Department of Health Care Policy and Financing Updatesz: 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 Medicaid2015@state.co.us 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:  https://www.colorado.gov/pacific/hcpf/provider-implementations (Select Targeted Rate Increases)

Medicaid Eligibility for Couples in a Civil Union: On Dec. 8, 2014, HCPF issued an agency letter clarifying how Medicaid eligibility should be determined for couples in a civil union vs. marriage. Effective Oct. 7, 2014, Colorado recognizes same-sex marriages. Medicaid determinations follow federal law, which has specific provisions that apply only to married couples. Because Colorado does not recognize civil unions as marriages, couples in a civil union are considered to be in separate households when determining Medicaid eligibility. All married couples, including same-sex married couples, should be entered as married for Medicaid eligibility determinations.

Potential CICP Policy Changes: Click here to view a document for potential policy changes and implementation dates.

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]