HomeMy WebLinkAbout20153677.tiff RESOLUTION
RE: APPROVE AGREEMENT AMENDMENT #1 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 an Agreement Amendment #1 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 Colorado Department of Health Care Policy and Financing, commencing upon full execution
of signatures, and ending June 30, 2016, 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 Contract Amendment #1 for County Incentive 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 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 18th day of November, A.D., 2015.
BOARD OF COUNTY COMMISSIONERS
WE D COUNTY, CO RADO
ATTEST: datif44) G: "A ".
arbara Kirkmeyer Chair
Weld County Clerk to the Board
• Mike Freeman, Pro-Tem
BY: `i-.u� )
� i ty Clerk to the oard � � 1 /. P. Conway
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Coun Attorney =/
t teve Moreno
Date of signature:
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2015-3677
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MEMORANDUM
DATE: November 3, 2015
• 1861
TO: Board of County Commissioners — Pass-Around
II 1 j r21 --- ,i
. Olii r 1 i FR: Judy A. Griego, Director, Human Services
o o J N T Yl RE: Weld County Department of Human Services' Contract
Amendment to the FY2015-16 County Incentives Program with the
Colorado Department of Health Care Policy and Financing
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 Contract Amendment to the FY2015-16 County
Incentives Program with the Colorado Department of Health Care Policy and Financing. Beginning
with State Fiscal Year 2014- 15, the Colorado Department of Health Care Policy and Financing set aside a
portion of its County Administration allocation to distribute to counties as incentive payments, in order to
encourage counties to meet certain performance criteria. The original criteria upon which the incentives were
based included:
- Timeliness of application processing, in connection with the Court Settlement agreement
- Collaboration with Behavioral Health Organization, Local Public Health Agency, Medical Assistance
Site, Regional Care Collaborative Organization, and Connect for Health Colorado Partners
- Medicaid Determination for Individuals Leaving a Correctional Facility
- Reduction of Application Backlog
- Quarterly Reporting
Weld County entered into an Agreement with the Colorado Department of Health Care Policy and Financing
in December of 2014 for State Fiscal Year 2014- 15, and received an incentive award of$ 139,856, under that
agreement, in the close-out of that fiscal year, out of a maximum possible amount of $ 142,032.25.
This document amends that Agreement to apply to State Fiscal Year 2015- 16, removing the incentive
category for Medical Determination for Individuals Leaving a Correctional Facility, while adding Incentive
categories for Training and MEQIP Reporting. If we meet all of the incentive goals outlined in the agreement,
the minimum incentive amount we' ll receive will be $211 ,471 .98. If we meet all of the incentive goals and
other counties do not meet their incentive goals, thus leaving money on the table, we could receive up to an
additional $70,409.68, for a maximum possible total distribution of$281 ,962.66. These funds reduce the net
county share of County Administration expenditures, which would soften the blow of any year-end
elk adjustment for close-out, should we over-expend the County Administration allocation, as we have done in
years past.
I do not recommend a Work Session. I recommend approval of this Amendment.
Approve Request
BOCC Agenda Work Session
i Sean Conway
Steve Moreno
Barbara Kirkmeyer
Mike Freeman IJulie Cozad
2015-3677
Pass-Around Memorandum; November 3, 2015 - Contract ID 297 Page 1
A, F, F ; COLORADO
CO Department of Health Care
., Policy 8 Financing
Department of Health Care Policy and Financing
County Relations
1570 Grant Street
Denver,CO 80203
October 5, 2015
County Partners,
Attached you will find the County Incentives Program contract amendments for FY2015-
16. Please follow the instructions below to have them signed and returned to HCPF as
• soon as possible.
1. Print three (3) originals of the document.
a. Print double sided.
b. Print all exhibits and/or attachments in the PDF.
c. All 3 originals must be the entire document; 1 full copy and 2 signature
pages is NOT acceptable.
2. Sign all three originals by an authorized signer.
a. All signatures must be original; electronic signatures and signature stamps
are NOT acceptable.
3. Return the three signed originals including all exhibits
a. Please return, as soon as possible, to the address listed below:
Attn: Joshua Montoya
HCPF County Relations
1570 Grant St
Denver, CO 80203
As always, feel free to contact County Relations staff with any questions regarding the
County Incentives Program.
