HomeMy WebLinkAbout20212659Mariah Higgins
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Good morning CTB,
Alison Pegg
Thursday, September 9, 2021 8:38 AM
CTB
HS -Contract Management
ITEM OF COMMUNICATION: HCPF County Incentives Program FY 2020-21 Final Status
Report
HCPF County Incentives Program FY 2020-21 Final Status Report - Weld County.pdf
This item of communication for the BoCC is the Final Status Report related to Tyler ID: 202-2389. Each year, the
Department enters into an Agreement with the State outlining performance -based benchmarks and deliverables as well
as incentives the Department may earn if benchmarks are met. The attached report for 2020-21 shows that Weld
County DNS met all of the required benchmarks and earned the full incentive amount: $275,695.32. The Department
also earned additional incentives in the amount of $52,534.38, bringing the total amount earned to $328,229.69.
Thank you!
Alison Pegg
Contract Management and Compliance Coordinator
Weld County Dept. of Human Services
315 N. 11th Ave., Bldg A
PO Box A
Greeley, CO 80632
'x'(970) 400-6603
Contract Management Extension: 6556
A (970) 353-5212
®apegg@weldgov.com
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COLORADO
Department of Health Care
Policy & Financing
1570 Grant Street
Denver, CO 80203
Final Status Report
FY 2020-21 County Incentives Program
September 3, 2021
Jamie Ulrich, Director
Weld County
FY 2020-21 County Incentives Program, Fiscal Year Reporting
The Colorado Department of Health Care Policy and Financing (the Department) has
reviewed FY 2020-21 County Incentives Program data, metrics, and documentation,
which covered July 1, 2020 through June 30, 2021. The attached Status Report
provides information on which contract benchmarks were met and estimated funding
amounts based on the county's performance during the fiscal year.
The Status Report for Reporting Period 2 did not include metrics for the Cyber
Security Incentive since the analysis was not completed. The metrics are included in
this report.
The attached Status Report provides information on which contract benchmarks were
or were not met to earn the performance Incentive Payment. Additional information
on funding qualifications can be found on the Supplemental Information page.
Additional information on performance benchmarks and deliverable requirements can
be found on the County Administration page. Questions should be directed to the
Department contacts listed below.
Rahem Mulatu
rahem.mulatu@state.co.us
303-866-4069
Department Contacts:
Bre Benbenek
Breanne. Benbenek@state.co.us
303-866-5362
HCPFCountyRelations@state.co.us
www.colorado.gov/hcpf/county-admin
Our mission is to improve health care access and outcomes for the people we serve while
demonstrating sound stewardship of financial resources.
www.colorado.gov/hcpf
FY 2020-21 County Incentives Program: Final Status Report Page 2 of 7
FY 2020-21 County Incentives Program
Overview of Funding Earned
Reporting Period: Fiscal Year 2020-21, covering July 1, 2020 through June 30, 2021
County: Weld
Director: Jamie Ulrich
Total Funding Earned from each Incentive:
Incentive:
Eligible Earnings:
Amount Earned:
Eligibility Performance
Incentive (Met 3 out 4
Incentives)
$41,354.30
$41,354.30
Exceptional Eligibility
Performance (Met 4 out
of 4 Incentives)
$13,784.77
$13,784.76
Cyber Security
Incentive
$82,708.59
$82,708.60
Training and Quality
Incentive
$82,708.59
$82,708.60
Continuous Coverage
(Continuous Eligibility)
Incentive
$55,139.06
$55,139.06
Additional Incentives
funding earned
$52,534.37
Grand Total County
Incentives Program
Funding Earned for FY
2020-21
$328,229.69
Exemption Approved
(if applicable -
Reporting Period 2)
N/A
Our mission is to improve health care access and outcomes for the people we serve while
demonstrating sound stewardship of financial resources.
www.colorado.gov/hcpf
FY 2020-21 County Incentives Program: Final Status Report Page 3 of 7
Eligibility Performance Incentive Standard
Total Incentives Funding Weight
20% of County Incentives Program funding: 15% Met 3 out of 4 Incentives + 5% Met 4
out of 4 Incentives
1. Timeliness of Determinations and Redeterminations:
Benchmark 1: 95.00% of all determinations and redeterminations, covering all aid
codes, completed as timely, based on a combined timeliness average.
Reporting Period 1
Reporting Period 2
98.40%
98.93%
2. Backlogged Determinations and Redeterminations:
Benchmark 2: Determination and redetermination backlog below limits based on
county size as described below:
Application
Backlog
RRR
Backlog
≤ 75 - Lg
≤ 10 - Med
≤3-Sm
≤280- Lg
≤28 - Med
≤10-Sm
Reportin
Period 1
Reporting Period 2
Applications:
0
Applications:
1
Redeterminations:
39
Redeterminations:
9
3. Timeliness of LTSS Determinations and Redeterminations:
Benchmark 3: 95.00% of determinations and redeterminations for Long Term Care
(LTC), Home and Community Based Services (HCBS), and the Program for the All -
Inclusive Care for the Elderly (PACE) completed timely, based on combined timeliness
average.
Reporting Period 1
Reporting Period 2
98.54%
98.19%
4. Timeliness of Case Maintenance and Disenrollment:
Benchmark 4: Complete at least eighty-five percent (85%) of member and partner -
agency reports of changes in circumstances within fifteen (15) calendar days.
