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Mandatory Training Presentation
for Certified Application
Assistance Sites (CAAS)
Marcy DeanCertified Application Assistance Sites’
Administrator
Improving health care access and outcomes for the people we serve while demonstrating sound
stewardship of financial resources
Our Mission
What will you learn?
√ What are Medical Assistance Sites?
√ Certified Application Assistance Sites information
√ Medical Assistance 101
√ PEAK Online Application
√ SES (Single Eligibility System) Application
√ Verification Processes
√ Additional Misc. Information
Colorado Department of Health Care Policy & Financing
•Sets payment rates•Receives matching funds from federal government
•Creates & maintains plans for delivering services•Develops additional programs beyond what the federal government requires
Application Assistance Sites
Certified Application Assistance Site
Presumptive Eligibility Site
Medical Assistance Site
Hospital Outstationing
Certified Application Assistance Sites (CAAS)
290+ volunteer community organizations & facilities
No access to CBMS• Paper applications are forwarded
to counties or MA sites for processing
Each CAAS has their own business process:• In-person assistance• Some phone assistance• Drop off applications• PEAK kiosks/computers
Utilizes PEAK & assists applicants in applying for:• Medical Assistance• Other programs (at
certain sites)
Presumptive Eligibility Sites (PE)
131 clinics, health centers & community resource centers
Have limited access to CBMS for temporary Medical Assistance
Each PE Site has their own business process:• Site requires state certification• In-person assistance• Some phone assistance• Drop off applications• PEAK kiosks/computers
Screens individuals for PE• Program provides immediate
temporary medical coverage for outpatient services for pregnant women & children
Presumptive eligibility
Hospital Outstationing63 out of 77
hospitals that are part of the
Provider Fee Program
Through Colorado HB 09-1293, the Colorado Health Care
Affordability Act, funding has been made available to support outstationing activities provided
by eligible hospitals
Outstationing levels of participation:• Level 1 – Basic
Outstationing• Level 2 – CAAS• Level 3 – PE Site• Level 4 – MA Site• Level 5 – MA Site
Sponsor
Hospitals select an outstationing level of
participation for providing outstationing activities and are approved at that level of participation or a higher
level at the time of application.
10 MA Sites stationed within 27 clinics & health
centers & MAXIMUS
MAXIMUS• State funded contract• In-person assistance• Phone assistance• Drop off applications
Each MA Site has their own business process:• State contract
required• In-person assistance• Some phone
assistance• Drop off applications• PEAK
kiosks/computers
Utilizes CBMS & assists applicants in applying for:• Medical Assistance
• Other programs (at certain sites)
Medical Assistance Sites (MA)
QUESTIONS ABOUT HCPF OR MEDICAL ASSISTANCE SITES
CAAS Mandatory Training Process Each staff member that will be providing application assistance or
verifying citizenship and identity documents on behalf of the department is expected to view this entire training presentation
After viewing this presentation, each staff member must take the test included in the interactive CAAS Training presentation and score 95% or higher in order to be certified
Each person will need to print their test results and send them to the CAAS Administrator in order to be issued a certificate of completion
CAAS Staff ExpectationsReview all CAAS training materials
Assist all members of the community*
Process and forward all medical applications to a county, eligibility site or the Enrollment Medical Assistance Program (EEMAP aka MAXIMUS) vendor within 5 business days
Follow the application processes and guidelines as detailed in this training presentation
CAAS Staff ExpectationsReview the application while the applicant is still present to make sure it
is complete
Verify documents presented by an applicant using one of the processes identified in this presentation
Ensure page 11 of the SSAp is signed prior to the applicant leaving, and if applicable, ensure the applicant has signed page 3 of WORKSHEET D
NEATLY write or stamp your CAAS information on all applications you have assisted an applicant with and all document(s) you have verified
CAAS Staff Expectations Adhere to Department rules, regulations, and agency letters
Submit your site’s quarterly report on time per the submittal dates listed on each site’s excel spreadsheet
Read and abide by all applicable HIPAA privacy and security requirements regarding health information as defined in 42 U.S.C. 1320d – 1320d-8, and implementing regulations at 45 C.F.R. Parts 160, 162 and 164
Encrypt all email containing PHI, turn documents facedown, never leave documents out when you leave your desk
Notify the CAAS Administrator of concerns or issues pertaining to your site’s ability to operate as a CAAS, such as address, phone number or staffing changes
CAAS Quarterly Report• HCPF staff
are required to notify our security officer of any document containing PHI received via non encrypted email
• Log all CAAS activity: Applications and/ or documents verified
SITE NAMESesame Street Children's Clinic Site
SITE NUMBER 1111
PHONE 303- 555- 5555
Reporting Qtrs HOSPITAL OUTSTATIONING SITES : In addition columns A-J please answer the 3 questions below
J an 1 - Mar 31 Due April 15 1. During the current quarterly reporting period, has your hospital experienced any major challenges providing the agreed upon Outstationing services?___________________________________
Apr 1 - J un 30 Due J uly 15 2. Is there anything you would like us to know about, or do you need assistance in order to effectively provide Outstationing services?____________________________________________________
J ul 1 - Sep 30 Due October 15 3. If applicable, please provide a brief explanation of any changes to your Outstationing activities that have / will change the grantees level of participation:________________________________________________________________________________________________________
Oct 1 - Dec 31 Due J anuary 15
App. Intake Date
Head of Household (Full Name)
SSN or PEAK Tracking #
Please √ if Undocumented
Intake Mode (PEAK, walk-In, paper,
fax, etc.)
