Case Management Redesign

Case Management Redesign Update OCT 2023October 19, 2023

 CASE MANAGEMENT FOR LONG TERM SERVICES & SUPPORTS IS CHANGING IN COLORADO

The Current Landscape

Important changes are coming to case management for Home and Community Based Services (HCBS), the Family Support Services Program, State Supported Living Service (SLS) and Quality Assurance offered by Health First Colorado, Colorado’s Medicaid program through the Department of Health Care Policy and Financing (HCPF).

The changes specify that case management for all HCBS waivers, the Family Support Services Program, State SLS, and Quality Assurance functions will soon be provided by a designated Case Management Agency (CMA) in each defined service area of the state.

Jefferson County Human Services (JCHS) is currently the Single-Entry Point (SEP) for Jefferson County and provides case management for various HCBS waivers, not including waiver services for intellectual and developmental disabilities (IDD). JCHS has been designated as the new CMA for Jefferson and Clear Creek County.

Developmental Disability Resource Center (DDRC) is the Community Center Board (CCB) for Jefferson, Clear Creek, Gilpin and Summit Counties and provides case management for various HCBS waivers and State funded services for those with Intellectual and Developmental Disabilities (IDD).

The change will transition case management from DDRC to JCHS, as the new CMA for all IDD HCBS waivers, Family Support Services Program, State SLS and Quality Assurance in Jefferson and Clear Creek Counties. Similarly, this change will also transition case management from DDRC to Garfield County for all IDD HCBS waivers, Family Support Services Program, State SLS, and Quality Assurance in Summit County. Lastly, these same services currently provided by DDRC in Gilpin County will transition to Adult Care Management, Inc.

The transitions will occur between March and July 2024. You do not need to take any action. DDRC will work with the new CMA to transition your case management services.

Why is this changing?

Since 2014, the Colorado Department of Health Care Policy and Financing has worked to come into compliance with a federal law that requires case management be provided by an agency that is separate from the agency that provides direct service care, called conflict free case management (CFCM). This separation will preclude any possible conflict of interest of an agency that provided both case management and direct service.

The state of Colorado passed legislation to come into compliance with the federal law by implementing case management redesign (CMRD). This means that DDRC cannot provide both case management and direct services. The state is required to come into compliance with CMRD by July 2024.

DDRC & Jefferson County Working Together

Jefferson County and DDRC have been working together on CMRD for nearly 3 years with the mutual goal of minimizing any impact these changes may have on the individuals and families we serve, our staff and our community. Individuals and families who receive their case management and resource coordination from DDRC for all IDD HCBS Waivers, State Supported Living Services (SLS) and Family Support Services will be the most impacted by this change. Most individuals and families who currently receive case management from Jefferson County Human Services should experience little change.

Jefferson County is working with DDRC leadership to ensure a smooth transition and anticipates most DDRC staff impacted by this change will be hired as part of the new Jeffco CMA.

DDRC has provided both case management and Home and Community Based Services for nearly 60 years. As a result of these changes DDRC will no longer be providing case management services but will continue to provide their direct services (HCBS Waiver Services, Early Intervention, Behavioral Health, Recreation, etc.). DDRC is here to continue to serve you without interruption through the year and into the future. We will continue to communicate regularly throughout this process.

Members, (people receiving Health First Colorado Medicaid waiver benefits), currently receiving case management, FSSP, State SLS or quality assurance through DDRC will have the option to continue through July 2024 Members currently served by JCHS will not be impacted.

If you have questions about your assigned case management agency, please reach out to DDRC or your DDRC case Manager.

Upcoming Communications & Updates

You will be receiving updates from DDRC and JCHS. DDRC and JCHS are committed to doing all that we can to help make a smooth transition for the individuals and families we serve and DDRC staff impacted by these changes.

Please watch for updates through email, websites and postal notices. We also anticipate holding open houses and town halls so that the community can help play a part in a smooth transition of services.