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COLORADO
Department of Health Care
Policy 8 Financing
1570 Grant Street
Denver, Co 80203
Final Status Report
FY 2019-20 County Incentives Program
August 3, 2020
Jamie Ulrich, Director
Weld County
FY 2019-20 County Incentives Program, Fiscal Year Reporting
The Colorado Department of Health Care Policy and Financing (the Department) has
reviewed FY 2019-20 County Incentives Program data, metrics, and documentation,
which covered July 1, 2019 through June 30, 2020. 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 Food Security
Incentive and the Timeliness of Case Maintenance 8 Disenrollment since data was not
available. Those 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
HCPFCountRelations@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.tolorado.gov/hcpf
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2020-2607
FY 2019-20 County Incentives Program: Final Status Report Page 2 of 7
FY 2019-20 County Incentives Program
Overview of Funding Earned
Reporting Period: Fiscal Year 2019-20, covering July 1, 2019 through June 30, 2020
County: Weld
Director: Jamie Ulrich
Total Funding Earned from each Incentive:
Incentive:
Eligible Earnings:
Amount Earned:
Eligibility Performance
Incentive (Met 3 out 4
Incentives)
$87,865.45
$0.00
Exceptional Eligibility
Performance (Met 4 out
of 4 Incentives)
$12,552.21
$0.00
Food Security Incentive
$25,104.41
$25,104.41
Cyber Security
Incentive
$75,313.24
$75,313.24
Training Incentive
$50,208.83
$50,208.82
Additional Incentives
funding earned
$7,356.46
Grand Total County
Incentives Program
Funding Earned for FY
2019-20
$157,982.93
Exemption Approved
(if applicable)
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 2019-20 County Incentives Program: Final Status Report Page 3 of 7
Eligibility Performance Incentive Standard
Total Incentives Funding Weight
40% of County Incentives Program funding: 35% 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
90.13%
90.57%
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
Reportin
Period 2
Applications:
66
Applications:
32
Redeterminations:
631
Redeterminations:
205
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
92.19%
92.16%
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
85.89%
88.61%
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 2019-20 County Incentives Program: Final Status Report
Page 4 of 7
Met/Unmet: 3 out 4 Incentives
Met/Unmet: 4 out of 4 Incentives
Unmet (RP1 It RP2)
Unmet (RP 1 a 2)
Applicable Contract Language
1.1.4 and 1.1.5 - Definition of Backlog Application and RRR; 1.1.18 and 1.1.19
Definition of Timely Determination and Timely Redetermination; 4.2 Eligibility
Timeliness and Application Backlog Performance Incentive Standard.
4.5 - LTSS Incentive Performance Standard, 4.5.1.1 - LTSS Timeliness Incentive
Requirements, 4.5.1.2 - Submission and Approval of the Contractor's LTSS
Communications Plan. 4.6 - Case Maintenance Performance Incentive Standard, 4.6.1.
- Case Maintenance Incentive requirements
Counties can earn Eligibility Performance Standard Incentive Payment for each
Reporting Period as shown in Exhibit B of the FY19-20 County Incentives Contract.
Training Performance Incentive Standard
Total Incentives Funding Weight
20% of County Incentives Program funding
Benchmark: Eight (8) hours of training completed within fiscal year for seventy five
percent (75%) of staff who can authorize Medical Assistance in the Colorado Benefits
Management System.
% Staff Completed eight (8) hours
84.52%
Applicable Contract Language
4.4 - Training Performance Incentive Standard; 4.4.1, 4.4.1.1.1 - Hours and Profiles
Requirements
Counties can earn Training Performance Incentive Payment for the fiscal year as
shown in Exhibit B of the FY19-20 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 2019-20 County Incentives Program: Final Status Report Page 5 of 7
Food Security Performance Incentive Standard
Total Incentives Funding Weight
10% of County Incentives Program funding
Benchmark: Increase the percentage of Health First Colorado population also enrolled
in SNAP to meet the Food Security Incentive measured once at the end of the fiscal
year, as follows:
Population HFC and SNAP
enrolled
% increase benchmark
Number of Counties
0.00 - 29.99%
3%
33
30.0% and greater
2%
31
County Measurement
% Baseline
% Benchmark
% Increase
27.19%
3.00%
36.94%
Applicable Contract Language
4.6- Food Security Performance Incentive Standard; 4.6.1.1.1, 4.6.2 - the percentage
of Health First Colorado members with enrollment in SNAP
Counties can earn Food Security Performance Incentive Payment for each Reporting
Period as shown in Exhibit B of the FY19-20 County Incentives Contract.
Cyber Security Performance Incentive Standard
Total Incentives Funding Weight
30% of County Incentives Program funding
Benchmark: Completion and submission of the Risk Assessment and Remediation Plan
deliverable
Deliverable Submitted and Accepted?
Met (RP 1 a RP 2)
Applicable Contract Language
4.5 - Cybersecurity Performance Incentive Standard; Operational Memo 20-011
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 2019-20 County Incentives Program: Final Status Report Page 6 of 7
Counties can earn Cyber Security Performance Incentive Payment for each Reporting
Period as shown in Exhibit B of the FY19-20 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 2019-20 County Incentives Program: Final Status Report Page 7 of 7
Supplemental Information Page
Definitions:
Applicable Contract Language - the language as found in the FY 2019-20 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 2019-20 Statement of Work that must be met to earn funding from
the County Incentives Program, for additional information please the FY19-20 County
Incentives Contract, Section 9.1.1.
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
2019-20 Statement of Work.
Estimated Amount Earned - an estimate of the amount of funds that were earned by
successfully completing the FY 2019-20 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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