification and next steps in treatment of behavioral health conditions. For more information, the online PCP toolkit can be accessed online
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MEMBER COMPLAINT AND APPEAL INFORMATION FOR PROVIDERS
Health First Colorado members have the right to file a complaint and/or appeal at any time. For information about this process, please review this information to assist members with questions. This information can also be located on the Northeast Health Partners' website.
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PROVIDER HANDBOOKS
As a reminder, you can access both the primary care provider and behavioral health provider handbooks on Northeast Health Partners' 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.
For questions, please email coproviderrelations@beaconhealthoptions.com.
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Northeast Health Partners Focus on the Member Resources
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Beacon and Northeast Health Partners would like to give their providers important resources to share with members. | |
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WOMEN'S SEXUAL HEALTH TIPS
Northeast Health Partners developed a Women’s Sexual Health tip-sheet for Health First Colorado members to provide members with information regarding the importance sexual health, services covered by Health First Colorado, and how to seek assistance regarding sexual health. The tip-sheet is offered in both English and Spanish and can be located on Northeast Health Partners’ website.
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FAMILY PLANNING RESOURCES
Northeast Health Partners developed a Family Planning tip-sheet for Health First Colorado members to provide members with information about family planning resources, services covered by Health Fist Colorado, and how to seek care for family planning services. The tip-sheet is offered in both English and Spanish and can be located on Northeast Health Partners’ website
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EARLY AND PERIODIC SCREENING, DIAGNOSTIC AND TREATMENT (EPSDT)
Northeast Health Partners developed an Early and Periodic Screening, Diagnostic and Treatment (EPSDT) tip-sheet for Health First Colorado members to provide members with information regarding the comprehensive and preventive health care services offered by the Health First Colorado program (Colorado Medicaid) for members ages 20 and under. For more information, the tip-sheet can be located on Northeast Health Partners’ website
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NORTHEAST HEALTH PARTNERS' WEBSITE
Northeast Health Partners' website provides many resources for members to access to keep up with their health and wellness. Please share this information as needed.
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UPCOMING EVENTS AND WEBINARS | |
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RAE 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 NHP 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 Northeast Health Partners’ website for information. December’s provider support call included information about the Health First Colorado Data Analytics Portal (DAP), supervised billing protocols, Health First Colorado provider revalidation requirements, and member access to care audits.
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