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Dear Health Community Colleague,
Welcome to the June edition of the Navigator monthly newsletter. In this edition you'll find information on our ongoing response to the COVID-19 pandemic and how we are supporting our members and providers during this time. You'll also find some program updates and be introduced to our contracting
department.
If you want to learn more about anything in this issue of the Navigator or just have a question, don't hesitate to contact us or follow us on any of our social media channels using the links below.
Thank you, Colorado Access
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At Colorado Access, caring for you and your health is our top priority. This includes the health of our providers.
COVID-19 Financial Support: The U.S. Department of Health and Human Services (HHS) announced additional distributions from the Provider Relief Fund to eligible Medicaid and Child Health Plan Plus (CHP+) providers that participate in Medicaid and CHP+ programs. You can read the full press release here. To aid in distribution of funds, an enhanced Provider Relief Fund Portal has been created. Information about eligibility and the application process is available here. Additional information regarding provider relief during COVID-19 can be found on the HHS website here.
COVID-19 Testing: Many of our community partners have been offering free COVID-19 testing. With so many options out there, make sure you send your patients to the right place. Some locations will test anyone, regardless of insurance, while others target testing for those with Medicaid.
The Center for African American Health (CAA Health) is working with Denver Public Health to hosting FREE COVID-19 testing at their new building, located at 3350 Hudson St., from 9:00 a.m. to 1:00 p.m. on Tuesday, June 23rd. Additional testing sites are listed below. Do you offer COVID-19 testing? Let us know! You can do
so here.
COVID-19 Webinar: In collaboration with Welltok, we are participating in a free webinar. Some of our team members will be sharing lessons learned from deploying 700,000 communications during the first wave of COVID-19 response to develop a strategy to successfully manage the influx. Join us for a webinar on June 24 at 10 a.m. You can register here. Telehealth: Telehealth continues to be an area of interest for many as they figure out how to provide services and get health services they need. In this brief, the Colorado Health Institute outlines in detail the five strategic policy areas that federal and state leaders have targeted to expand telemedicine during the pandemic.
We’ve also put together a webpage of COVID-19 resources and information. Visit coaccess.com/covid19 for the most current information. If you have any questions, please contact your provider relations representative directly, or send an email to providerrelations@coaccess.com.
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As of July 1, 2020, Colorado Access will no longer be the Single Entry Point for Adams, Arapahoe, Denver, Douglas and Elbert counties. The new Single Entry Point will be Rocky Mountain Human Services.
Current Single Entry Point Colorado Access 11100 E Bethany Dr. Aurora, CO 80014 800-511-5010 customer.service@coaccess.com www.coaccess.com NEW Single Entry Point Rocky Mountain Human Services 9900 E Iliff Ave. Denver, CO 80231 844-790-RMHS (7647) SEPquestions@rmhumanservices.org www.rmhumanservices.orgWe are collaborating with Rocky Mountain Human Services to make this transition as smooth as possible for you.
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COVID-19 Digital Engagement Program
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In response to the COVID-19 outbreak, we have developed a digital engagement program that targets all RAE (Region 3, Region 5), CHP+ HMO, and CHP+ SMCN members to provide information and resources about the outbreak. The program includes eight text messages with online resources for our COVID-19 webpage, the CDPHE COVID-19 webpage, and our care management phone number. The text messages also direct members to talk to their primary care provider if they have COVID-19 symptoms, are experiencing extreme anxiety, need help getting prescriptions, and to determine if telehealth options are available. The end date of this program has yet to be determined as we continue to monitor the effects of the COVID-19 outbreak.
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Community Events
Volunteers Needed!The Need: The Adams County Response and Recovery Teams are engaged in critical efforts to ensure Adams County community members are supported during this time.
These teams have identified opportunities for additional support in meeting key community needs, including volunteers. Organizations need additional volunteers to help with key response and recovery efforts.
The Opportunity: The Response and Recovery Teams need your help with critical gaps in
volunteers in order to meet the needs of Adams County community members during this time. You can help by serving as a volunteer, or sharing the opportunity with people you know who might be able to volunteer.
Call to Action: There is still a growing need for volunteer support. About Rocky Mountain Cradle to Career Partnership (RMC2C) The Rocky Mountain Cradle to Career Partnership (RMC2C) Backbone team is working to support network partners in their efforts to navigate through the COVID-19 pandemic. The Backbone continues to be in a position to bring people together to work collectively, specifically around emergency response and recovery related to COVID-19. If you have an upcoming community event that you'd like us to share, please email us.
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COVID-19 ResourcesFor COVID-19 utilization management information, click here.
For COVID-19 pharmacy information, click here.
For COVID-19 administrative information, click here.
For COVID-19 training information, click here.
For COVID-19 practice support information, click here.
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COPD Digital Engagement Program
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We are currently developing a digital engagement COPD program for members. With a focus on the RAE population that is 21 and older, we hope to address prevention of COPD as well as disease management. The program is scheduled to begin by June 2020 so please watch for more information as we continue with program development.
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Behavioral Health Documentation Quality Standards and Review
As published in the April Navigator, our quality department regularly monitors provider documentation to ensure all participating providers who deliver behavioral health services meet quality documentation standards. Did you
know: The top two measures that providers most commonly meet are:
- Assessment: Date of Service is documented
- General Documentation: Chart is legible
The top five measures that providers most commonly miss are:
- Assessment: Mode of treatment is present
- Assessment: Barriers to treatment are present
- Assessment: Place of service is present
- Treatment: Goals are measurable
- Treatment Plan: Treatment plan is strength based
How can you improve your own chart documentation? - Review the “Quality Improvement Behavioral Health Documentation Training” found on our Provider Training page.
- Conduct a peer or self-audit a few of your behavioral health charts to ensure your documentation meets standards.
If you have any questions, please contact your provider relations representative directly, or send an email to ProviderRelations@coaccess.com.
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Performance Based Payments
We recently sent out amendments to your Regional Accountable Entity (RAE) PCMP
contract that extends your current key performance indicator (KPI) methodology. Please note that there was language in the amendment that referenced accreditation to be considered a patient centered medical home (PCMH). This is not a requirement in order to be a PCMP, but it does represent one of four components that will contribute toward earning the administrative payment in the our next PCMP Value Based Payment (VBP) amendment. A decision was made to delay the VBP amendment that was due to go into effect on July 1, 2020 due to the COVID-19 outbreak. We anticipate that the VBP amendment will instead be released later this year. If you have any questions, please contact your provider relations representative directly. You can
also send an email to providerrelations@coaccess.com.
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The contracting department of Colorado Access manages every aspect of the contracting process, including provider recruitment, contract negotiation, execution, and implementation. Collectively, the five-person team has 146 years of health care experience across provider contracting, provider relations, practice administration, and credentialing.
The team exemplifies our core values through collaboration with internal departments and participating in many cross-functional team meetings, including provider relations, credentialing, configuration, and practice support. They also attend monthly meetings for various
programs across Colorado Access.
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This year, we’re celebrating 25 years of caring; as a community partner, a reliable employer, and a trusted resource for both members and providers. Our longevity shows how we’ve been able to adapt to change. Our mission has always been the same: to partner with communities through access to quality, affordable care. We want to hear from you! Do you have a story to share about Colorado Access? Submit it here.
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