Thursday, June 30, 2016

HCPF Policy Updates

Elimination of Five-Year Bar for Lawfully Residing Pregnant Women and Children

"Effective July 1, 2016, the removal of the five-year waiting period is extended to all Health First Colorado (Colorado's Medicaid Program) children in the following non-MAGI categories: the Health First Colorado Medicaid Buy-In Program for Children with Disabilities, Health First Colorado Medicaid Buy-In Program for Working Adults with Disabilities, Breast and Cervical Cancer and all Home and Community Based Services Waiver programs and the Nursing facilities Hospital Institutionalized program. The removal of the five-year waiting period will also apply to children in the state-subsidized adoption group and the Chafee independent foster care adolescent group.

Following this change, the Department will have eliminated the five-year bar for all lawfully residing pregnant women and children in Colorado who qualify for Health First Colorado (Colorado's Medicaid Program) or CHP+.
Click here for the Department's updated FAQs on this change

Medicaid Policy Update for Individuals Residing in Community Corrections Facility (or "Halfway Houses")

In response to recent federal guidance, the Department of Health Care Policy and Financing (HCPF) issued a policy statement which explains, effective June 1, 2016, Medicaid-covered services are available to residents of Community Corrections facilities (often referred to as half-way houses) who meet other Medicaid eligibility criteria, including individuals who reside at the facility involuntarily.

When applying through Colorado.gov/PEAK for Medical Assistance benefits, applicants should not indicate they are currently incarcerated if they are living in a community corrections facility. At this time, it will also be possible for individuals to receive real-time eligibility determinations. For the full policy statement click here.

Community Corrections facilities and certified medical assistance sites are also available to assist individuals who wish to apply in-person. Click here for a list of county MA assistant sites."
[Source: PEAKview]


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