Rocky Mountain Voice

Menu

Tag: HCPF

Federal audit questions nearly $54 million in Colorado Medicaid home-care payments
No Comments
Rocky Mountain Voice, State, Top Stories

Federal audit questions nearly $54 million in Colorado Medicaid home-care payments

By Jen Schumann | Rocky Mountain Voice Colorado can’t fully document millions of dollars it billed for Medicaid home care. That’s the finding of a new federal audit. The Office of Inspector General wants Colorado to return $8.07 million in federal money it says the state was not entitled to claim for personal care in a single budget year, the one ending June 30, 2024. Auditors questioned another $45.69 million and told the state to work it out with CMS. The $8.07 million is a recommended refund. The $45.69 million is a different story. It’s still under review, and CMS could recover all of it, some of it or none. Either way, nobody has ordered Colorado to repay the full $53.8 million. In the sample, auditors kept hitting records that didn’t add up. Where the care happened. H...
Read More
Medicaid Commission Begins Review as Colorado Spending Continues to Climb
No Comments
Complete Colorado, Approved, State

Medicaid Commission Begins Review as Colorado Spending Continues to Climb

By: Nash Herman | Complete Colorado Colorado’s interim Commission on Medicaid has begun meeting to address the explosive growth of the state’s health care spending.  Related concerns are also on the table, such as the management of the Department of Healthcare Policy and Financing (HCPF) and fraud, waste, and abuse.  Are legislators attacking these problems from the correct angles? Let’s find out.  Faulty premises The most recent Commission meeting raised questions about the government’s priorities in addressing Medicaid and the state budget.  A recurring theme of discussion —nothing new, yet one that actually exacerbates the very problem the Commission is attempting to address — is the idea that the health care fun...
Read More
Colorado Families Warn Medicaid Caregiver Caps Will Hurt Disabled Children
No Comments
Colorado Public Radio, Approved, State

Colorado Families Warn Medicaid Caregiver Caps Will Hurt Disabled Children

By: John Daley | CPR News With the budget in crisis, state lawmakers capped the number of hours a week a person providing care to someone else, often a family member, can be reimbursed. A series of phased in cuts started taking effect this month and impacted families expressed deep apprehension about what the coming months will bring. “Disproportionate, unfair, insensitive,” were among the words Kelly Lyons had for the change. The deadline comes with the state Medicaid program under intense scrutiny, as a new commission, set up by the legislature starts its work and a new governor will be elected in November and take office next January. She lives in Castle Rock and cares for a 16-year-old daughter, Kendall, who she said was diagnosed with an an...
Read More
Colorado’s $500,000 Medicaid commission has no mandate to investigate fraud
No Comments
Rocky Mountain Voice, State, Top Stories

Colorado’s $500,000 Medicaid commission has no mandate to investigate fraud

By Jen Schumann | Rocky Mountain Voice Colorado lawmakers spent weeks debating a new commission to study Medicaid sustainability. The bill they sent to Gov. Jared Polis on May 9 names three major failures inside the state’s Medicaid system in its legislative declaration—the post-COVID eligibility purge, the rideshare scandal and the autism therapy audit. But the bill never directs the commission to investigate fraud, waste or abuse. Instead, SB26-187 creates a 10-member Medicaid Cost Containment and Sustainability Commission tasked with “establishing shared understanding,” exploring policy options and producing recommendations. The bill includes a $500,000 appropriation, including $415,000 for a contractor to facilitate meetings and roughly seven months to produce a report—due...
Read More
From $8 Billion to $16 Billion: How Colorado’s Medicaid Budget Doubled in a Decade
No Comments
Rocky Mountain Voice, State, Top Stories

From $8 Billion to $16 Billion: How Colorado’s Medicaid Budget Doubled in a Decade

By Shaina Cole | Contributing Writer, Rocky Mountain Voice If you ask most Colorado families how they feel about health care right now, the answers aren’t complicated. It’s expensive.It’s confusing.It keeps going up. And for taxpayers helping fund Colorado’s Medicaid program — known as Health First Colorado — another question has started to surface: If enrollment has come back down, why hasn’t spending followed? Ten years ago, Colorado’s Medicaid agency operated on roughly $8 billion. Today it’s closer to $16 billion. The Common Sense Institute (CSI) calculates that as 101 percent growth over the decade. CSI reports that the rest of the state operating budget grew 64 percent during that same period. The story of enrollment is different. ...
Read More
Minnesota’s Medicaid Scandal Shows Why Colorado Must Tighten the Guardrails
No Comments
Complete Colorado, Approved, Commentary, State

Minnesota’s Medicaid Scandal Shows Why Colorado Must Tighten the Guardrails

By Cory Gaines | Complete Colorado To say Minnesota has had some fraud going on is an understatement. I don’t know that I’ve seen it mentioned much in local media, but it’s a big national story. Colorado should beware taking its turn in this barrel. First, some brief background. Minnesota sought (and received) Medicaid waivers during COVID to use taxpayer dollars to fund things like subsidized housing for recipients, which ended up an impetus for massive fraud. An MPR News article gives some context, but the sheer size of the numbers are what really popped out to me: “According to the Minnesota U.S. Attorney’s Office, DHS [Minnesota Department of Housing Stabilization] had initially predicted the housing stabilization program would cost about $2.6 mill...
Read More