HomeMy WebLinkAbout20192251.tiffRESOLUTION
RE: APPROVE AMENDMENT #5 TO INTERGOVERNMENTAL AGREEMENT FOR
COUNTY INCENTIVES PROGRAM AND AUTHORIZE CHAIR TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with Amendment #5 to the Intergovernmental
Agreement for the County Incentives Program between the County of Weld, State of Colorado,
by and through the Board of County Commissioners of Weld County, on behalf of the Department
of Human Services, and the Colorado Department of Health Care Policy and Financing,
commencing upon full execution of signatures, and ending June 30, 2020, with further terms and
conditions being as stated in said amendment, and
WHEREAS, after review, the Board deems it advisable to approve said amendment, a
copy of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Amendment #5 to the Intergovernmental Agreement for the County
Incentives Program between the County of Weld, State of Colorado, by and through the Board of
County Commissioners of Weld County, on behalf of the Department of Human Services, and the
Colorado Department of Health Care Policy and Financing, be and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said amendment.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 17th day of June, A.D., 2019.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, CO •RADO •
ATTEST: ddriwo
Weld County Clerk to the Board
BY: a.
eputy Clerk to the Board
APPRO %"-ST
ounty Attorney
Date of signature: OC'ola0(I't
Mike Freeman, Pro -Tern
arbara Kirkmeyer Chair
ED
Steve Moreno
CC: HSD, f}cT(Bc/c0)
08/201.10
2019-2251
H R0090
LtAiGvuiu*z-r-r5
PRIVILEGED AND CONFIDENTIAL
MEMORANDUM
DATE: June 12, 2019
TO: Board of County Commissioners — Pass -Around
FR: Judy A. Griego, Director, Human Services
RE: Fiscal Year 2019-20 County Incentives Agreement
Amendment No. 5
Please review and indicate if you would like a work session prior to placing this item on the Board's agenda.
Request Board Approval of the Department's Fiscal Year 2019-20 County Incentives Agreement
Amendment No. 5. This is the fifth amendment to the original agreement implemented in 2014, identified as
Tyler ID 2014-3923. For Fiscal Year 2019-20 (date of execution through June 30, 2020), the Colorado
Department of Health Care Policy and Finance (HCPF) has allocated up to $251,044.13 to Weld County if
performance measurements set by HCPF are met. Weld County is eligible for an additional $82,648.50 if other
counties do not meet their performance measurements. This would result in a maximum incentive allocation up
to $333,692.63.
I do not recommend a Work Session. I recommend approval of this Amendment and authorize the Chair to sign.
Sean P. Conway
Mike Freeman, Pro -Tern
Scott James
Barbara Kirkmeyer, Chair
Steve Moreno
Approve Schedule
Recommendation Work Session
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Other/Comments:
2019-2251
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Pass -Around Memorandum; June 12, 2019 — CMS 2775 Page 1
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Karin Frd
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From:
Sent:
To:
Cc:
Subject:
Approve
** Sent from my iPhone **
Scott James
Thursday, June 13, 2019 5:28 AM
Steve Moreno
Mike Freeman; Barbara Kirkmeyer; Karla Ford; Sean Conway
Re: PA FOR ROUTI \C: FY 2019-20 County Incentives Agreement No, 5
Scott K. James
Weld County Commissioner, District 2
1150 O Street .O. Box 75 Greele►y�..Color do S0632
970.336.7204 (Office)
970.32174961 (Cell)
Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for
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On Jun 13/ 2019, at 6:27 AM, Steve Moreno <smoren @ etd or r om> wrote:
Approve
Sent from my iPhone
On Jun 12, 2019, at 6:56 PM, Mike Freeman <ml.reeman e4welcigov.com> wrote:
Approve
Sent from my iPhone
On Jun 12, 2019, at 4:52 PM, Barbara Kirkmeyer <b:kirkm..rByer@w ldgov.co > wrote:
Approve for agenda
Sent from my iPhone
On Jun 12, 2019, at 4:16 PM, Karla Ford ckford Fweldpoy.com> wrote:
This is for Wednesday. Please let me know if you
approve recommendation. Thank you!
Karla Ford
Office Manager, Board of Weld County Commissioners
1
Department of Health Care Policy and Financing
Agreement Routing Number 2015CMIP123A5
AGREEMENT AMENDMENT NO. 5
Original Agreement Routing Number 2015CMIP123A5
1. PARTIES
This Amendment to the above -referenced Original Agreement (hereinafter called the
"Agreement") is entered into by and between the STATE OF COLORADO, acting by and through
the Department of Health Care Policy and Financing, 1570 Grant Street, Denver, Colorado 80203
(hereinafter called "Department" or "State."), and Weld County (hereinafter called "Contractor").
2. EFFECTIVE DATE AND ENFORCEABILITY
This Amendment shall not be effective or enforceable until it is approved and signed by the
Colorado State Controller or designee (hereinafter called the "Effective Date"). The Department
shall not be liable to pay or reimburse for any performance hereunder, including, but not limited
to, costs or expenses incurred, or be bound by any provision hereof prior to the Effective Date.
3. FACTUAL RECITALS
The Parties entered into the Agreement to create performance -related benchmarks for county
departments of human/social services that achieve certain Performance Incentive Standards related
to determining and redetermining Medicaid eligibility, those populations currently enrolled in
Medicaid and cooperation with other Medicaid -related entities. The purpose of this Amendment
is to add exhibits and update the Performance Incentives Standards.
4. CONSIDERATION
The Parties acknowledge that the mutual promises and covenants contained herein and other good
and valuable consideration are sufficient and adequate to support this Amendment.
5. LIMITS OF EFFECT
This Amendment is incorporated by reference into the Agreement, and the Agreement and all prior
amendments thereto, if any, remain in full force and effect except as specifically modified herein.
6. MODIFICATIONS
The Agreement and all prior amendments thereto, if any, are modified as follows:
A. Section 4, Definitions, Subsection B is hereby deleted in its entirety and replaced with the
following:
B. Exhibits and other Attachments. The following documents are attached hereto and
incorporated by reference herein:
Exhibit A-5, Statement of Work
Page 1 of 4
Exhibit C, Small, Medium, Large County List
B. Section 7, Payments to Contractor, Subsection A, Maximum Amount, is hereby deleted in
its entirety and replaced with the following:
A. Maximum Amount
The maximum amount payable under this Contract to Contractor by the Department
is shown in the following table, as determined by the Department from available funds.