Application Complete
Y/ N*
* Comments (missing info or documentation)
Outgoing or PEAK Date Forwarded to
Person Assisting with Application
APPLICATION ASSISTANCE SITE QUARTERLY ACTIVITY REPORT *You must submit a report each quarter even if no assistancewas provided. Please check here____ and submit if No assistance was provided during the reporting quarter .
# of applicants assisted during: current QTR_ _ _ _ YTD_ _ _ _ _ _
Reports are to be submitted for EACH site. For HIPAA compliance reports may be submitted by encrypted email to
[email protected] OR if you are unable to encrypt your email you may fax your report(s) to: 303-866-2082
To remain in compliance with Timely Processing Requirements, your agency acknowledges and agrees to forward ALL (complete and incomplete) applications to the county, eligibility site, or MAXIMUS within 5 business days .
CAAS Administrator: Marcy Dean, (P) 303-866-3466, (F) 303-866-2082, Email: [email protected] Eligibility Administrator: Georgann Garcia, (P) 303-866-3544, (F) 303-866-4517, Email: [email protected] Outstationing Administrator: Brian Knight,(P) 303-866-4221, (F) 303-866-4517, Email: [email protected]
Purpose of the Mapping ToolA resource for:
Community members and partners to locate application assistance sites
Counties needing to contact or locate a CAAS, Presumptive Eligibility (P.E.) or Medical Assistance (M.A.) site
Counties to verify a site is authorized by the department to provide application assistance and verify citizenship and identity
documents
Mapping Toolhttp://www.colorado.gov/apps/maps/hcpf.map
QUESTIONS ABOUT CAAS?
MEDICAL ASSISTANCE 101
What You Will Learn TodayFacts to help you answer applicant &
member questionsInformation to help you assist
applicants through the Medical Assistance application process
Information on resources available to help you after you return to your desks
Open Enrollment 2015• November 15, 2014 - February 15, 2015• If an applicant does not want to apply for
Medical Assistance they don’t have to, but they would not be eligible for Cost Sharing Reductions (CSR) or Advanced Premium Tax Credits (APTC)•Must have Medical Assistance denial in order
to be eligible for marketplace tax credit or cost sharing reductions
How & When to Apply for Medical Assistance
No Open Enrollment Period:Applicants can apply for Medical
Assistance atany time
What is Colorado Medicaid?
• Public Health Insurance• No monthly or annual enrollment fee •Members pay no or very low co-pay amounts
depending on the population–For example, children, pregnant women, &
American Indian/Alaska Natives are some examples of populations who do not pay co-pays
Who Does Medical Assistance Serve?
Citizens Qualified Non-Citizens
Unqualified non-citizens facing
emergency medical situations
People with limited income
& resources
What Kinds of Colorado Medical Assistance PROGRAMS are there?
Medicaid Child Health Plan Plus (CHP+)
MAGI (Modified Adjusted Gross
Income)And
NON MAGI
MAGI & Non-MAGI at a GlanceMAGI & Non-MAGIMAGI Populations• Age 64 & younger• Not eligible for Medicare• Low income:–Children–Adults–Pregnant Women–Parents or Caretakers of
a Medicaid eligible child that is under the age of 19
Non-MAGI Populations• Low-income individuals
who meet any of the following: –Age 65+–Blind–Disabled by Social
Security Administration (SSA) standards
What is CHP+?