Joshua Montoya Crestina Martinez
joshua.montovatastate.co.us crestina.martinezOstate.co.us
303-866-2403 303-563-9109
HCPFCountyRelationsastate.co.us
I 91---Our mission is to improve health care access and outcomes for the people we serve while i [
demonstrating sound stewardship of financial resources. ;
www.colorado.gov/hcpf \*„..\A .1.*'
Department of Health Care Policy and Financing
Agreement Routing Number 2015CMIPI23A I
AGREEMENT AMENDMENT NO. 1
Original Agreement Routing Number 2015CMIP123
1. PARTIES
This Amendment to the above-referenced Original Agreement (hereinafter called the
"Agreement") is entered into by and between the Department of Health Care Policy and
Financing, 1570 Grant Street, Denver, CO 80203 (hereinafter called "HCPF" or the
"Department"), and the Weld County (hereinafter called "Contractor"), who may collectively be
called the "Parties" and individually a "Party", both of which are agencies of the STATE OF
COLORADO, hereinafter called the"State".
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"). HCPF shall not
be liable to pay or reimburse Contractor 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 incentives for counties that achieve certain
incentive performance standards related to Medicaid eligibility and cooperation with other
Medicaid related entities. The purpose of this Amendment is to add exhibits and update the
incentives.
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
here in.
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:
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KRooeco
B. Exhibits and other Attachments. The following documents are attached hereto and
incorporated by reference herein:
HIPAA Business Associate Addendum
Exhibit A, Statement of Work
Exhibit B, Rates
Exhibit C, Sample Option Letter
Exhibit D, Small, Medium,and Large County List
C. Exhibit A, Statement of Work, is hereby deleted in its entirety and replaced with Exhibit
A-I, Statement of Work, attached hereto and incorporated by reference into the
Agreement. All references within the Agreement to Exhibit A, shall be deemed to
reference to Exhibit A-1.
D. Exhibit B, Rates, Section 1.2., SFY 2015-16 Incentive Payment Table, is hereby deleted
in its entirety and replaced with the following:
1.2. SFY 2015-16 Incentive Payment Table
Incentive Payment Name Payment Amount
Court Settlement Timeliness Incentive Payment $84,588.79
Collaboration Incentive Payment $31,720.79
Application Backlog Incentive Payment $42,294.42
Traininj Incentive Payment $31,720.79
MEQIP Reporting Incentive Payment $21,147.19
Total Maximum Available for $211,471.98
all Incentive Payments
E. Exhibit B, Rates, Section 2.2., SFY 2015-16 Pool Maximum County Share Table, is
hereby deleted in its entirety and replaced with the following:
2.2. SFY 2015-16 Pool Maximum County Share Table
Payment Pool Maximum Distribution Amount
Total Maximum Available for Pool $70,490.68
Distributions
F. Exhibit D, Small, Medium and Large County List, is hereby attached hereto and
incorporated herein.
7. START DATE
This Amendment shall take effect on its Effective Date.
8. ORDER OF PRECEDENCE
Execpt for the HIPAA Business Associates Addendum, in the event of any conflict,
inconsistency, variance, or contradiction between the provisions of this Amendment and any of
Page 2 of 13
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 HCPF by the
federal government, state government and/or grantor.
REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK
Page 3 of 13
THIS PAGE INTENTIONALLY LEFT BLANK
Page 4 of 13
Amendment Routing Number 2015CMIP I23A 1
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
Weld County Department of Health Care Policy and
By:
Barbar Kirk= By:
Chair \'STisan E. Birch, MBA, BSN, N
Exec v l.qr C��/61
NOV 1 8 2015 /`
Date: yl�Date: � d
�` f
ALL AGREEMENTS REQUIRE APPROVAL BY THE STATE CONTROLLER
ST E C LER
ob Klaros, CPA, MBA, JD
By:
Department o H alth are Policy and Financing
Date:
Page 5 of 13
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EXHIBIT A-1,STATEMENT OF WORK
1. TERMINOLOGY
1.1. The following list is provided to assist the reader in understanding acronyms,
abbreviations and terminology used throughout this document.
1.1.1. Applicant—An individual for whom the Contractor is performing a Determination.
1.1.2. Behavioral Health Organization (BHO) - An organization that arranges for enrolled
Clients to get medically necessary behavioral health services. For a list of BHOs,
please see the County Incentive Program Guide.
