Friday, December 19, 2014

Department of Health Care Policy and Financing Updates – Medicaid Targeted Rate Increase

Community Provider Rate Increase (Medicaid Targeted Rate Increase): Click here to view the proposals being put forward by the Department for Targeted Rate Increases (TRI) for FY’15-16.   These proposals will be considered along with new proposals put forward by stakeholders and submitted as part of the TRI initiative for FY’15-16.

The Department has also extended the submission period for receipt of stakeholder proposals until 5PM Wednesday, January 7th.  All proposals should be submitted to and must be received by this deadline for consideration. The Department will review all proposals (both external and internal) and will then send its official targeted rate increase recommendations for $16.5M to the Joint Budget Committee for its consideration.

All documents related to the Targeted Rate Increase initiative can be found on the Department’s website at: (Select Targeted Rate Increases)

ACA Implementation News: Click here to view the latest issue of the Department of Health Care Policy and Financing’s ACA Implementation News. [Source: HCPF]

Thursday, December 18, 2014

Happy Holidays from ClinicNET!

Your work inspires us and at the holidays, we are especially grateful for the quality care you provide to uninsured, underinsured and low income Coloradans.

It is an honor to advocate for your clinics and lend a collective voice to your efforts. We wish you the happiest of holidays and look forward to working with you in 2015!


ClinicNET Board of Directors & staff

Safety Net Technology Group and Practice Administrator Group Kick-Off Meetings

In an effort to provide our affiliates with more opportunities to learn, share and network, ClinicNET will be coordinating and helping to facilitate various one-time and ongoing convenings and gatherings in 2015. We’ll be kicking off a technology cohort and a practice administrators cohort!

Learn from your peers in the industry, discuss challenges and opportunities! Doctors Care in Littleton has graciously offered to host the inaugural gatherings in January (9th or 23rd). During these first convenings we will meet and greet, determine future topics for discussion and education, discuss scheduling and locations for 2015 gatherings, in addition to touring Doctors Care! Refreshments will be served!

Please determine which of your staff(s) would be appropriate for participation and have them complete the doodle scheduling poll below. We will confirm date and time based on best availability. *Please note new dates/times have been added.
Questions? Please contact Brooke Powers at or 720-863-7803.

Wednesday, December 17, 2014

New Funding Opportunity from the Colorado Health Foundation: Team-Based Care

The Colorado Health Foundation is excited to announce the opening of a new funding opportunity within our Health Care outcome area.

Funding Opportunity: Team-Based Care
The Foundation is dedicated to improving Colorado's primary care through a new funding opportunity focused on optimizing existing care teams to deliver coordinated, high-quality care. The three-and-a-half year opportunity will build off the Foundation's previous investments in practice transformation and integrated care and help prepare primary care practices throughout the state to capitalize on future delivery and payment reform opportunities.

In an attempt to benefit underserved populations and have a greater impact on the primary care system across the state, any primary care clinic (non-profit and for-profit) that serves a significant population of underserved patients is welcome to submit a letter of intent (LOI) by February 15, 2015.

Specifically, we are interested in providing technical assistance to up to 30 clinics to assemble a work plan and budget to strengthen the delivery of their team-based care. Participating clinics will be eligible to apply for three-year grants or no-interest loans to implement their work plans in June 2015. To be considered for funding, applicants must meet specific criteria.

Get more information about this funding opportunity by downloading the FAQ and attending an informational webinar on Jan. 14, or by contacting the program officer for this funding opportunity, Tanya Weinberg at 303-953-3643 or” [Source: The Colorado Health Foundation]

Colorado awarded SIM Funding!

The Centers for Medicare and Medicaid Innovation (CMMI) has awarded Colorado with $65 million in State Innovation Model (SIM) funding to create a coordinated, accountable system of care that gives Coloradans access to integrated primary care and behavioral health. Click here to view the press release for the announcement.

Workgroup progress:
HIT, Data and Quality Measures: The group gained consensus on the following two pediatric measures to be included in SIM: (1) Postpartum depression screening, and (2) Developmental screening. The group has been evaluating these measures from a data and cost perspective. A review of public health data integration will occur as a next phase of work, and a meeting with the Local Public Health Agencies is planned early in 2015. A follow-up meeting of the HIT, Data & Quality Measures group is also planned before the end of the year.

Payers, Purchasers and Payment Reform: The group had a successful kick-off in November and is currently working on a schedule for regular meetings in the new year.

Population Health and Consumer Engagement: Joe Sammen from CCMU will be replacing Gretchen Hammer as co-lead with Dr. Larry Wolk, with Gretchen Hammer's transition to the Colorado Department of Health Care Policy and Finance. A meeting is being scheduled for January, 2015.

Service Delivery and Practice Transformation: Currently, the group is focusing on the development of practice milestones. It has reviewed the Comprehensive Primary Care initiative milestones, which will serve as a foundation of SIM milestones development, as well as looked at other relevant resources (i.e. Transforming Clinical Practices Initiative). Over the next month, the group will be facilitating targeted discussions around the milestones, including: pediatric-specific considerations and integrating primary care into a CMHC setting.

The SIM Team would like to extend its gratitude to those who submitted a post-meeting evaluation survey for the SIM conference on 11/20. We appreciate the valuable feedback we received from you. Please use the following link to download a PowerPoint presentation that illustrates the results of the survey: Click here to download the PowerPoint.”  [Source: Colorado SIM]

RCCO Contracts Extended for 1 Year

The Department has received approval to extend the current RCCO contracts for one year. The current RCCO contract period will now end June 2017.  A Request for Proposals will be released in the summer of 2016. This timeline change is necessary for the following reasons:
  • The new MMIS and its associated data and analytics systems will be implemented prior to 2017;
  • More time to assess lessons learned in the current  RCCO contracts and the 1281 Payment Reform Program  and incorporate those lessons into the next program design;
  • Federal innovation opportunities such as the State Innovation Model and the Innovation Accelerator Program may be better poised to be leveraged in 2017;
  • Significant change will likely require a federal waiver.
The timeline to develop the next iteration of the ACC remains very tight.   Even with an additional year before RFP publication, the Department intends to have the majority of programmatic details defined by spring 2015. Please don't hesitate to contact us at with questions and concerns.” [Source: HCPF]

Tuesday, December 16, 2014

Department of Health Care Policy and Financing Updates - Medicaid billing & ACA Implementation News

Click here to view a document outlining the Department’s established policy and State statute regarding billing of Medicaid members. This policy applies to both Medicaid and non-Medicaid enrolled providers.

Click here to view the latest issue of HCPF’s ACA Implementation News. [Source: HCPF]