h_phc_2016a_2017-01-06t09:15:05z2 Hearing Summary

Date: 01/06/2017

01:36 PM -- HCPF SMART Government Act Presentation



Representative McCann called the committee back to order.



Susan Birch, Executive Director, Department of Health Care Policy and Financing (HCPF) presented to the committee. The committee was provided an informational packet (Attachment G). She reviewed the programs HCPF administers, which are Health First Colorado, Child Health Plan Plus (CHP+), Colorado Indigent Care Program, and Old Age Pension and Medical Programs. She stated that Colorado's Medicaid Program is now called Health First Colorado. Director Birch discussed the populations served by CHP+ and Medicaid.



170106 AttachG.pdf



01:46 PM



Gretchen Hammer, HCPF, answered questions about Medicaid's asset limits and access to care for Medicaid clients.



01:50 PM



Director Birch discussed caseload and expenditure data. Director Birch and Ms. Hammer answered questions about caseload and expenditures and issues related to Medicaid expansion. Director Birch discussed the funding sources for HCPF and the different Medicaid populations. She reviewed information about payment for services and the services provided under Medicaid expansion.



02:04 PM



Ms. Hammer discussed HCPF's performance plan strategic policy initiatives. She reviewed information related to the Accountable Care Collaborative. She outlined the key concepts of Phase II of the Accountable Care Collaborative, which are:

• establishing a single regional administrative entity for physical health care and behavioral health services;
• strengthening coordination of services by advancing health neighborhoods;
• having a population health management approach;
• addressing payment for integrated care and value; and
• having greater accountability and transparency.

Ms. Hammer answered questions about behavioral health services and the Accountable Care Collaborative, the number of Medicaid providers, and network adequacy. Ms. Hammer answered questions about the Hospital Provider Fee.



02:25 PM



John Bartholomew, HCPF, answered questions about the Hospital Provider Fee and Medicaid expansion. Director Birch offered to set up a meeting for interested members to further discuss the Hospital Provider Fee. Ms. Hammer answered questions about the possible impacts in decreased federal funds.



02:41 PM



Tom Massey, HCPF, responded to questions about possible to changes to federal funding levels and the Hospital Provider Fee.



02:44 PM



Ms. Hammer continued reviewing the key concepts of Phase II of the Accountable Care Collaborative. She discussed Medicaid waivers for home- and community-based services. She stated that Colorado has 11 waivers. Ms. Hammer reviewed information about the Community Living Implementation Plan. Ms. Hammer answered questions about the children with autism waiver, conflict-free case management, waiver redesign, and waitlists for services.



03:01 PM



Mr. Bartholomew discussed matters related to cost control and value-based payment. He reviewed data related to Medicaid fraud and answered questions regarding the allocation of recovered funds.



03:07 PM



Mr. Massey reviewed HCPF's budget requests. Ms. Hammer answered questions about the budget request related to payment reform.



03:10 PM



Mr. Massey outlined HCPF's legislative agenda, which are:

• implementing conflict-free case management;
• improving program integrity efforts;
• reducing opioid overdoses by gaining access to the Prescription Drug Monitoring Program (PDMP);
• establishing a contingency plan for changes to the CHP+ funding; and
• aligning statute with federal home health rules.

Dr. Judy Zerzan, HCPF, answered questions about the legislative agenda item related to reducing opioid overdoses by gaining access to the PDMP. She referenced a similar program in Washington.



03:22 PM



Ms. Hammer answered questions about the legislative agenda item regarding aligning statute with federal home health rules. She answered questions about HCPF's efforts to address obesity and immunization rates for Medicaid clients. The committee continued to dialogue with the panelists about Medicaid fraud, opioid overdoses, and conflict-free case management.



03:34 PM



Director Birch answered questions about HCPF's outstanding audit recommendations.



03:35 PM



Mr. Massey reviewed information about HCPF's regulatory agenda and the update on reducing waste through the Accountable Care Collaborative, as required by House Bill 13-1196. Ms. Hammer answered questions about inpatient services for persons with severe mental illness. Ms. Hammer answered questions about possibly simplifying the process for providers who want to become Medicaid providers. Mr. Massey highlighted HCPF's legislator resource center.



03:49 PM



The committee adjourned.