• Public Health Insurance for children & pregnant women only• Annual enrollment fees range from $25 -
$105 depending on income, population, & number of children enrolled•Max out of pocket expenses/co-pays is 5% of
gross annual income
How are Medicaid & CHP+ Different?• No enrollment fee• Members can be
covered under another insurance policy at same time• Income limits lower
than those for CHP+• All populations
potentially eligible
• Annual enrollment fee• Members cannot be
covered under another insurance policy at same time• Income limits higher
than those for Medicaid• Only covers children &
pregnant women
So who Qualifies for Medical Assistance?
ItDepends
Colorado.gov/HCPF
Applicant & Member Focused
New HCPF Website
About Applying1. Individuals who are eligible for Medical Assistance
are automatically enrolled in the appropriate program
2. If denied Medical Assistance, Applicant’s information is automatically used to calculate the amount of financial assistance (if any) available for use on the Connect for Health CO Marketplace
3. Applicant can choose to simultaneously apply for Medical, Food, & Cash assistance on one application
What is Needed to Apply• Name, address, & contact information• Social Security numbers (or document numbers) for
each member of your household to be covered by your plan• Birth dates• If someone in your home is pregnant, the due date &
number of babies for that pregnancy• Information & policy numbers for health insurance
plans currently covering members of your household• Asset & expense information for the household if
anyone in the home is disabled
Colorado.gov/PEAK• Fastest method!• May get immediate
determination (medical only)• Can simultaneously
apply for Medical, Food, & Cash assistance
Can apply in person at:• County Departments•Medical Assistance
(MA) sites• Certified Application
Assistance Sites (CAAS)
To apply by phone call:• 1-800-221-3943• TDD: 1-800-659-
2656• Can only apply for
Medical Assistance over the phone
To apply by mail or fax:• Print out application
online• Or request a printed copy
Colorado.gov/hcpf/form/paper-application-request
Who Do I Include in an Application?• Applicant• Applicant’s spouse• Applicant's children under 19 who live with them• Anyone on applicant’s federal income tax return–This could include children over 19, even if they do
not live with them• Applicants unmarried partner who needs health
coverage• Anyone else under 19 who applicant takes care of &
lives with applicant
Who Do I Include in an Application? (continued)
• If applicant is claimed as a dependent on someone else’s federal tax return include:–The person(s) who claims the applicant–All other members of that federal tax filing household that
are claimed as dependents–Any family member living with the applicant
• Only include roommates in household that are related to the applicant or listed on applicant’s federal income tax return
Program Specific Income Guidelines
Answers to Other Application Questions
Find this @ COhealthinfo.com/FAQs/
Kinds Of Help Available To Members• FAQ’s Online @ Colorado.gov/hcpf/member-faqs• Call or visit your county Department of Human /
Social Services• Contact Medicaid Customer Contact Center:–Toll Free: 1-800-221-3943–TDD: 1-800-659-2656
• Contact CHP+ Customer Service:–1-800-359-1991–CHPPlus.org
QUESTIONS ABOUT MEDICAL ASSISTANCE?
PEAK Enhancements:November 2014
Open Enrollmentand Re-Enrollment
Key PointsMedical Assistance programs have no open enrollment periodPrivate Insurance Open Enrollment Dates are November 15, 2014 – February 15, 2015Connect for Health Colorado sends re-enrollment eligibility notices to clients annuallyIf clients put a new plan in their shopping cart, they will not be re-enrolled
Shared Eligibility System =Single Application Process• As of November 10, 2014
Key Points• Single application and results for all insurance affordability
programs: Medicaid, CHP+, APTC, CSR• Accessible online via PEAK and Connect for Health Colorado
websites; Single Sign-On option• New questions added to determine Advanced Premium Tax
Credits (APTC) and Cost Sharing Reduction (CSR) eligibility• An Authorization number associates with APTC and CSR • Mixed eligibility households’ (e.g., APTC/CHP+) ongoing
case management maintained by the Marketplace
Single Application & Result
Shared Eligibility System
Single Application & ResultSingle Sign On
Application Changes• As of November 10, 2014
Application Changes
Application Changes
Application Changes
Application Changes
Application Changes
Application Changes
Application Changes
Application Changes
Application Changes
Application Changes
Application Changes
Application Changes
Application Changes: Income• As of November 10, 2014
Key PointsIn order to determine insurance affordability eligibility additional detail has been added to:
Wage income and expensesSelf employment income and expensesTax deductionsOther health coverage
Ability to adjust annual income coordinates insurance affordability program eligibility
Those with adjusted annual income of 100% FPL or lower will be Medicaid eligible
Application Changes
Application Changes
Monthly vs. Annual Income
Monthly vs. Annual Income
50000.00
Application Changes
Application Changes
Manage My Account• As of November 10, 2014
Key Points
The full range of Manage My Account features are available to those with a PEAK account or those entering from Connect for Health through Single Sign OnAbility to use a Client ID to link caseReport My Changes additions:
Apply for Medical Assistance on a closed caseSecondary Account Holders can be addedChange Social Security NumberShared notices will be available for the initial notice of determination and
verifications needed
Link My Case – Client ID
Link My Case – Client ID
Manage My Account
Report My Changes
Application Status
Shared Notices
Examples• Same Sex-Marriage• Citizenship• Employer Health Insurance
Same-Sex Marriage Applications
Same Sex-Marriage Applications
Same-Sex Marriage Applications
Citizenship Status
Citizenship Status
Citizenship Status
Employer Health Insurance
Resources and Help
Live Chat!