1.1.3. Backlogged Determination—Any Untimely Determination that is not yet complete.
1.1.4. Client--An individual who is eligible for the Colorado Medical Assistance Program.
1.1.5. Determination — The act of determining if an Applicant is eligible for the Colorado
Medical Assistance Program.
1.1.6. Reporting Period—The period of time for each performance standard used to measure
whether the Contractor met that standard.
1.1.6.1. The First Reporting Period for a SFY shall begin on July 1 of that SFY and end
on December 31 of that SFY.
1.1.6.2. The Second Reporting Period for a SFY shall begin on January 1 of that SFY and
end on June 30 of that SFY.
1.1.7. Redetermination—A Determination as defined under 10 C.C.R. 2505-8.100.3.P.
1.1.8. State Fiscal Year (SFY) -- The period beginning July 1 of each calendar year and
ending on June 30 of the following calendar year.
1.1.9. Timely Determination/Redetermination— Any Determination/Redetermination that is
completed within the timeliness requirements set forth in 10 C.C.R.2505-8.100.3.D.
1.1.10. Untimely Determination/Redetermination--Any Determination/Redetermination that
is not completed within the timeliness requirements set forth in 10 C.C.R. 2505-
8.100.3.D.
1.1.11. Small, Medium and Large County--The size of the county is determined by the case-
and workload of Medical Assistance enrollment; for a list of how all counties are
classified for the purposes of this contract,see Exhibit D.
1.1.12. County Incentives Program Guide — A supplemental document, provided by the
Department to each County, that defines the expectations of the Department for the
county incentive program. This includes lists of collaboration partners, required
forms and other relevant materials.
2. COUNTY DETERMINATIONS
2.1. The Contractor shall perform all Medicaid 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. PERFORMANCE INCENTIVE PROGRAM
Page 6 of 13
3.1. The Contractor may earn an incentive payment to reimburse it for a portion of its cost
sharing as described in this Section 3.
3.2. Court Settlement Timeliness Incentive Standard
3.2.1. The Contractor may earn a Court Settlement Timeliness Incentive Payment for each
Reporting Period in which at least ninety-five percent (95%) of all Determinations
and Redeterminations completed were Timely Determinations/Redeterminations.
3.2.1.1. To determine the timeliness percent for this standard, the Department shall total
up all Timely Determinations and 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.
The Department shall round these calculated percentages to two (2) decimal
places. The Contractor shall be paid for each Reporting Period it meets the
incentive standards after the end of the fiscal year in which the work was
performed.
3.2.1.2. In the event that 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 this
performance standard so long as they had eighteen (18) or fewer Untimely
Determinations/Redeterminations during that Reporting Period.
3.2.1.3. The Department will not include any Untimely Determinations/Redeterminations
in its calculation of this performance standard if the Department has approved that
Untimely Determination/Redetermination as being untimely because of unusual
circumstances. Determinations/Redeterminations may be delayed for unusual
circumstances as described in 10 C.C.R.2505-8.100.3.D(d).
3.2.1.3.1. The Contractor shall submit documentation with the semi-annual report to
request the Department's approval of that Determination as being untimely
because of unusual circumstances. The Contractor shall use the exemption
request forms in the County Incentives Program Guide for documentation.
When sending the form back to the Department, the Contractor shall name the
electronic file using the following naming mechanism "County
Name.Timeliness Exemption Request.Date"with the date being the end of the
reporting period in which the exemption is filed.
3.2.1.3.2. The Department may approve or reject any request for Untimely
Determination exemption and may limit the total number of exempted
Untimely Determinations.
3.2,2. The Department will determine the Contractor's compliance with the Court
Settlement Timeliness Incentive Standard during each Reporting Period utilizing data
from the monthly Court Reports. Instructions for the Contractor to look up cases
included in the court reports are in the County Incentives Program Guide.
3.3. Collaboration Incentive Standard
3.3.1. The Contractor may earn a Collaboration Incentive Payment for each Reporting
Period in which it has hosted or attended Collaboration meetings with the partners
described below.
