Rocky Mountain Voice

Tag: Home Care

Untangling Colorado’s home care Medicaid, one waiver at a time
Colorado Accountability Project, Approved, Commentary, State

Untangling Colorado’s home care Medicaid, one waiver at a time

By Cory Gaines | Commentary, Colorado Accountability Project Untangling a (rather hefty) reader statement about Medicaid. Be forewarned, the government programs and acronyms pile up fast here. I'll try my best to get around that, but read carefully and slowly.It's been a while because it's taken a while to learn it, but this post is in response to a reader comment about combining some of Colorado's Medicaid services under one banner. Before we can touch on that, however, we have to do some prerequisite work first. A Medicaid waiver seems at first to have no connection to what it actually is, but if you stop and reason it out, the word makes sense. Remember that Medicaid is a program that is run by states, and the states partly fund it. The feds also fund Medicaid via matching dol...
Federal audit questions nearly $54 million in Colorado Medicaid home-care payments
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...