HB 18-1288 Summary

• Implements conflict-free case management for individuals enrolled in home- and community-based services under Colorado's Medicaid program, requiring case management agencies to be separate from service delivery agencies for the same individual.

• Defines "case management agency" as public or private entities certified by the state department to provide case management services under contract with the state.

• Requires the medical services board to promulgate rules for certification and decertification of case management agencies, ensuring individuals have access to case management services and can select their preferred agency.

• Establishes phased implementation timeline: by June 30, 2020 single entry points must become compliant; by June 30, 2021 at least 25% of home- and community-based services recipients must be served through conflict-free case management; by June 30, 2022 all such recipients must transition to conflict-free case management.

• Authorizes the state department to seek federal exceptions for rural geographic areas where only one willing and qualified entity can provide both case management and home- and community-based services.