Page 7 of 13
3.3.1.1. The Contractor shall host or attend at least one (I) meeting with at least three (3)
of the following during each calendar quarter:
3.3.1.1.1. Each Behavioral Health Organization (BHO) that serves Clients in the
Contractor's County. See list of BHOs in the County Incentives Program
Guide.
3.3.1.1.2. Each Local Public Health Agency (LPHA) that serves Clients in the
Contractor's County.
3.3.1.1.3. Each Medical Assistance Site (MA Site) that serves Clients in the
Contractor's County. See list of MA Sites in the County Incentives Program
Guide.
3.3.1.1.4. Each Regional Care Collaborative Organization (RCCO)that serves Clients in
the Contractor's County. See list of RCCOs in the County Incentives Program
Guide.
3.3.1.1.5. Regional Connect For Health Colorado Partners(C4).
3.3.1.1.6. Hospitals and Clinics that serve Clients in the Contractor's County.
3.3.1.1.7. Federally Qualified Health Clinic (FQI-IC) that serves Clients in the
Contractor's County.
3.3.1.1.8. Private Practice Providers such as Medical, Dental or Behavioral Health that
serve Clients in the Contractor's County.
3.3.1.1.9. Community Mental Health Centers (CMHC) that serve Clients in the
Contractor's County. See list of CMHCs in the County Incentives Program
Guide.
3.3.1.1.10. Long-term Care Facilities that serve Clients in the Contractor's County.
3.3.1.1.11. Single Entry Point (SEP) Agencies that serve Clients in the Contractor's
County. See list of SEPs in the County Incentives Program Guide.
3.3.1.1.12. County Sheriff/Local Law Enforcement that serves Clients in the Contractor's
County.
3.3.1.1.13. Ute Mountain Lite Tribe.
3.3.1.1.14. Southern Ute Indian Tribe.
3.3.1.2. The Contractor may combine any or all of the meetings in this Section 3.3 to meet
the Collaboration Incentive Standard and does not need to have individual
meetings with each of the entities listed in section 3.3.1.1.
3.3.1.3. The Contractor may also host any or all of the meetings in this Section 3.3 in
collaboration with other counties, but in the event that it does combine any
meeting with another county or other counties, the Contractor shall provide at
least one(1)representative to attend that meeting.
3.3.1.4. The Contractor shall develop the meeting agenda for each meeting it hosts.
3.3.1.4.1. The agenda shall include the following topics:
3.3.1.4.1.1. Recognition of the roles and responsibilities for each of the partners.
Page 8 of 13
3.3.1.4.1.2. Cultivating collaboration and the coordination of services among all of the
partner agencies.
3.3.1.4.1.3. Establishing two (2) to three (3) goals that the partners would like to
accomplish over the next year to improve clients' access to care.
3.3.1.4.2. In the event that the Contractor hosts a meeting in collaboration with another
county or other counties, then the Contractor may develop the agenda in
collaboration with those other counties.
3.3.1.5. The Contractor shall take meeting minutes and compile a list of attendees for each
meeting it hosts. In the event that the Contractor hosts a meeting in collaboration
with another county or other counties, then the Contractor may create the meeting
minutes and list of attendees in collaboration with those other counties.
3.3.1.5.1. The Contractor shall document its compliance with the Collaboration
Incentive Standard by submitting the Collaboration Incentive template,see the
County Incentives Program Guide, providing the Department with the meeting
agenda, meeting minutes and list of attendees for each meeting it hosted,
either individually or collaboratively with other counties and the two (2) to
three (3)goals as described in 3.3.1.4.1.3. The Department will determine the
Contractor's compliance with the Collaboration Incentive Standard based on
the submission of the meeting agendas, meeting minutes and list of attendees
for all meetings during the Reporting Period. The Contractor shall use the
Collaboration Incentive Template found in the County Incentives Program
Guide to organize the documentation. When sending the Collaboration
Template back to the Department,the Contractor shall name the electronic file
using the following naming mechanism "County Name.Collabortion
lncentive.Date" with the date being the end of the reporting period in which
the exemption is filed.