Submit a Question
Help/Resourceswww.tinyurl.com/
peakoutreach
Instructional Guides &
Recordings• www.tinyurl.com/
peakoutreach• Colorado.gov/PEAK>
Resources>Community Partners or Counties>Training
Monthly• Support Calls• Live Webinars
In-person Trainings
• Schedule a custom training
PEAK View• Distributed monthly to all
training attendees• Provides PEAK updates and
webinar information
[email protected] Outreach
PEAK website training or questions
Application and General Benefit Information
• Colorado.gov/health (>select FAQs) Colorado.gov/HCPF
Submitted Medical Assistance application status
• 1-800-359-1991
General Medical Assistance benefits information
• 1-800-221-3943/ TDD 1-800-659-2656
Food or Cash application assistance
• 1-800-536-5298
Connect for Health Colorado
• ConnectforHealthCO.com• 1-855-752-6749/ TDD 1-855-346-3432
PEAK technical issues such as an error message
Help/Resources
QUESTIONS ABOUT PEAK?
Single Streamlined Application
(SSAp)
Medicaid Client Services
No Wrong Door to Health Insurance
C o u n t y H u m a n S e r v i c e s
Medica id C l i en t Serv i ces
Connect fo r Hea l th Co lo rado
A p p l i c a t i o n A s s i s t a n c e S i t e s
C A A S , P E , M A a n d H o s p i t a l O u t s t a t i o n i n g
PEAK
98
Where can I find an application?
Any Eligibility Site www.cdhs.state.co.us
Department Web Site (English & Spanish) www.colorado.gov/hcpf
CHP+ Web Site www.chpplus.org
Colorado Program Eligibility Application Kit (PEAK) www.colorado.gov/PEAK
The ACA will require states to accept electronic and telephonic signatures Requirement extends to the Marketplace
Acknowledging the technological requirements needed to capture telephonic signatures on Day 1 are prohibitive for most organizations, please follow the process below for applicants applying by phone:
Provide applicants with the HCPF Medicaid Call Center toll free number: 1-800-221-3943
Or
Place the applicant on hold and do a “warm” transfer to the number above
Applications by Phone
Components of the SSAp
• Captures demographic information and information necessary to make a MAGI determinationStandard Form
• Health Coverage for Jobs • Used for health coverage for purposes of the Marketplace
onlyWorksheet A
• American Indian or Alaska Native Family Member• Used for Marketplace purposesWorksheet B
• Assistance with Completing this Application• Used to establish an Authorized Representative & capture
Certified Application Assistance Counselors/Brokers/etc.Worksheet C
• Additional Information Required• This worksheet will be used to capture information for Non-
MAGI (Aged, Blind, Disabled/LTC, MSP, Buy-Ins)Worksheet D
• Additional Persons• Provides two additional worksheets for additional members
(make copies if necessary)Worksheet E
• Glossary – Provides terms and definitions from the applicationAppendix A
MANDARIN
SOMALI
SPANISH
FRENCH
VIETNAMESE
GERMAN
RUSSIAN
KOREAN
HMONG
ARABIC
NEPALI
AMHARIC
Assistance is available in the languages below and more! 1-800-221-3943 / 1-855-752-6749
Please make sure application is legible.
Ask applicant to double check that home
address, phone and if provided, email address
are correct!
