Denver Health's Integrated Behavioral Health Academy

Denver Health has successfully integrated behavioral health into our primary care clinics and several specialty clinics using a nationally recognized and financially sustainable model.  The IBH Academy supports individual clinicians and medical practices in the development of skills, models and strategies through multiple educational resources including: Classroom Training, Practice Coaching & Consultation, Learning Consortia & Online Resource Sharing, Professional Presentations

Upcoming Classroom Training Opportunity
Denver Health is hosting an Integrated Behavioral Health Foundations training June 15-16 at the Lowry Family Health Center in Denver for providers and support staff new to integrated care.
-Integrated Behavioral Health Foundations for Care Team
Wednesday, June 15, 1:30-5:30 p.m.
For Medical Providers and Clinical Support Staff
This session will be four hours in length and should be attended by primary care providers, behavioral health clinicians, and clinical support staff. Topics will include a brief review of IBH outcomes, team-based communication and treatment planning, and motivational interviewing.

-Integrated Behavioral Health Foundations for the Behavioral Health Provider
Weds, June 15, 1:30-5:30 pm & Thurs, June 16, 8:00 am-5:00 pm

The first four hours of this workshop are with care team members on June 15. Behavioral health clinicians return on June 16. Topics covered include professional acculturation, principles of population based care, rapid diagnosis, brief session duration and treatment episodes, medical case presentation structure, management of high- risk patients, psychopharmacology and ethical issues.

Register today!

[Source: Denver Health IBH Academy]

Denver Health Liaison Line Available for Community Partners

"Denver Health has taken on some responsibilities that were previously performed by MAXIMUS. As responsibilities are transferred from MAXIMUS to Denver Health, a communication process for community partners has been created by Denver Health, similar to the liaison line MAXIMUS managed for community partners. For application and case research or inquiries, please utilize the following resources:

Phone: 303-602-7720
Fax: 303-217-4156
Email: EEMAPLiaison@dhha.org

This process is intended for community partners only, and is not for use by the general public. Consumers should use the client call center line: 1-800-359-1991. The full communications process can be found here." [Source: Covering Kids and Families]

CCHAP Practice Manger Newsletter: Denver Health Passive Enrollment Changes

“The Department of Health Care Policy and Financing (HCPF) in conjunction with Denver Health Medicaid Choice (DHMC) is modifying the DHMC passive enrollment process. The current DHMC passive enrollment process enrolls ALL Medicaid eligible Denver County residents into DHMC regardless of current plan or previous history with a non-Denver Health provider. This process has negatively affected some Medicaid population’s ability to receive services. DHMC and HCPF have collaborated and created a new process intended to decrease the roadblocks for those negatively affected.

During the month of May, the current MMIS DHMC passive enrollment logic was removed and a new process will be implemented that prevents DHMC passive enrollment of the following:

• Medicaid clients with existing attribution to a non-DHMC provider.
• Refugee populations that utilize Volunteer Agencies addresses as residential addresses
• Foster children

Removing these populations from the DHMC passive enrollment process does not restrict the client from selecting DHMC as a health plan; it merely provides the client with ability to choose their plan and not be defaulted into DHMC. The modified process will be implemented beginning June 1, 2015 and will be seamless to the client and health plans.

This new process will only be applicable to newly eligible Medicaid clients and will not affect currently enrolled clients. All other existing process and procedures related to enrollment are unchanged (e.g. open enrollment, etc.).

If you have any questions or concerns please contact the Denver Health Contract Manager, Jeremy Sax at jeremy.sax@state.co.us or 303-866-3227.

View the Colorado Children's Healthcare Access Program’s full newsletter for more information on:

• Life After SGR: Medical Home Concept Looms Larger
• Drug & Alcohol Abuse Questionnaire - Important Updates
• Important Medicaid Help Resources” [Source: CCHAP]

Community Meeting regarding Recent Changes to Denver Health Managed Care Medicaid

Community Meeting regarding Recent Changes to Denver Health Managed Care Medicaid
Friday 12/12/14, 11:00 am at 1532 Galena Street, Aurora, CO 80010, Room 395
Hosted by P.J. Parmar, MD, Ardas Family Medicine

