The bill implements conflict-free case management for individuals enrolled in home- and community-based services under Colorado's medicaid program. The definition of conflict-free case management is included in the bill and reflects the policy that case management services are provided to an individual who is enrolled in home- and community-based services by an agency that is not also providing the same individual services and supports.
The bill defines and authorizes case management agencies that will provide case management services and contains provisions for the department of health care policy and financing's oversight of case management agencies. The medical services board shall promulgate rules upon the enactment of the bill for the certification and decertification of case management agencies, as well as rules that ensure that an individual enrolled in home- and community-based services has access to case management services and that there is a process for a person to select the case management agency of his or her choice.
The bill authorizes the department of health care policy and financing to seek a federal exemption from conflict-free case management for rural single entry point agencies, as defined in the bill.
The bill contains time frames for the implementation of conflict-free case management in Colorado, and includes a date by which all persons receiving home- and community-based services will be served through a system of conflict-free case management.
(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)