Payments to the Contractor are limited to the unpaid obligated balance of the Contract
at the rates set forth in Exhibit B. The maximum amount payable by the Department
to the Contractor is:
State Fiscal Year 2014-15
$284,064.50
State Fiscal Year 2015-16
$281,962.66
State Fiscal Year 2016-17
$277,327.85
State Fiscal Year 2017-18
$293,733.16
State Fiscal Year 2018-19
$277,211.57
State Fiscal Year 2019-20
$333,692.63
Total for All State Fiscal Years
$1,747,992.37
C. Exhibit A-4, Statement of Work, is hereby deleted in its entirety and replaced with Exhibit
A-5, Statement of Work, attached hereto and incorporated by reference into the Agreement.
All references within the Agreement to Exhibit A, Exhibit A-1, Exhibit A-2, Exhibit A-3
or Exhibit A-4 shall be deemed to reference to Exhibit A-5.
D. Exhibit B, Rates, Section 1.4., SFY 2019-20 Incentives Payment Table, is hereby added as
follows:
1.4. SFY 2019-20 Incentives Payment Table
Incentive Payment Name
% of Funding
Payment Amount
Eligibility Performance Incentive
Payment
35%
$87,865.45
Exceptional Eligibility Performance
Incentive Payment
5%
$12,552.21
Training Performance Incentive Payment
20%
$50,208.83
Cybersecurity Performance Incentive
Payment
30%
$75,313.24
Food Security Performance Incentive
Payment
10%
$25,104.41
Total Maximum Available for all
Incentive Payments
$251,044.13
E. Exhibit B, Rates, Section 2.4., State Fiscal Year (SFY) 2019-20 Pool Maximum County
Share Table, is hereby added as follows:
Page 2 of 4
2.4. SFY 2019-20 Pool Maximum County Share Table
Pool Name
Pool Maximum Distribution
Amount
Total Maximum Available for all Pool
Distributions
$82,648.50
7. START DATE
This Amendment shall take effect on its Effective Date.
8. ORDER OF PRECEDENCE
In the event of any conflict, inconsistency, variance, or contradiction between the provisions of
this Amendment and any of the provisions of the Agreement, the provisions of this Amendment
shall in all respects supersede, govern, and control.
9. AVAILABLE FUNDS
Financial obligations of the state payable after the current fiscal year are contingent upon funds
for that purpose being appropriated, budgeted, or otherwise made available to the Department by
the federal government, the Colorado General Assembly and/or grantor.
REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK
Page 3 of 4
THE PARTIES HERETO HAVE EXECUTED THIS INTERAGENCY AGREEMENT
Persons signing for Parties hereby swear and affirm that they are authorized to act on behalf of
their respective Party and acknowledge that the other Party is relying on their representations to
that effect.
STATE OF COLORADO
John W. Hickenlooper, Governor
By:
Weld County
By:
arbara Kirkieyer, Chiir
Board of Weld County Commissioners
Date:
Department of Head a Policy and
F
im Bimestefer
Executive Director
JUN 17 L(0 1
2019 Date:
ALL AGREEMENTS REQUIRE APPROVAL BY THE STATE CONTROLLER
By:
STATE CONTROLLER
Robert J$ros, CPA, MBA, JD
Department eal h areand Financing
Date:
Page 4 of 4
ao/9- aaz"7 (3)
EXHIBIT A-5, STATEMENT OF WORK
1. TERMINOLOGY
1.1.
1.1.1.
The following list is provided to assist the reader in understanding acronyms, abbreviations
and terminology used throughout this document.
Applicant — An individual for whom the Contractor is performing a Determination.
1.1.2. Backlogged Determination — Any Untimely Determination that was not completed by
the timeliness requirements as set in Section 1.1.11.
1.1.3. Backlogged Redetermination — Any Untimely Redetermination that was not completed
by the timeliness requirements as set in Section 1.1.12.
1.1.4. COGNOS/Decision Support System 01 (DSS01) — the Department's data reporting
systems that use information from the Colorado Benefits Management System
(CBMS).
1.1.5. Colorado Benefits Management System (CBMS) — the State's eligibility determination
system.
1.1.6. Colorado Department of Human Services (CDHS) — The Colorado Department of
Human Services connects Coloradans to assistance, resources and support for living
independently in the state. CDHS is the state agency responsible for the administration
of the Supplemental Nutrition Assistance Program.
1.1.7. Colorado Information Security Policies (CISP) - Colorado Information Security
Policies promulgated by the Chief Information Security Officer in the Governor's
Office of Information Technology pursuant to §§24-37.5-401, et seq., C.R.S.
1.1.8. Colorado interChange (interChange) — the State's claims payment system and related
subsystems that utilize eligibility information from CBMS to pay providers for medical
and/or other claims. The system and related subsystems also collects and analyzes data
related to those payments.
1.1.9. County Administration website — the Department's public -facing website where
contract documentation is kept for the County Incentives Program
(http://www.colorado.gov/hcpf/county-adm in).
1.1.10. County Financial Management System (CFMS) — the accounting system utilized by
the Contractor to record expenditures against county administration funding for
Colorado's Medical Assistance Program. The system is also used to issue Performance
Incentive Payments to eligible Contractors.
1.1.11. County Incentives Program — program that provides specific funding to county
departments of human/social services for meeting Medicaid -related Performance
Incentive Standards in their counties. Also referenced as Performance Incentive
Standard Program throughout this Agreement.
1.1.12. Determination — The act of using CBMS to determine if an Applicant is eligible for the
Colorado Medical Assistance Program based on information submitted on a new
application, a redetermination or a change in member circumstance.
Pagel of 17
1.1.13. Disenroll or Disenrollment — The act of processing a change in circumstance that
affects a member's eligibility and makes them ineligible for coverage within Health
First Colorado or Child Health Plan Plus.
1.1.14. Governor's Office of Information Technology (OIT) — The office created by and
described in §§24-37.5.101, et seq. C.R.S. OIT is the Information Technology Service
Provider for Consolidated State Agencies.
1.1.15. HCPF Memo Series - The Department's policy, operational and informational
communications that are utilized to provide contract clarifications, provide data and
operational guidance and share information pertaining to the County Incentives
Program.
1.1.16. Health First Colorado — the member -facing name for Colorado's Medical Assistance
Program.
1.1.17. Home and Community -Based Services (HCBS) - HCBS waiver programs provide
additional benefits and services to eligible populations in addition to the standard
benefit package offered to all members.
