1 / 28

County and Tribal Relations

County and Tribal Relations. Update for Medical Services Board. Joshua Montoya, County & Tribal Liaison Breanne Benbenek, County Relations Coordinator. HCPF Mission. Agenda. Introductions: The County Relations team County Relations: Human Services County Relations: Local Public Health

baldwin
Download Presentation

County and Tribal Relations

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. County and Tribal Relations • Update for Medical Services Board • Joshua Montoya, County & Tribal Liaison • Breanne Benbenek, County Relations Coordinator

  2. HCPF Mission

  3. Agenda • Introductions: The County Relations team • County Relations: Human Services • County Relations: Local Public Health • Tribal Relations • Q&A

  4. County Relations – Human Services • HCPF Work They Do • Their Role and By the Numbers • Funding and Resources • HCPF/CDHS Work and Allocations • County Administration and Programs • County Relations

  5. Counties – The (HCPF) Work They Do • Financial eligibility determinations • Functional eligibility determinations • Healthy Communities sites • Local Public Health Agencies • No Wrong Door Pilot Sites • Colorado Choice Transitions Sites • And more!

  6. Counties – Their Role • Responsible for local administration of the Department’s programs • Colorado is a state-supervised, county-administered system • Role of counties as administrative entities overseen by the Department is in state statute • Boards of County Commissioners hire county directors and determine local administration

  7. Counties: By the Numbers • 64 counties, 4,000+ eligibility workers • 5 county districts • Classified based on caseload: • Small: 32 counties • Medium: 22 counties • Large: 10 counties • Different structures in different communities: • 31 county departments of human services • 22 county departments of social services • 10 county departments of health & human services • 1 county department of housing & human services

  8. HCPF County Funding • $50 million in County Administration funding • Based on allocative split of enhanced vs. non-enhanced • $4.3 million in Incentives Program funding • General Fund only; no federal funds • Funding earned is unrestricted; once earned, counties can utilize as needed • $1 million in Grant Program funding • $200k in PARIS Program funding

  9. Availability of Resources • Typical administrative costs split (financial eligibility determinations): • Non-Enhanced Match • 50% federal funds, 32.69% state funds, 17.31% local funds • Enhanced Match • 75% federal funds, 16.34% state funds, 8.66% local funds • Based on the activity being performed • Different resources available in different communities

  10. Counties – The (CDHS) Work They Do • Supplemental Nutrition Assistance Program • Temporary Assistance to Needy Families • Adult Financial Program • Child Welfare • Chaffee Program • Adult Protective Services • Low Income Energy Assistance Program • Employment First/Workforce Development

  11. CDHS vs. HCPF Funding to Counties

  12. FY 2014-15 County Administration Changes • Budget Request R6–2013: Some county administration funding allocated to create a County Incentive Program • Encouraged increased county eligibility processing performance and community collaboration • Contracts signed by all 64 counties – for the first time! • Incentive Program funding is $4.3 million per fiscal year • Incentives funds earned are unrestricted - can be used per county discretion

  13. FY17-18 Incentive Program • Eligibility Timeliness and Backlog Incentive • 95% timeliness for applications and redeterminations • Maximum limits based on county size – S, M, L • Collaboration Incentive • Required 3 partners; minimum 1 meeting per quarter • Training Incentive • 75% of county eligibility technicians require minimum training hours based on generalist vs. specialist • LTSS Collaboration • 80% timeliness for LTC, HCBS, PACE cases • Child Welfare • RCCO enrollment and minimal coverage gaps for youth

  14. Incentives: Timeliness and Backlog • Timeliness: June 2015 v. June 2016: • Backlog: June 2015 v. June 2016:

  15. County Grant Program • Authorized by Budget Request R6–2013 • Funds one-time infrastructure or business process improvements • Grant program funds must be used on Medicaid clients only • Proposals that include public assistance programs other than Medicaid are cost allocated at a 60 local/40 HCPF split • Four years of grants: FY14-15, FY15-16, FY16-17, FY17-18

  16. County Grant Program - Statistics

  17. County Relations • Engagement with Colorado Counties, Inc. (CCI) and Colorado Human Services Director’s Association (CHSDA) • Regional CHSDA Meetings • Policy Advisory Committee and Sub-PACs • CBMS Governance Structure

  18. County Relations – Local Public Health Agencies • The Department engages with local public health agencies and the Colorado Association of Local Public Health Officials (CALPHO) regularly • We have been providing additional support regarding billing in the new interChange system • Continue to work on implementing R-12 Change Request “Local Public Health Agency Partnerships”

  19. Tribal Relations • Overview of Colorado’s Tribes • Colorado Commission of Indian Affairs • Tribal Relations: Next Steps

  20. Tribal Relations • Two federally-recognized Tribes in Colorado • Ute Mountain Ute Tribe (UMUT) • Southern Ute Indian Tribe (SUIT) • Tribal interests are represented to the state through the Colorado Commission of Indian Affairs • HCPF has a Memorandum of Understanding (MOU) for annual Formal Tribal Consultations • March 16, 2018 is tentatively scheduled for HCPF’s third Formal Tribal Consultation

  21. Ute Mountain Ute Tribe • 2,060 enrolled members who reside both on and off the reservation • 575,000 contiguous acres • Colorado – Montezuma County, New Mexico & Utah • Ute Mountain Ute Service Unit= Indian Health Service

  22. Southern Ute Indian Tribe • 1,408 enrolled members who reside both on and off the reservation • Checkerboard reservation with tribal member allotments and tribally owned land • Colorado – La Plata & Montezuma Counties • Southern Ute Indian Tribe Health Center= Tribal 638

  23. Urban Indian Population • 46,395 AI/AN alone live in Metro-area • 104,464 Colorado identify as AI/AN alone or in combination with 1 or more races • Increased 35% since 2000 Census • Lakota – largest tribal group • Navajo Nation – largest growing tribe • Denver Indian Health & Services = Urban Indian Health Program & Medical Assistance Site

  24. Chaired by the Lt. Governor • Official liaison between the Southern Ute Indian and Ute Mountain Ute Tribes and the State of Colorado • Ensures direct contact with the Tribes and Colorado’s urban Indian communities • Four Committees: • Economic Opportunities and Resources • Education • Health and Wellness • Reinterment

  25. Tribal Relations: Next Steps • R-7 budget request passed in FY 2016-17 legislative session • Goal: $1.5 million in cost savings through maximizing 100% FMAP for services referred from Indian Health Services providers • Authorizes four new Tribal FTEs • Will focus on Tribal population physical and behavioral health initiatives, maximizing FMAP, cultural competency, Tribal and Provider Relations

  26. Questions or Concerns?

  27. Contact Information • Joshua Montoya • County & Tribal Liaison • joshua.montoya@state.co.us • Bre Benbenek • County Relations Coordinator • breanne.Benbenek@state.co.us

  28. Thank You!

More Related