Cover title., "June 2007.", The Balanced Budget Act (BBA) of 1997 (Public Law 105-33) requires that states conduct an annual evaluation of their managed care organizations and prepaid inpatient health plans to determine compliance with federal regulations and quality improvement standards. As one of the mandatory external quality review activities under the BBA, the Department of Health Care Policy and Financing is required to validate the performance improvement projects (PIP). To meet this validation requirement, the Department contracted with Health Services Advisory Group, Inc. (HSAG) as an external quality review organization.
Cover title., "May 2008.", The Balanced Budget Act (BBA) of 1997 (Public Law 105-33) requires that states conduct an annual evaluation of their managed care organizations and prepaid inpatient health plans to determine compliance with federal regulations and quality improvement standards. As one of the mandatory external quality review activities under the BBA, the Department of Health Care Policy and Financing is required to validate the performance improvement projects (PIP). To meet this validation requirement, the Department contracted with Health Services Advisory Group, Inc. (HSAG) as an external quality review organization.
The Accountable Care Collaborative (ACC) Key Performance Indicators (KPI) Methodology document describes the approach the Department of Health Care Policy and Financing (Department) uses for calculating the KPIs and other measures for the ACC program. The purpose of this document is to describe the methodologies used to calculate the PROMETHEUS Potentially Avoidable Complications (PAC) KPI performance incentive payments for RAEs in State Fiscal Year (SFY) 2020-21, "December 17, 2020." -- Footer., Online resource; title from PDF cover (viewed May 2025)
The Accountable Care Collaborative (ACC) Key Performance Indicators (KPI) Methodology document describes the approach the Department of Health Care Policy and Financing (Department) uses for calculating the KPIs and other measures for the ACC program. The purpose of this document is to describe the methodologies used to calculate the PROMETHEUS Potentially Avoidable Complications (PAC) KPI performance incentive payments for RAEs in State Fiscal Year (SFY) 2020-21, "May 20, 2021." -- Footer., Online resource; title from PDF cover (viewed May 2025)
The Accountable Care Collaborative (ACC) uses specified logic to attribute, or assign, each ACC client to a Primary Care Medical Provider (PCMP). Below are some frequently asked questions about the attribution process and policies., Online resource; title from PDF cover (viewed May 2025)
The Disability-Competent Care Assessment Tool was created to help Accountable Care Collaborative (ACC) primary care medical providers (PCMPs) better meet the needs of clients with disabilities, and to help clients with disabilities locate providers that are best able to meet their needs. The need to support practices in disability-competent care is especially important now that the ACC is serving Medicare-Medicaid Enrollees. The ACC disability-competent care initiative will also make it easier for beneficiaries to find practices that are able to meet their needs., "July 2015.", Online resource; title from PDF cover (viewed May 2025)
The Coronavirus Disease 2019 (COVID-19) pandemic has negatively impacted the health and financial well-being of many Coloradans. As a result of these unprecedented changes, the Department is planning for a significant increase in Health First Colorado (Colorado's Medicaid program) enrollment. To prepare for these new members and ensure new members can access quality primary care services quickly, the Department is changing its methodology for attributing members to a Primary Care Medical Provider (PCMP) based on geographic proximity. Instead of geographically attributing members to the closest available PCMP, the Department will limit geographic attribution to a list of Department identified safety net providers and Essential Community Providers who have expertise in caring for large numbers of Health First Colorado members and who have the capacity to accept new members., Online resource; title from PDF caption (viewed September 2021)
text file, Concept paper -- Attribution March 2018 -- Attribution June 2018 -- County FAQs -- Framework for behavioral health reimbursement -- Frequently asked questions 2016 -- Helpful resources -- Key concepts 2015 -- Key concepts for providers -- Role of freestanding psychiatric hospitals and the federal IMD rule -- Stakeholder engagement., Website.
text file, Concept paper (October 2015) -- Key concepts (December, 2015) -- Program design: reimbursement for behavioral health services (February 2016) -- Key concepts (February 2016) -- Framework for behavioral health reimbursement (March 2016) -- Frequently asked questions (March 2016) -- Helpful resources (November 2016) -- Stakeholder engagement (2017) -- Key concepts for providers (February 2018) -- Attribution (March 2018) -- Attribution (June 2018) -- County FAQs (July 2018) -- Short-term Behavioral Health Services in Primary Care (July 2018) -- Short-term Behavioral Health Services in Primary Care (January 2019) -- Role of freestanding psychiatric hospitals and the federal IMD Rule (October 2020)., Online resource; title provided by cataloger (viewed April 2025)
Caption title., "This actuarial report was developed at the request of the Colorado Department of Health Care Policy and Financing by Leif Associates, Inc.", Mode of access: World Wide Web.
Historically, Health First Colorado has not covered dental services for adults. Lack of preventive dental coverage can contribute to a range of serious health complications and drives Health First Colorado costs for both emergency and medical services., "Fact Sheet July 2019.", Online resource; title from PDF caption (viewed April 2025)
In 2013, the state legislature passed Senate Bill 242 which authorized the Department to create a new limited dental benefit in Medicaid for adults age 21 and over. The new dental benefit provides eligible Medicaid members up to $1,000 in dental services per state fiscal year which runs from July 1 - June 30., "Fact Sheet Template." -- Header page 2., Online resource; title from PDF caption (viewed April 2025)
Beginning April 1, 2014 - Medicaid enrolled adult clients age 21 years and over will have access to a new $1,000 annual dental benefit, starting with basic adult dental preventive, diagnostic and minor restorative dental services (such as x-rays and minor fillings) and treatment planning., "April 2014." -- Footer., Online resource; title from PDF caption (viewed April 2025)