1.1.18. Information Technology Service Provider (ITSP) — A Service Provider that provides
information technology services to the Contractor. The ITSP may be an internal
department, a third -party vendor or OIT.
1.1.19. Learning Management System (LMS) — the system utilized by the Health Care and
Economic Security Staff Development Center to track course registration, completions
and other training -related documentation for Medical Assistance training.
1.1.20. Long Term Care (LTC) - Long -Term Care is a Medical Assistance program that
provides nursing -home care, home -health care, personal or adult day care for
individuals aged at least 65 years or with a chronic or disabling condition.
1.1.21. Long Term Services and Supports (LTSS) — for the purposes of this Agreement, LTSS
refers to determinations and redeterminations made for LTC, HCBS and PACE.
1.1.22. Member — An individual who is eligible for the Colorado Medical Assistance Program.
Also known as a client.
1.1.23. Program for the All -Inclusive Care for the Elderly (PACE) — Program provides
comprehensive medical and social support services to certain frail individuals 55 years
of age and over. The goal of PACE is to keep individuals in their homes and
communities through comprehensive care coordination.
1.1.24. Reporting Period — The period of time for each performance standard used to measure
whether the Contractor met that standard.
1.1.24.1. The First Reporting Period for a SFY shall begin on July 1 of that SFY and end on
December 31 of that SFY.
1.1.24.2. The Second Reporting Period for a SFY shall begin on January 1 of that SFY and
end on June 30 of that SFY.
1.1.25. Redetermination — A Determination as defined under 10 C.C.R. 2505-8.100.3.P.
1.1.26. State Fiscal Year (SFY) — The period beginning July 1 of each calendar year and ending
on June 30 of the following calendar year.
Page 2 of 17
1.1.27. Status Report — a communication to the Contractor that details which Performance
Incentive Standards were met for each Reporting Period.
1.1.28. Supplemental Nutrition Assistance Program — This program exists to safeguard the
health and well-being of low income, financially eligible households by providing food
assistance benefits redeemable for food items at authorized retailers. Counties conduct
eligibility determination based on state/federal rules and guidelines. An additional
component of the program is SNAP Outreach. Colorado partners with four agencies:
Benefits Data Trust, Benefits in Action, Care and Share Food Bank for Southern
Colorado, Hunger Free Colorado for outreach services. These agencies work to
simplify the SNAP application process, providing both over -the -phone and in -person
application assistance throughout the state.
1.1.29. Timely Determination — Any Determination that is completed within the timeliness
requirements set forth in 10 C.C.R. 2505-8.100.3.D.
1.1.30. Timely Disenrollment — Processing a change in a member's circumstance and making
a determination within fifteen (15) calendar days.
1.1.31. Timely Redetermination — Any Redetermination that is completed by the last day of
the month prior to the month in which the member's new annual enrollment period
begins.
1.1.32. Untimely Determination — Any Determination that is not completed within the
timeliness requirements set forth in 10 C.C.R. 2505-8.100.3.D.
1.1.33. Untimely Redetermination — Any Redetermination that is not completed by the last day
of the month prior to the month in which the member's new annual enrollment period
begins. This is based on the CBMS RRR Due Date.
2. COUNTY DETERMINATIONS
2.1. The Contractor shall perform all Medicaid eligibility -related work within the Contractor's
county, required under C.R.S. §25.5-1-101 et seq. The Department and the Contractor
share the costs of this work performed by the Contractor as defined in those statutes and
this Contract shall not impact the allocated amount of that cost sharing.
3. SYSTEMS USED TO DETERMINE COMPLIANCE WITH PERFORMANCE
INCENTIVES STANDARDS
3.1. Systems Utilized to Determine Compliance
3.1.1. To determine whether the Contractor met any or all the Performance Incentives
Standards when completing determinations and redeterminations within the
Contractor's county, the Department will utilize the COGNOS/DSS01 systems to pull
data tracking and reports that track the Contractor's compliance with certain
Performance Incentive Standards.
3.1.2. To determine whether the Contractor met any or all the Performance Incentives
Standards when working with Medicaid populations within the Contractor's county,
the Department may utilize data from the Colorado interChange system.
3.1.3. The above list of systems is not all-inclusive and the Department will, at its discretion,
utilize additional data and reports from the COGNOS/DSS01, interChange, and/or
Page 3 of 17
other systems to determine whether the Contractor met any or all the Performance
Incentives Standards.
3.1.4. The date the data or reports will be pulled from the COGNOS/DSS01, interChange,
and/or other systems will be defined in each applicable Performance Incentive
Standard.
3.1.5. The Contractor should utilize policy, operational and informational guidance provided
in this Exhibit and through the HCPF Memo Series for each Performance Incentive
Standard to assist with implementing the Performance Incentives Standard and pulling
applicable data and reports to determine the Contractor's compliance with any or all
the Performance Incentives Standards.
3.2. Communications Utilized to Determine Compliance
3.2.1. To fulfill the requirements in Exhibit A-5 Statement of Work and earn a Performance
Incentive Payment, the Contractor shall utilize and comply with guidance issued
through the HCPF Memo Series.
3.2.2. The Contractor will utilize the HCPF Memo Series to find any forms, templates,
program contacts or additional information needed to operationalize the Incentives
Performance Standard Program referenced throughout this Agreement.
3.2.3. If additional guidance or contract clarification is needed, the Department may release
additional guidance to the Contractor through the HCPF Memo Series.
4. PERFORMANCE INCENTIVES STANDARD PROGRAM
4.1. The Contractor may earn Performance Incentive Payments to reimburse it for a portion of
its cost sharing as described in Section 2.
4.2. Eligibility Performance Incentive Standard
4.2.1. The Contractor may earn an Eligibility Performance Incentive Payment for each
Reporting Period in which the Contractor meets at least three (3) out of the four (4)
following benchmarks: Timeliness of Determinations and Redeterminations,
Timeliness of LTSS Determinations and Redeterminations, Backlogged
Determinations and Redeterminations and Timeliness of Case Maintenance and
Disenrollment as found in section 4.2.
4.2.1.1.
4.2.1.1.1.
Timeliness of Determinations and Redeterminations
The Contractor shall complete at least ninety-five percent (95%) of all
Determinations and Redeterminations as Timely Determinations and Timely
Redeterminations.
