Medicaid Index​

​Ombudsman For CO Medicaid Managed Care At 303-830-3560 (Denver Metro Area), 1-877-435-7123 (Toll Free), TTY: 1-888-876-8864 (Hearing Impaired), Or Email [email protected]

​CMS (Centers for Medicare & Medicaid Services) Region  8 -- Covering CO -- 303-844-2111 [email protected] ​

www.medicaid.gov

CMS Overview of CO Medicaid & CHIP

• CO'S MENTAL HEALTH CONTINUUM OF CARE HELL

Changes to Medicaid’s Institutions for Mental Disease (IMD) Exclusion [Connecticut Office of Legislative Research-- Nov. 15, 2018]
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Initial Excerpts from the CMS Letter on Mental Health Innovation

Some Medicaid Funding Strategies & Issues

CO Medicaid CMHS (Community Mental Health Supports Waiver)

• ACT -- WHY IT NEEDS TO BE AN OPTION UNDER A RE-VAMPED CMHS WAIVER
• IT IS WAY PAST DUE TO OVERHAUL CO MEDICAID'S CMHS WAIVER

 

• Assertive Community Treatment (ACT) --- CO Medicaid BHO Contracts --- BHOs have been integrated into new organizations -- but the basic problems remain the same.

 

• Cost Containment -- Medicaid Home & Community Based Services

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• ​2007 CMS Audit Of The Colorado MI Waiver (per Audit, State paying about $12 per day per person for individuals on CO MI Waiver)

Medicaid 1115 Demonstration Waivers

• CU RESEARCH ON GOOD BACTERIA & MENTAL HEALTH POLICY
• ​CO SHOULD EXPLORE APPLYING FOR AN:  1115 MEDICAID WAIVER TO CAPITALIZE ON CU'S BENEFICIAL BACTERIA RESEARCH  (& Even Further Editorial Comment)
• Waiver of the IMD [Institute of Mental Disease] EXCLUSIONARY RULE & ADMIN. ENFORCEMENT OF DISABILITY CIVIL RIGHTS LAWS
  

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What A Tangled Web We Weave: What Was Really Going On In the Hickenlooper Administration's Change of Targeting Criteria Under the CMHS Waiver?

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We need an Inclusive Stakeholder Group under the Polis Administration -- not only to get rid of the DISCRIMINATORY Targeting Criteria ---but to Revamp the CMHS Waiver.

Colorado Medicaid Regional Criminal Justice Contacts

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​CO Medicaid Regulations -- CO Dept. of Health Care Policy & Financing
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• CO MEDICAID List Of Rules & Regulations
• CO Medicaid Community Behavioral Health Services -- 8.212
• CO MEDICAID BEHAVIORAL HEALTH SERVICES
  
  WE HAVE CONCERNS REGARDING COMPLIANCE WITH MEDICAID NETWORK ADEQUACY, PARITY & OLMSTEAD
• CO Medicaid Community Mental Health Services Program Capitation Rate Setting -- 8.215
• CO Medicaid Home & Community Based Services CMHS -- 8.509
• CO Medicaid Community Transition Services (CTS) -- 8.553 (Transition Services From The Nursing Home To The Community)
• Colorado Choice Transitions (CCT), A Money Follows The Person Demonstration -- 8.555

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• Medicaid Mental Health Services & People with Developmental Disabilities

 

• Medicaid Mental Health & People with Traumatic Brain Injury

 

• Orchid Commentary:  DD & TBI Medicaid Mental Health Services

 

• Helpful Tools for the Medicaid Mental Health Advocate in Colorado

 

• Washington State Study:  Cost Shifting to Jails after switch to Mental Health Managed Care​

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CMS Approves Innovative Pilot Program to Address Social Determinants of Health as Part of North Carolina’s New Medicaid Waiver

EYMAN ASSOCIATES ON NORTH CAROLINA'S WAIVER TARGETING THE SOCIAL DETERMINANTS OF HEALTH

The pilots will provide enhanced case management and other services to eligible individuals in the following four areas:

• Housing: Including tenancy support and sustaining services, housing quality and safety improvement, access to legal assistance, support for a security deposit, and post-hospitalization assistance;


• Food: Including food support services such as nutrition counseling and education, funding for nutrition provided through food banks for medical conditions, and meal delivery services;


• Transportation: Including non-emergency health related transportation, such as public transit and private services (taxis, ride-sharing) for accessing the pilot services; and


• Interpersonal Violence/Toxic Stress: Including transportation, support resources (including assisting individuals to transition out of traumatic situations), access to legal assistance, and child-parent support.

Guardianships - deductions to participation, room and board

​COGNITIVE DISABILITIES,
CRIMINAL JUSTICE, & GUARDIANSHIP      

             We need to make guardianship available for PEOPLE WITH  COGNITIVE DISABILITIES involved in the Criminal Justice System who need SUPERVISION.    Covered disabilities should include:

• Brain Injury
• Mental Illness
• Substance Use Issues
• Developmental Disabilities

               Dual Objectives of any such program should be:

• Prevention of Recidivism and Promotion of Public Safety, and
• The person-centered, strength-based development of the person and return to employment or supported employment where possible.