In response to concerns from Medicaid providers and patients, there have been some major recent changes to Denver Health Medicaid Choice (DHMC) which will benefit Colorado Medicaid patients. Now ANY primary care provider can be paid to see ANY DHMC patient (who they have a relationship with) at ANY time. In addition, ANY DHMC patient can be dis-enrolled from DHMC (changed to regular Medicaid), at ANY time (not just during certain months). Also, non-Denver Health providers can get paid for DHMC patients they previously saw for free, billing back to the start of 2014 (must be done by end of 2014). The Department of Health Care Policy and Financing (HCPF), the state entity overseeing Medicaid, has verbalized a commitment to eliminating the current passive enrollment process of Medicaid clients into DHMC, and these recent DHMC changes are to improve access to care until then. This meeting is so that patients and providers can better understand these recent major changes, can learn how to navigate the dis-enrollment, authorizations, and billing, and can express concerns remaining after these changes. Representatives from DHMC and HCPF will be present. This meeting is open to all, but office managers and providers may find particular use. RSVP for lunch to welcome@ardasclinic.com.

Denver Health Medicaid Choice (DHMC) process changes

Click here to view more information on the Denver Health Medicaid Choice (DHMC) process regarding disenrollment request, authorization request and claims submission related to passive enrollment. Below are highlights from the letter, please be sure to read the full letter carefully.

• Disenrollment process: Any non-DH provider that has an existing relationship with a member who has been passively enrolled into DHMC can assist the member to contact HealthColorado either by phone or by faxing form to request disenrollment (fax # 303-832-8352).
• Process for providers to obtain authorization from DHMC regarding passively enrolled members: Providers must submit (via fax 303-602-2128) an “Outpatient Provider Referral Form.pdf” to the Denver Health Managed Care Utilization Management (UM) department.
• Process for providers to obtain claims reimbursement from DHMC regarding retrospective claims for passive enrollees:  DH MCD Choice shall reimburse any non-DH provider rendering primary care services to a passively enrolled member for dates of services 120 days prior to the date of disenrollment from DH MCD Choice. All retrospective claims must be submitted via fax (preferred method) at 303-602-2096 to DHMC by December 31, 2014.

Denver Health Medicaid Choice (DHMC) process changes

Click here to view more information on the Denver Health Medicaid Choice (DHMC) process regarding disenrollment request, authorization request and claims submission related to passive enrollment. Below are highlights from the letter, please be sure to read the full letter carefully.

• Disenrollment process: Any non-DH provider that has an existing relationship with a member who has been passively enrolled into DHMC can assist the member to contact HealthColorado either by phone or by faxing form to request disenrollment (fax # 303-832-8352).
• Process for providers to obtain authorization from DHMC regarding passively enrolled members: Providers must submit (via fax 303-602-2128) an “Outpatient Provider Referral Form.pdf” to the Denver Health Managed Care Utilization Management (UM) department.
• Process for providers to obtain claims reimbursement from DHMC regarding retrospective claims for passive enrollees:  DH MCD Choice shall reimburse any non-DH provider rendering primary care services to a passively enrolled member for dates of services 120 days prior to the date of disenrollment from DH MCD Choice. All retrospective claims must be submitted via fax (preferred method) at 303-602-2096 to DHMC by December 31, 2014.

Denver Health Medicaid Choice (DHMC) process changes

Click here to view more information on the Denver Health Medicaid Choice (DHMC) process regarding disenrollment request, authorization request and claims submission related to passive enrollment. Below are highlights from the letter, please be sure to read the full letter carefully.

• Disenrollment process: Any non-DH provider that has an existing relationship with a member who has been passively enrolled into DHMC can assist the member to contact HealthColorado either by phone or by faxing form to request disenrollment (fax # 303-832-8352).
• Process for providers to obtain authorization from DHMC regarding passively enrolled members: Providers must submit (via fax 303-602-2128) an “Outpatient Provider Referral Form.pdf” to the Denver Health Managed Care Utilization Management (UM) department.
• Process for providers to obtain claims reimbursement from DHMC regarding retrospective claims for passive enrollees:  DH MCD Choice shall reimburse any non-DH provider rendering primary care services to a passively enrolled member for dates of services 120 days prior to the date of disenrollment from DH MCD Choice. All retrospective claims must be submitted via fax (preferred method) at 303-602-2096 to DHMC by December 31, 2014.

Final Innovation Awards & New ACO Application Opportunities Announced

The second and final round of Centers for Medicare & Medicaid (CMS) Health Care Innovation Challenge awards were announced and include two new Colorado applicants - Denver Health and Southeast Mental Health Services in Prowers County. They join the Upper San Juan Health District (award announced in May) as the only Colorado-specific proposals to receive awards. Under the Innovation Challenge initiative, these projects are testing creative ways to deliver high-quality health care services at lower costs.
 
Click here for more information on the Colorado-specific awards and multi-state awards that include Colorado organizations.