4.2.1.1.2. The Department will total all Timely Determinations and Timely
Redeterminations the Contractor completed within the Reporting Period and
divide that by the total number of Determinations and Redeterminations the
Contractor completed during that Reporting Period to determine the timeliness
percent. The Department will round these calculated percentages to two (2)
decimal places.
4.2.1.1.3. Determining Compliance with the Timeliness of Determinations and
Redeterminations
Page 4 of 17
4.2.1.1.3.1. The Department will utilize the MA County Incentives Timeliness Report
— Summary and MA County Incentives Timeliness Report — Detail to
determine compliance with timeliness benchmark of the Eligibility
Timeliness and Backlog Performance Incentive Standard.
4.2.1.1.3.2. The MA County Incentives Timeliness Report — Summary and MA County
Incentives Timeliness Report — Detail will be pulled the second Monday
after the end of each Reporting Period to determine the Contractor's
performance over the entire six-month Reporting Period.
4.2.1.2. Backlogged Determinations and Redeterminations
4.2.1.2.1. The Contractor's Backlogged Determinations average and Backlogged
Redeterminations average at the end of each Reporting Period shall be within
the limits described in the following table:
4.2.1.2.2. County Backlog Table
County Size
Limit
New Applications
Redeterminations
Large
< 75
Medium
<10
Small
<3
Large
<280
Medium
<28
Small
<10
4.2.1.2.3. To determine the Backlogged Determinations average, the Department will
total the Backlogged Determinations of each month of the Reporting Period and
divide by the number of months in the Reporting Period.
4.2.1.2.3.1. The MA County Incentives Backlog Report — Summary and MA County
Incentives Backlog Report - Detail will be used to determine the
Contractor's amount of Backlogged Determinations for each month of each
Reporting Period.
4.2.1.2.3.2. The MA County Incentives Backlog Report — Summary and MA County
Incentives Backlog Report — Detail will be pulled on the second working
day of each month.
4.2.1.2.4. To determine the Backlogged Redeterminations average, the Department will
total the Backlogged Redeterminations of each month of the Reporting Period
and divide by the number of months in the Reporting Period.
4.2.1.2.4.1. The MA County Incentives Backlog Report — Summary and MA County
Incentives Backlog Report - Detail will be used to determine the
Page 5 of 17
4.2.1.2.4.2.
4.2.1.2.4.3.
4.2.1.2.5.
4.2.1.2.5.1.
4.2.1.2.5.2.
4.2.1.3.
4.2.1.3.1.
4.2.1.3.1.1.
4.2.1.3.1.2.
4.2.1.3.1.2.1.
4.2.1.3.1.2.2.
4.2.1.4.
4.2.1.4.1.
Contractor's amount of Backlogged Redeterminations for each month of
each Reporting Period.
The MA County Incentives Backlog Report — Summary and MA County
Incentives Backlog Report — Detail will be pulled on the second working
day of each month.
The Department will round both the Backlogged Determinations average
and Backlogged Redeterminations average to the nearest whole number.
When a Determination or Redetermination is Considered Backlogged
A Determination or Redetermination will be considered backlogged for the
First Reporting Period if the due date for the Determination or
Redetermination is on or before December 31 and the Determination or
Redetermination was not completed on or before the due date.
A Determination or Redetermination will be considered backlogged for the
Second Reporting Period if the due date for the Determination or
Redetermination is on or before June 30 and the Determination or
Redetermination was not completed on or before the due date.
Timeliness of LTSS Determinations and Redeterminations
The Contractor shall complete at least ninety-five percent (95%) of all LTC,
HCBS, and PACE Determinations and Redeterminations as Timely
Determinations and Timely Redeterminations.
The Department will total all Timely Determinations and Timely
Redeterminations for LTC, HCBS, and PACE the Contractor completed
within the Reporting Period and divide that by the total number of LTC,
HCBS, and PACE Determinations and Redeterminations the Contractor
completed during that Reporting Period to determine the timeliness percent.
The Department will round these calculated percentages to two (2) decimal
places.
Determining Compliance with the Timeliness of LTSS Determinations and
Redeterminations
The Department will utilize the MA County Incentives LTSS
Timeliness Report — Summary and MA County Incentives LTSS
Timeliness Report — Detail to determine compliance with the timeliness
benchmarks of the LTSS Performance Incentive Standard.
The MA County Incentives LTSS Timeliness Report — Summary and
MA County Incentives LTSS Timeliness Report — Detail will be pulled
the second Monday after the end of each Reporting Period.
Timeliness of Case Maintenance and Disenrollment
The Contractor shall process changes in a member's circumstance within fifteen
(15) calendar days and shall complete eighty-five percent (85%) of the
Contractor's disenrollments within fifteen (15) calendar days.
4.2.1.4.1.1. Processing and Timeframes for a Member's Change in Circumstances
Page 6 of 17
4.2.1.4.1.1.1. The Contractor shall process all member and partner agency -reported
change in circumstances within fifteen (15) calendar days.
4.2.1.4.1.1.2. The fifteen (15) calendar day clock begins on the date the member's
change in circumstance is reported to the Contractor and ends on the
date the eligibility determination based on the change is authorized in
CBMS.
4.2.1.4.1.1.3. The fifteen (15) calendar day benchmark applies to changes reported by
a member, by a partner agency such as the Single Entry Point or
Community Centered Board or external agencies such as nursing
facilities.
4.2.1.4.1.1.4. The Contractor shall not pre-screen changes in circumstances to
determine if the change results in a disenrollment. The Contractor shall
process the change in circumstance by entering the information into
CBMS within fifteen (15) calendar days.
4.2.1.4.1.1.5. The Contractor shall follow existing policy and operational guidance for
entering information relating to a change in circumstances into CBMS.
4.2.1.4.1.1.5.1. The calculation for Timely Disenrollments is based on data entry
into CBMS. The Contractor shall ensure that information is
correctly entered into CBMS, including the date the change in
circumstance was reported, to ensure the Timely Disenrollment
calculation is accurate.
4.2.1.4.1.2.
4.2.1.4.1.2.1.
4.2.1.4.1.3.
4.2.1.4.1.3.1.
4.2.1.4.1.3.2.
Timely Disenrollments
The Contractor will disenroll all members where a change in
circumstance has resulted in ineligibility within fifteen (15) calendar
days.
Determining Compliance for Timely Disenrollments
The Department will utilize the MA Disenrollment Processing Times
Report to determine the Contractor's compliance with the Timely
Disenrollment percentage.