3.4. Application Backlog Incentive Standard
3.4.1. The Contractor may earn an Application Backlog Incentive Payment for each
Reporting Period in which the Application Backlog for new applications and
redeterminations is within the limits described in the following table:
3.4.1.1. County Backlog Table
County Size Limit
New Applications
Large < 100
Medium < 15
Small <5
Redeterminations
Large <300
Medium <30
Small <10
Page 9 of 13
3.4.1.2. The Department will not include any Backlogged Determination in its calculation
of this performance standard if the Department has approved that Determination
as being backlogged because of unusual circumstances.
3.4.1.2.1. The Contractor shall submit documentation with the semi-annual report to
request the Department's approval of that Determination as being in backlog
because of unusual circumstances. The Contractor shall use the exemption
request forms in the County Incentives Program Guide for documentation.
When sending the form back to the Department, the Contractor shall name the
electronic file using the following naming mechanism "County
Name.Backlog.Exemption Request.Date" with the date being the end of the
reporting period in which the exemption is filed.
3.4.1.2.2. The Department may approve or reject any request for Backlogged
Determination exemption and may limit the total number of exempted
Backlogged Determinations.
3.5. Training Incentive Standard
3.5.1. The Contractor may earn the Training Incentive Payment for each Reporting Period
as long as at least seventy five percent (75%) of its medical eligibility full time
equivalents (FTE) staff complete nine (9) hours of training. The required amount of
training can be spread throughout both reporting periods, as long as the required
amount is met at the conclusion of the second reporting period. Eligible trainings
shall include:
3.5.1.1. Medical eligibility training through the Health Care and Economic Security Staff
Development Center (SDC), County trainers who are certified through the SDC
and Department training.
3.5.1.2. When the Department launches its new Learning Management System(LMS), the
Contractor will have the option to access and track online training in addition to
the SDC's curriculum.
3.5.2. Statewide, regional or local training may qualify to meet the Training Incentive. The
Contractor shall seek approval for training developed by sources other than the SDC,
Department or SDC certified county trainers in advance of submitting the
documentation for the Training Incentive.
3.5.2.1. The Contractor shall provide agendas, training content and proof of participation
through sign-in sheets or printed reports, such as those available through the
SDC's LMS.
3.6. MEQIP Reporting Incentive
3.6.1. The Contractor may earn a Medicaid Eligibility Quality Improvement Plan (MEQIP)
Reporting Incentive for each Reporting Period in which all quarterly reports and the
annual review plan are submitted by the specified due date below. If the due date falls
on a non-working day then the Contractor shall submit the report on the first working
day after the due date.
MEQIP Quarterly Report Reporting Period Due Date*
Quarter I Report Auust ►��Set4 November
Quarter 2 Report October,November&December February 1st
Page 10 of 13
Revised Annual Plans July st tune-36t—h7 Malc 3lst
Quarter 3 Report January,February&March May 1st
Quarter 4 Report prril Ma,y June Atigust'1St
3.7. Quarterly Reporting
3.7.1, The Contractor shall create a Semi-Annual Incentive Report for each Reporting
Period that includes all of the following for the Reporting Period:
3.7.1,1. The meeting agendas, meeting minutes, lists of attendees and goals to document
its compliance with the Collaboration Incentive Standard.
3.7.1.2. Any Untimely Determination exemption forms for the Reporting Period.
3.7.1.3. Any Backlogged Determination exemption forms for the Reporting Period.
3.7.1.4. All Training Reports for the Reporting Period.
3.7.2. The Contractor shall submit the Semi-Annual Incentive Report to the Department.
3.7.2.1. DELIVERABLE: Semi-Annual Incentive Report
3.7.2.2. DUE: January 5th for the first reporting period ending December 31st and July 5th
for the second reporting period ending June 30`h
4. COMPENSATION
4.1. Compensation
4.1.1. Incentive Payment
4.1.1.1. The Department shall pay the Contractor an Incentive Payment for each incentive
standard it meets during the applicable Reporting Period as follows:
4.1.1.1.1. The Department shall pay the Contractor a Court Settlement Timeliness
incentive Payment as shown in Exhibit B for each Reporting Period that the
Contractor meets the requirements for that incentive.
4.1.1.1.2. The Department shall pay the Contractor a Collaboration Incentive Payment
as shown in Exhibit B for each Reporting Period that the Contractor meets the
requirements for that incentive.
4,1.1.1.3. The Department shall pay the Contractor a MEQIP Incentive Payment as
shown in Exhibit B for each Reporting Period that the Contractor meets the
requirements for that incentive.