Reporting Period 1
Reporting Period 2
Our mission is to improve health care access and outcomes for the people we serve while
demonstrating sound stewardship of financial resources.
www.colorado.gov/hcpf
FY 2020-21 County Incentives Program: Final Status Report
Page 4 of 7
93.27%
93.94%
Met/Unmet: 3 out 4 Incentives
Met/Unmet: 4 out of 4 Incentives
Met: RP 1 a RP 2
Met: RP 1 Et RP 2
Applicable Contract Language
1.1.2 and 1.1.3 - Definition of Backlog Application and RRR; 1.1.29 and 1.1.30
Definition of Timely Determination and Timely Redetermination; 4.2.1.1 Timeliness of
Determinations and Redeterminations, 4.2.1.2 Backlogged Determinations and
Redeterminations, 4.2.1.3 - Timeliness of LTSS Determinations and Redeterminations,
4.2.1.4 - Timeliness of Case Maintenance and Disenrollment.
Counties can earn Eligibility Performance Standard Incentive Payment for each
Reporting Period as shown in Exhibit B of the FY20-21 County Incentives Contract.
Training and Quality Performance Incentive Standard
Total Incentives Funding Weight
30% of County Incentives Program funding: 20% Training and 10% Quality
Benchmarks Training and Quality: 75% of county CBMS users with security profiles
listed in section 4.4.1.and 4.4.1.1 complete six (6) hours of training from the
Approved Training List within the contract period as described in section 4.4.1.2 and
attend one hundred percent (100%) of the scheduled Quarterly Quality Check Ins
within the fiscal year as described in section 4.4.1.4
Training:
Quality Check -in:
% Staff Completed eight (6) hours
86%
Attended four (4) Quarterly Check -in Meetings
Yes
Training + Quality Incentive:
Met: Met
Our mission is to improve health care access and outcomes for the people we serve while
demonstrating sound stewardship of financial resources.
www.colorado.gov/hcpf
FY 2020-21 County Incentives Program: Final Status Report Page 5 of 7
Applicable Contract Language
4.4.1.1 Number of Training Hours and Staff subject to Training Hours Requirement
Requirements and 4.4.1.4 Quarterly Quality Check Ins.
Counties can earn Training and Quality Performance Standard Incentive Payment
for the end of Reporting Period as shown in Exhibit B of the FY20-21 County
Incentives Contract
Continous Coverage (Continuous Eligiblity) Performance
Incentive Standard
Total Incentives Funding Weight
20% of County Incentives Program funding
Benchmark: Redetermination benchmarks for ninety percent (90.00%) of Health First
Colorado, CHP+ and LTSS members who require a redetermination of eligibility due to
the end of the COVID-19 public health emergency as described in section 4.6.
Applicable Contract Language
4.6 Continuous Eligibility Performance Incentive Standard
Locked -in Report Submitted: June £t July
Met: Met
Note: Deliverable Submitted
Applicable Contract Language
4.6 Continuous Eligibility Performance Incentive Standard
Counties can earn Continuous Coverage (Continuous Eligibility) Performance Incentive
Payment for the end of Reporting Period as shown in Exhibit B of the FY20-21 County
Incentives Contract.
Our mission is to improve health care access and outcomes for the people we serve while
demonstrating sound stewardship of financial resources.
www.colorado.gov/hcpf
FY 2020-21 County Incentives Program: Final Status Report Page 6 of 7
Cyber Security Performance Incentive Standard
Total Incentives Funding Weight
30% of County Incentives Program funding
Deliverable: Completed Remediation Plan submitted no later than the semi-annual
due date for the Second Reporting Period.
Deliverable Submitted and Accepted?
Met: Yes
Note: Complete document submitted
Applicable Contract Language
4.5 - Cybersecurity Performance Incentive Standard; Operational Memo 20-081
Counties can earn Cyber Security Performance Incentive Payment for the end of
Reporting Period as shown in Exhibit B of the FY20-21 County Incentives Contract.
Our mission is to improve health care access and outcomes for the people we serve while
demonstrating sound stewardship of financial resources.
www.colorado.gov/hcpf
FY 2020-21 County Incentives Program: Final Status Report Page 7 of 7
Supplemental Information Page
Definitions:
Applicable Contract Language - the language as found in the FY 2020-21 Statement of
Work that specifies performance benchmarks and/or deliverables for each
Performance Incentive Standard.
Contract Benchmark and/or Deliverable - the benchmark and/or deliverable(s) as
specified in the FY 2020-21 Statement of Work that must be met to earn funding from
the County Incentives Program, for additional information please refer the FY20-21
County Incentives Contract, here.
County Measurement - the final data metrics and/or deliverable(s) submission by the
county that the Department utilized to determine if the county met fulfilled the FY
2020-21 Statement of Work.
Estimated Amount Earned - an estimate of the amount of funds that were earned by
successfully completing the FY 2020-21 Statement of Work. If the county did not
meet a specific benchmark and/or deliverable, then the estimated amount earned
will be $0.00.
Eligible Earnings - an estimate of the total amount of funds that were earnable for
that Incentive and the reporting period that was measured.
Notes - further information on specific Incentives benchmarks that the Department
utilized to determine if the benchmark was met. If an exemption request and/or
dispute was received, the Notes section will inform the county on the status of the
exemption request and/or dispute.
Funding Qualifications:
The Department has provided an estimate of how much of the county's Incentives
funds were earned on each benchmark for the specified reporting period. However,
funding is based on the following qualifications:
'Counties cannot be paid more than their cost. Any Incentives funds earned cannot
exceed the county's actual HCPF county share in the fiscal year. Any Incentives funds
earned above that amount will be adjusted downward.
'Any Incentives funds not earned or paid to counties will be redistributed during the
Second Reporting Period to those counties that did meet the Incentives benchmarks.
Our mission is to improve health care access and outcomes for the people we serve while
demonstrating sound stewardship of financial resources.
www.colorado.gov/hcpf
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