The MA Disenrollment Processing Times Report will be pulled the
second Monday of the first month after the end of each Reporting
Period.
4.2.1.4.1.3.3. To determine the Contractor's percentage of timely disenrollments, the
Department will take the total number of timely disenrollments over
each Reporting Period and divide that by the total number of
disenrollments completed. The Department will round the number to
two decimal places.
4.2.2. Small County and Sample Size Exceptions
4.2.2.1.1. If the Contractor processes a total of two -hundred and forty (240) or fewer
Determinations and two -hundred and forty (240) or fewer Redeterminations per
month, the Contractor shall be deemed to have met the timeliness percentage of
the Eligibility Performance Incentive Standard so long as they had eighteen (18)
Page 7 of 17
or fewer Untimely Determinations/Redeterminations during that Reporting
Period.
4.2.2.1.2.
4.2.2.1.3.
4.2.2.1.4.
If the Contractor processes a total of ten (10) or fewer LTSS Determinations
and twenty (20) or fewer LTSS Redeterminations per Reporting Period, the
Contractor shall be deemed to have met the LTSS timeliness percentage
benchmark for the Eligibility Performance Incentive Standard so long as they
had six (6) or fewer Untimely LTSS Determinations and Untimely LTSS
Redeterminations during that Reporting Period.
If the Contractor processes a total of eight (8) or fewer disenrollments during
any given month, the Contractor shall be deemed to have met the Timely
Disenrollment percentage benchmark for the Eligibility Performance Incentive
Standard so long as they had at least sixty percent (60%) of disenrollments as
Timely Disenrollments.
There are no Small County or Sample Size Exceptions for backlogged
Determinations and Redeterminations.
4.2.3. Exemptions for Unusual Circumstances
4.2.3.1. The Contractor may request an exemption for unusual circumstances for failure to
meet the Timeliness of Determinations and Redeterminations benchmark as
described in section 4.2.1.1, failure to meet Backlogged Determinations and
Redeterminations benchmark as described in section 4.2.1.2 or failure to meet the
Timeliness of LTSS Determinations and Redeterminations benchmark as described
in section 4.2.1.3.
4.2.3.1.1.
The Contractor is not eligible to request an exemption for unusual
circumstances for failure to meet the Timeliness of Case Maintenance and
Disenrollment benchmark as described in section 4.2.1.4.
4.2.3.2. The exemption process for unusual circumstances is described in section 6,
Exemptions.
4.2.4. BENCHMARK: Three (3) out of the following four (4): 95% timeliness average over
each Reporting Period for determinations and redeterminations as described in section
4.2.1.1; backlogged determination and redetermination averages over each Reporting
Period below limit based on county size as described in section 4.2.1.2.; 95% timeliness
average over each Reporting Period for LTSS determinations and redeterminations as
described in section 4.2.1.3.; eighty-five percent (85%) of disenrollments completed
within fifteen (15) calendar days as described in section 4.2.1.4.
4.3. Exceptional Eligibility Performance Incentive Standard
4.3.1. The Contractor may earn an Exceptional Eligibility Performance Incentive Payment
for each Reporting Period in which the Contractor meets all four (4) of following
benchmarks: Timeliness of Determinations and Redeterminations, Timeliness of LTSS
Determinations and Redeterminations, Backlogged Determinations and
Redeterminations and Timeliness of Case Maintenance and Disenrollment as found in
section 4.2.
4.3.2. BENCHMARK: Four (4) out of the following four (4): 95.00% timeliness average
over each Reporting Period for determinations and redeterminations as described in
Page 8 of 17
section 4.2.1.1; backlogged determination and redetermination averages over each
Reporting Period below limit based on county size as described in section 4.2.1.2.;
95.00% timeliness average over each Reporting Period for LTSS determinations and
redeterminations as described in section 4.2.1.3.; eighty-five percent (85.00%) of
disenrollments completed within fifteen (15) calendar days as described in section
4.2.1.4.
4.4. Training Performance Incentive Standard
4.4.1. The Contractor may earn the Training Performance Incentive Payment for each
Reporting Period if at least seventy five percent (75%) of its eligibility technicians
and/or supervisors complete the required number of training hours as described in
section 4.4. The Contractor's staff that are subject to the Training Performance
Incentive Standard requirement is described in section 4.4.1.1.
4.4.1.1. Staff Subject to Training Performance Incentive Standard and Training Hours
Requirement
4.4.1.1.1. The eligibility technician and/or supervisor will be responsible for eight (8)
hours of training in the contractual period if the eligibility technician and/or
supervisor has the security profile to authorize Medical Assistance as described
in section 4.4.1.1.4.
4.4.1.1.2.
4.4.1.1.3.
4.4.1.1.4.
4.4.1.2.
4.4.1.2.1.
4.4.1.2.2.
4.4.1.2.2.1.
4.4.1.3.
4.4.1.3.1.
4.4.1.3.1.1.
The eight (8) hours of training shall be completed from the list of approved
trainings provided by the Department. The list of approved trainings will be
provided to the Contractor at implementation and will be posted on the
Department's County Administration website.
Trainings from the Approved Training List can be trained by the Staff
Development Center (SDC) or an SDC-certified trainer using SDC-approved
materials.
Management and Eligibility Enrollment Specialist (EES) CBMS access users
are subject to the Training Performance Incentive Standard.
Training Completion Timeframes and Previously Completed Trainings
The required amount of training can be completed during the First and Second
Reporting Periods, if the required amount is met by the conclusion of the
Second Reporting Period.
The Contractor's staff may re -take a previously completed course and be
granted credit so long as the course was not originally taken within the current
fiscal year.
Courses re -taken from a previous fiscal year shall be tracked per the
requirements in section 4.4.1.3.2.
Determining Compliance with the Training Performance Incentive Standard
The Contractor shall log all eligible training hours in the Department's Learning
Management System (LMS). Only training hours logged in the LMS system
will count towards the Training Performance Incentive Standard.
Only eligible trainings as found on the list of approved trainings should be
logged in LMS via the Add External Training feature.
Page 9 of 17
4.4.1.3.1.2.
4.4.1.3.1.3.
4.4.1.3.2.
4.4.1.3.2.1.
4.4.1.3.3.
Trainings added via Add External Training that are not included on the list
of approved trainings will be rejected.
External Training requests must match the amount of training hours offered
as described on the list of approved trainings. External Training requests
that request more hours than described on the list of approved trainings will
be denied.