4.1.1.1,4, The Department shall pay the Contractor an Application Backlog Incentive
Payment as shown in Exhibit B for each Reporting Period that the Contractor
meets the requirements for that incentive.
4.1.1.1.5. The Department shall pay the Contractor a Training Incentive Payment as
shown in Exhibit B for each Reporting Period that the Contractor meets the
requirements for that incentive.
4.1.2. Remaining Funds Incentive Pool Payment
4.1.2.1. The Department will create a Remaining Funds Incentive Pool each SFY.
Page I 1 of 13
4.1.2.1.1. The Remaining Funds Incentive Pool shall include the following:
4.1.2.1.1.1. The total amount of all base incentive payments allocated to any counties
that selected to not participate in the County Medicaid Eligibility
Determination Incentive Program for that SFY.
4.1.2.1.1.2. Each of the base incentive payments that were not earned by a county
during a Reporting Period in that SFY.
4.1.2.1.2. In the event that 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.
4.1.2.2. The Remaining Funds Incentive Pool will be paid as follows:
4.1.2.2.1. The Contractor shall be eligible for payment from the Remaining Funds
Incentive Pool based on the dollar amount of incentives met during that SFY.
4.1.2.2.2. 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.
4.1.2.2.3. 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
4.2.2.
4.1.2.3. To carry out the Work under this Contract, the Contractor shall comply with the
County Incentive Program Guide.
4.2. Payment Procedures
4.2.1. The Contractor shall receive an incentive allocation for each of the Reporting Periods
within ninety days (90) days following the end of the fiscal year in which the work
was performed. This allocation will reflect the maximum the contractor can earn for
each incentive type per Reporting Period.
4.2.2. Actual incentive payment maximums are dependent on the county share of Medicaid
expenditure. In no event shall Contractor be paid more than the Contractor's county
share of Medicaid expenditure in any Reporting Period.
4.2.3. The Department may add any unearned funds from the first Reporting Period into to
the second Reporting Period allocation for any SFY.
4.2.3.1. The Contractor shall receive the incentive payment through the County Financial
Management System(CFMS).
4.2.4. The Department may use any unearned second Reporting Period incentive payments
during the county administration close out process.
4.2.4.1. In the event that the Contractor believes that the calculation or determination of
any payment is incorrect, the Contractor shall notify the Department of the error
within thirty (30) days of receipt of the payment or notification of the
determination of the payment, as appropriate. The Department will review the
information presented by the Contractor and may make changes based on this
review. The determination or calculation that results from the Department's
review shall be final. No disputed payment shall be due until after the
Department has concluded its review.
Page 12 of 13
EXHIBIT D,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 Grand Phillips
Baca Gunnison Pitkin
Bent Hinsdale Rio Blanco
Cheyenne Jackson Routt
Clear Creek Kiowa San Juan
Costilla Kit Carson San Miguel
Crowley Lake Sedgwick
Custer Lincoln Summit
Dolores Mineral Washington
Elbert Ouray Yuma
Gilpin Park
Medium
Alamosa Garfield Morgan
Broomfield Huerfano Otero
Chaffee La Plata Prowers
Conejos Las Animas Rio Grande
Delta Logan Saguache
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Page 13 of 13
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A HCPF COLORADO C,D.(
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CO 1 Department of Health Care S �� sZ"
Policy&Financing C:1--('�
Department of Health Care Policy&Financing
1570 Grant Street
Denver, CO 80203
101b JAN —Li A ct41 '
December 28, 2015
Judy Griego
Weld County
PO Box A
Greeley, CO 80631
RE: Contract Amendments, FY2015-16 County Incentives Program
County Partner,
Attached you will find your county's copy of the fully executed contract amendments for
the FY2015-16 County Incentives Program.
Thank you for your hard work through the implementation of this critical program.
Sincerely,
Joshua D. Montoya
County Programs and Communications Specialist
Government Relations & Partner Outreach
Enclosure(s)
Executed Contract Amendment, FY2015-16
1 >pti Cpl
Our mission is to improve health care access and outcomes for the people we serve while 1F$' ,,.(- 1.\:,\,
demonstrating sound stewardship of financial resources. " ; )cl.
www.colorado.gov/hcpf «� *!
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