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Quality Assurance News & Updates

Updates on Case Management Redesign

The final phase of Case Management Redesign and the transition to Case Management Agencies (CMA) will take place July 1st, 2024. For the catchment areas we work with, this phase includes DDRC transitioning to Jeferson County as the CMA serving Clear Creek & Jefferson County and, Adult Care Management, Inc. (doing business as A&I Avenues) as the CMA serving Boulder, Broomfield & Gilpin Couties. We know the transition has not been easy, especially with compounding issues for people accessing long-term care services. The Department of Health Carre Policy and Finance (HCPF) implemented a multi-step plan to stabilize long-term services and supports. This plan includes establishing a case management stabilization fund, addressing IT issues with the new Care and Case Management software and protecting coverage for people accessing services. You can read more about HCPF’s stabilizing LTSS using this link.

As the final CMA’s transition, HCPF continues to work on revising outdated regulations to align with the change to CMA’s. HCPF has postponed the next Medical Service Board review of the revised regulations until August to allow them time to review recommendations they received including recommendations submitted by Alliance (our trade organization). The final piece of case management redesign will be the implementation of a single Colorado assessment which will replace the 100.2. The transition to the new assessment is TBD while HCPF focuses on their stabilization efforts.

If you have any questions, please don’t hesitate to reach out to your team or the Quality Assurance Department.