Courses re -taken shall be manually added into the LMS by utilizing the Add
External Training feature.
If a course has not yet been completed in the LMS, then the Contractor's
staff shall register for the course through the standard course registration
process and not request approval via Add External Training feature.
To determine compliance with the required number of training hours, the
Department will request data on users with security profiles listed in section
4.4.2.3. A cross -comparison with the security profiles data pull and LMS
completion reports will determine if the Contractor complied with the seventy
five percent (75%) requirement for the Training Performance Incentive
Standard.
4.4.2. BENCHMARK: 75% of eligibility technicians and supervisors with security profiles
listed in section 4.4.2.3 complete eight (8) hours of training from the Approved
Training List within the contract period as described in section 4.4.1.
4.5. Cybersecurity Performance Incentive Standard
4.5.1. The Contractor may earn a Cybersecurity Performance Incentive Payment for each
Reporting Period in which the Contractor submits the required deliverables relating to
cybersecurity standards and remediation plans for the Colorado Information Security
Policies (CISP) as described in section 4.5.
4.5.2. First Reporting Period Deliverable
4.5.2.1. No later than the semi-annual reporting due date for the First Reporting Period, the
Contractor shall submit to the Department a signed Memorandum of Understanding
(MOU) or similar document, created collaboratively between the Department and
the Contractor, regarding compliance with the CISPs, data privacy and/or sharing
or other cybersecurity standards to be addressed.
4.5.2.1.1. The Contractor shall ensure that the cybersecurity agreement is implemented in
the Contractor's county within a reasonable timeframe. Implementation may
or may not depend on compliance with the CISPs and the Contractor's
Remediation Plan for the CISPs, as described in section 4.5, will also consider
the cybersecurity agreement mentioned in section 4.5.2.1.
4.5.3. Second Reporting Period Deliverable
4.5.3.1. No later than the semi-annual reporting due date for the Second Reporting Period,
the Contractor shall review whether its IT systems and other data privacy and
protection safeguards comply with the CISPs. If the Contractor is not in
compliance, the Contractor shall create and submit a Remediation Plan. The
Remediation Plan will address areas of non-compliance and set a timeline to gain
compliance.
Page 10 of 17
4.5.3.1.1.
In instances where the Contractor's ITSP is OIT, OIT shall be responsible for
CISP compliance only for those CISPs which OIT manages on behalf of the
Contractor.
4.5.3.1.1.1. The Contractor shall not be responsible for compliance with the CISPs for
any policies which are the responsibility of OIT or the State.
4.5.3.1.2. Full compliance with the CISPs does not need to be met by the semi-annual due
date for the Second Reporting Period; rather, the Contractor, through the
Remediation Plan, shall create a reasonable timeframe for which it would gain
LISP compliance, considering workload, funding and other factors.
4.5.4. DELIVERABLES: Signed cybersecurity MOU submitted no later than the semi-
annual due date for the First Reporting Period; completed Remediation Plan submitted
no later than the semi-annual due date for the Second Reporting Period.
4.6. Food Security Performance Incentive Standard
4.6.1. The Contractor may earn a Food Security Performance Incentive Payment for both
Reporting Periods in which the Contractor meets its specified benchmark relating to
the percentage of Health First Colorado members who have a corresponding enrollment
in the SNAP as described in section 4.6.
4.6.1.1.
4.6.1.1.1.
Percentage of Health First Colorado members with enrollment in SNAP
The Contractor shall increase the percentage of Health First Colorado members
with enrollment in SNAP. The percentage increase and the overall Food
Security benchmark will be mutually agreed -upon by the Department and
CDHS. The benchmark will be communicated to the Contractor through the
HCPF Memo Series.
4.6.1.1.2. Determining Compliance with the Food Security benchmark
4.6.1.1.2.1. The Department will total the number of Health First Colorado members
with SNAP enrollment and divide that by the total number of all Health
First Colorado members in the Contractor's county.
4.6.1.1.2.2. The Department and CDHS will utilize a cross -systems data pull to
determine compliance with the benchmark of the Food Security
Performance Incentive Standard.
4.6.1.1.2.2.1. The numerator and denominator of the benchmark will exclude any
relevant populations (e.g. IPV, E&T sanctions) as mutually determined
by the Department and CDHS. The populations excluded will be
communicated through the HCPF Memo Series.
4.6.1.1.3. The Contractor has the option to document its efforts to meet the Food Security
benchmark through an outreach plan or similar written documentation. The
written documentation is not required to be submitted to the Department as a
contract deliverable.
4.6.2. BENCHMARK: Enrollment benchmark of Medicaid members who have a
corresponding enrollment in SNAP in section 4.6. Enrollment benchmark will be
communicated through the HCPF Memo Series.
5. SEMI-ANNUAL REPORTING
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5.1.1. The Contractor shall submit documentation to the Department to verify the
Contractor's compliance with each Performance Incentive Standard and will submit
such documentation on a semi-annual basis.
5.1.1.1. For the First Reporting Period, the Contractor will submit the following
documentation:
5.1.1.1.1. Any Eligibility Performance Incentive Standard exemption forms for the
Reporting Period, if the Contractor failed to meet specified benchmarks.
5.1.1.1.2. Any Cybersecurity Performance Incentive Standard Memorandums of
Understanding (MOU), Remediation Plans or other documents listed as
deliverables under this agreement.
5.1.1.1.3. DUE DATE: January 5, 2020
5.1.1.2. For the Second Reporting Period, the Contractor will submit the following
documentation:
5.1.1.2.1. Any Eligibility Performance Incentive Standard exemption forms for the
Reporting Period, if the Contractor failed to meet specified benchmarks.
5.1.1.2.2. Any Cybersecurity Performance Incentive Standard Memorandums of
Understanding (MOU), Remediation Plans or other documents listed as
deliverables under this agreement.
5.1.1.2.3. DUE DATE: July 5, 2020
6. EXEMPTIONS
6.1. Exemptions for Unusual Circumstances for the Eligibility Performance Incentive Standard
and the Exceptional Eligibility Performance Incentive Standard
6.1.1. If a Determination or Redetermination is delayed for unusual circumstances as defined
under 10 C.C.R. 2505-8.100.3.D (d), the Contractor is eligible to submit an exemption
form.
6.1.1.1. The Department will not include any Untimely Determinations/Redeterminations
in its calculation of the Eligibility Performance Incentive Standard if the
Department has approved that Untimely Determination/Redetermination as being
untimely because of unusual circumstances as specified in section 6.1.1.
6.1.1.2. The Contractor shall be responsible for submitting one (1) exemption form that
details each of the cases for which the Contractor is requesting an exemption.
6.1.1.3. The Contractor shall provide adequate information on the exemption form for the
Department to quantify personnel issues if the Contractor requests an exemption
due to staff vacancies, staff training, or other personnel issues.
6.1.1.3.1. Exemption requests based on staff vacancies and trainings, personnel or other
related issues will only be considered in exceptional circumstances. The
Department reserves the right to deny exemption requests
6.1.2. The Department may approve or reject any request for Untimely
Determination/Redetermination exemptions and may limit the total number of
exempted Untimely Determinations/Redeterminations for the Eligibility Performance
Incentive Standard.
Page 12 of 17
6.1.2.1. The Department will deny exemption requests that do not meet timeliness definition
set forth in 10 C.C.R. 2505-8.100.3.D (d) and Section 1.1.12 due to the fault of the
Contractor and/or any exemption requests based on the following:
6.1.2.1.1. Failure of the Contractor to timely act on a Determination or Redetermination
which resulted in a failure to meet the timeliness requirements in Sections
1.1.11 and 1.1.12.
6.1.2.1.2. Failure of the Contractor to act on client verification that was submitted timely
which was requested for a Determination or Redetermination.
6.1.2.1.3. Failure of the Contractor to manually authorize a Determination or
Redetermination with a mass update exception.
6.1.2.1.4. Failure of the Contractor to manually authorize a Redetermination when the
auto re -enrollment or Ex Parte processes were not successful.
6.1.2.1.5. Failure of the Contractor to pull all applicable COGNOS reports for the
purposes of fulfilling Exhibit A-5, Statement of Work.
6.1.2.2. The reasons for denial of an exemption as stated in section 6 are not all-inclusive
and the Department reserves the right to deny any exemption for reasons not stated
in section 6.
6.1.2.2.1. Prior to denying an exemption for reasons beyond those stated in section 6, the
Department may, at its discretion, request further information from the
Contractor to determine whether the request for exemption meets the exemption
standards as stated in section 6, Exemptions.
6.1.2.3. The Department may approve or reject any request for exemption due to unusual
circumstances and may limit the total number of exemption requests.
6.2. Exemptions for Unusual Circumstances for Performance Incentive Standards other than
the Eligibility Performance Incentive Standard
6.2.1. Exemptions for unusual circumstances will not be considered for any Performance
Incentive Standard listed under section 6.2.1.
6.2.1.1. Training Performance Incentive Standard
6.2.1.2. Cybersecurity Performance Incentive Standard
6.2.1.3. Food Security Performance Incentive Standard
6.2.2. The Contractor's performance and compliance with the Performance Incentive
Standards listed under section 6.2.1 will be deemed final, as determined by the
Department, and Performance Incentive Payments made without the opportunity to
submit an exemption for unusual circumstances.
7. NOTIFICATIONS
7.1. After each Reporting Period, the Contractor will be provided a Status Report that details
which Incentive Performance Standards were met.
7.1.1. The Contractor's Reporting Period Status Report will only detail which Incentive
Performance Standards were met for the Reporting Period in question. Funding
amounts will not be provided until the conclusion of the fiscal year.
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7.1.2. If the Contractor has more than one Reporting Period in the fiscal year to meet any
Incentive Performance Standards, the Reporting Period Status Report will not include
the Contractor's performance in those Performance Standards.
7.2. After the conclusion of the fiscal year, the Department will provide the Contractor a final
Status Report that details which Performance Incentive Standards were met and how much
Performance Incentive Payments were earned by the Contractor.
7.2.1. The final Status Report cannot be disputed; if the Contractor disagreed with the
Department's determination of compliance with any Performance Incentive Standard,
the Contractor shall have disputed that result based on the Reporting Period Status
Report.
7.3. Each Reporting Period Status Report and the final Status Report will be sent to the county
human/social services director and will act as the official notification of the Contractor's
compliance with the Performance Incentives Standards.
7.4. Status Reports for each Reporting Period will be sent within ten (10) calendar days after
the Semi -Annual Reporting due date for each Reporting Period as found in Section 5, Semi -
Annual Reporting. The date on which the Status Report for each Reporting Period is sent
to the Contractor will be considered the Status Report Date.
7.4.1. If unusual circumstances have delayed the Contractor's Reporting Period or final Status
Reports, the Department will inform the Contractor of the delay and an anticipated date
of resolution.
7.5. The final Status Report will be sent upon the Department's determination of final
Performance Incentive Payment amounts.
7.6. The Contractor will have the opportunity to dispute the Status Report results as defined in
section 7, Dispute Resolution.
8. DISPUTE RESOLUTION
8.1. Opportunity and Timeframe for Dispute Resolution
8.1.1. In the event the Contractor disagrees with the findings of the official notification as
found in section 7, Notifications, the Contractor will have the opportunity to dispute
the Reporting Period Status Report for the Reporting Period in question.
8.1.1.1.1. The final Status Report cannot be disputed per section 7.2.1.
8.1.1.2. The Contractor will have ten (10) calendar days from the Status Report Date to
review each Reporting Period Status Report and dispute the results.
8.1.1.3. If the Contractor fails to dispute the Reporting Period Status Report within ten (10)
calendar days from the Status Report Date, the Status Report results will be deemed
final. No further disputes will be allowed, and compensation will be made per
section 9 based on the results of the non -disputed Status Report.
8.2. Allowable Disputes
8.2.1. The Contractor will be allowed to dispute the results of the Status Report based on the
following reasons:
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8.2.1.1. The Contractor submitted documentation that was required for a Performance
Incentive Standard, so long as the Contractor has proof that the required
documentation was submitted on or before the contractually -required due date.
8.2.1.2. The Contractor requests a re -review of the Contractor's submitted documentation
that was used to determine compliance with any Performance Incentive Standard.
8.2.1.3. The Contractor has available data, such as systems reports or other tracking
methodologies, that conflicts with the Department's available data that will utilized
to determine compliance with a Performance Incentive Standard.
8.2.1.3.1. The Contractor will be responsible for providing all necessary and relevant data
available to the Department in order to determine if the Contractor's data truly
conflicts with the Department's data.
8.2.1.3.2. The Department will make the final determination when a conflict of data
occurs and will make Performance Incentive Standard Payments based on its
final determination.
8.2.2. The Department reserves the right to add additional allowable dispute reasons
throughout the fiscal year based on additional information made available from the
Department and/or Contractor. These additional allowable dispute reasons will be
considered on a case -by -case basis, and the Department's determination of additional
allowable dispute reasons are final and not subject to the Dispute Resolution process
as outlined in section 8.
8.3. Nonallowable Disputes
8.3.1. The Contractor will not be allowed to dispute the results of the Status Report based on
the following reasons:
8.3.1.1. The Contractor failed to meet contractually -specified requirements relating to the
content of submission of deliverables and the timely submission of deliverables.
8.3.1.2. The Contractor failed to meet contractually -specified requirements relating to
performance benchmarks of any Performance Incentive Standard.
8.3.1.3. The Contractor's failure to review and utilize County Incentives Program
documentation, including policy, informational, and operational guidance issued
through the HCPF Memo Series, that resulted in the Contractor failing to meet
performance benchmarks and deliverables relating to any Incentive Performance
Standard.
8.3.1.4. The Department's final determination of the Contractor's exemption request(s) for
the Eligibility Performance Incentive Standard.
8.3.1.5. Any exemption requests for unusual circumstances for other Performance Incentive
Standards other than those listed in 8.3.1.4.
8.3.2. The Department reserves the right to deny a Contractor's dispute based on any reason
not included under section 8.3.1. The Department's determination is final and is not
subject to dispute or appeal.
9. COMPENSATION
9.1. Compensation
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9.1.1. Performance Incentive Payment
9.1.1.1. The Department shall pay the Contractor, after the end of the fiscal year in which
the work was performed, a Performance Incentive Payment for each Performance
Incentive Standard it meets during the applicable Reporting Period as follows:
9.1.1.1.1. The Department shall pay the Contractor an Eligibility Performance Standard
Payment as shown in Exhibit B for each Reporting Period that the Contractor
meets the requirements for that Performance Incentive Standard.
9.1.1.1.2. The Department shall pay the Contractor a Training Performance Incentive
Payment as shown in Exhibit B for each Reporting Period that the Contractor
meets the requirements for that Performance Incentive Standard.
9.1.1.1.3. The Department shall pay the Contractor a Cybersecurity Performance
Incentive Payment as shown in Exhibit B for each Reporting Period that the
Contractor meets the requirements for that Performance Incentive Standard.
9.1.1.1.4. The Department shall pay the Contractor a Food Security Performance
Incentive Payment as shown in Exhibit B for each Reporting Period that the
Contractor meets the requirements for that Performance Incentive Standard.
9.1.2. Remaining Funds Incentive Pool Payment
9.1.2.1. The Department will create a Remaining Funds Incentive Pool each SFY.
9.1.2.1.1. The Remaining Funds Incentive Pool shall include the following:
9.1.2.1.1.1. The total amount of all base Performance Incentive Payments allocated to
any Contractor that selected to not participate in the Performance Incentive
Standards Program for that SFY.
9.1.2.1.1.2. Each of the base Performance Incentive Payments from the Training
Performance Incentive Standard, the Cybersecurity Performance Incentive
Standard and the Food Security Performance Incentive Standard that were
not earned by the Contractor during a Reporting Period in that SFY.
9.1.2.1.1.2.1. The Contractor shall be eligible for Remaining Funds Incentive Pool
payments for the Eligibility Performance Incentive Standard only if the
Contractor was in compliance with the Exceptional Eligibility
Performance Incentive Standard.
9.1.2.1.2. If the Remaining Funds Incentive Pool is zero dollars ($0.00) for any SFY, the
Contractor shall not receive a Remaining Funds Incentive Pool Payment for that
SFY.
9.1.2.2.
9.1.2.2.1.
9.1.2.2.2.
The Remaining Funds Incentive Pool will be paid as follows:
The Contractor shall be eligible for payment from the Remaining Funds
Incentive Pool based on the dollar amount of Incentives met during that SFY.
Based on the proportion of total Incentive funds that the Contractor is eligible
to be paid in each SFY, the Contractor shall receive the same proportion of
funds from the Remaining Funds Incentive Pool.
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9.1.2.2.3. The Contractor's payment of funds from the Remaining Funds Incentive Pool
shall never exceed the county's share of Medicaid expenditure, as specified in
Section 2, County Determinations.
9.2. Payment Procedures
9.2.1. The Contractor shall receive Performance Incentive Payments for each Reporting
Period within ninety days (90) days following the end of the fiscal year in which the
Performance Incentive benchmarks were met. This allocation will reflect the maximum
the Contractor can earn for each Performance Incentive Standard per Reporting Period.
9.2.1.1. If the Contractor's county administration line item is over -expended during the
county administration closeout process, Settlement Accounting and the Department
may utilize the Contractor's earned Performance Incentive Payments during the
closeout process.
9.2.2. Actual Performance Incentive Payment maximums are dependent on the Contractor's
share of Medicaid county administration expenditure. In no event shall the Contractor
be paid more than the Contractor's county share of Medicaid county administration
expenditure in any Reporting Period.
9.2.3. The Department may add any unearned funds from the First Reporting Period into to
the Second Reporting Period allocation for any SFY.
9.2.3.1. The Contractor shall be paid the Performance Incentive Payments through the
County Financial Management System (CFMS).
9.2.4. The Department may use any unearned Second Reporting Period Incentive
Performance Payments during the county administration close out process.
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EXHIBIT C, SMALL, MEDIUM AND LARGE COUNTY LIST
The below categorizes counties as small, medium and large for purposes of qualification of
exemptions for timeliness and/or backlog incentives.
Small
Archuleta
Baca
Bent
Cheyenne
Clear Creek
Costilla
Crowley
Custer
Dolores
Elbert
Gilpin
Medium
Alamosa
Broomfield
Chaffee
Conej os
Delta
Douglas
Eagle
Fremont
La rge
Adams
Arapahoe
Boulder
Denver
El Paso
Jefferson
Larimer
Mesa
Pueblo
Weld
Grand
Gunnison
Hinsdale
Jackson
Kiowa
Kit Carson
Lake
Lincoln
Mineral
Ouray
Park
Garfield
Huerfano
La Plata
Las Animas
Logan
Moffat
Montezuma
Montrose
Phillips
Pitkin
Rio Blanco
Routt
San Juan
San Miguel
Sedgwick
Summit
Washington
Yuma
Morgan
Otero
Prowers
Rio Grande
Saguache
Teller
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