For more information on Shared Responsibility
Exemptions go to Appendix A (i), Glossary
of Terms pg. 2 or healthcare.gov
*This refers to questions 10 & 11.
Long Term Care10 CCR 2505-10 8.400 –
8.499
Please check if you have bills that you
want to be considered for coverage.
If applicable, begin completing for person 2, also
complete Household
Relationship Table on pg. 8 (make
additional copies if necessary)
*otherwise go to
pg. 9
To be answered to the best of the
applicant’s ability
To be answered to the best of the
applicant’s ability
In addition to stamping or writing your CAAS
information on all attached documents and on the first page
of the application, CAAS must also stamp or neatly write your
site name and number (as it is listed in the Mapping Tool) along with the name of the
assisting staff person.
2. DO NOT check any of these boxes
Unless you are also a counselor, health coverage guide or
agent/broker
Long Term Care10 CCR 2505-10 8.400 –
8.499
Signature required ONLY
if WORKSHEET
DWas
completed
WORKSHEET E (pages 1-6) is for additional
household members. Please make copies if
necessary.*
If there are no additional people continue on to
Appendix A (i)
*pages 4-6 are not included in this presentation because they are only duplicates of
pages 1-3
QUESTIONS ABOUT PAPER APPLICATION?
VERIFYING CITIZENSHIP AND IDENTITY DOCUMENTS
Citizenship and Identity Requirement
Medical Assistance programs still require proof of an applicants identity, U.S. Citizenship or lawful residency for non-U.S. citizens.
Only original or certified copies of citizenship and identity documentation may be accepted and verified by a site
Counties and medical assistance sites may be able to verify an applicants citizenship and identity via electronic interface
CAAS do not have access to the electronic interfaces when providing application assistance and are still required to verify and forward citizenship and identity documents if presented by an applicant, and forward all documents (complete or incomplete) within 5 business days
CAAS can not hold an application for any reason and are required to forward all documents to a county, M.A. site, or MAXIMUS within five (5) business days
Electronic Interface Verification Sites
CBMS/PEAK will be using data sources/interfaces to verify certain required verifications and to communicate between each other (CBMS/PEAK)
SOCIAL SECURITY ADMINISTRATION (SSA)• U. S. citizenship or lawful residency for non U. S. citizens verification
DEPARTMENT OF REVENUE, DIVISION OF MOTOR VEHICLES (DMV)• Identification verification
INCOME AND ELIGIBILITY VERIFICATION SYSTEM (IEVS)• Quarter/Year wage data that is four months prior to the run month
SVES SCHIP is the only interface that will be real time with PEAK• Will be modified so that PEAK calls real time
EXEMPT from Proof of U.S. Citizenship Requirement
Newborns whose mother is on Medicaid or CHP+ at time of birth
SSI and SSDI recipients
Medicare recipients
Foster children
PE Clients
Acceptable documents for proof of Citizenship and Identity
U. S. Passport (current or expired)
Certificate of Naturalization or Citizenship
Indian Tribal Document
NOTE: Photocopies presented by the applicant to a site are not acceptable proof of citizenship or identity verification
Acceptable Citizenship Documents
UNITED STATES: Birth Certificate Certificate of Birth Abroad Nation ID Card
• Native American Tribal document
• Final adoption decree
• Official military record of service showing a U.S. place of birth
NOTE: Photocopies presented by the applicant to a site are not acceptable proof of citizenship or identity verification
Acceptable Identity DocumentsOne (1) document from Primary list OR Two (2) documents from Secondary List
PRIMARY LIST (expired documents are not acceptable)
Alien Registration Receipt/Permanent Resident Card
Certificate of U.S. Citizenship
Colorado Department of Corrections ID card
CO Temporary Driver’s License Form (with hole-punched Driver’s License)
Employment Authorization Card (I-766)
Foreign Passport
Photo Driver’s License
Photo ID Card (DMV)
School, University or College ID Card (must be current)
Temporary Resident Card
UNITED STATES:B1/B2 Visa card with I-94
Certificate of Naturalization
Citizenship ID Card (I-197)
Military ID Card
Passport
SECONDARY LIST
Acknowledgment of Paternity document
Court order of adoption or name change
DD-214
Hospital birth worksheet (for infants under 6 months)
Colorado Hunting, Fishing, Craft or Trade or Pilot’s License (CURRENT)
IRS-TIN card or Mexican voter registration card
Merchant mariner card
Social Security, Medicare or Social Services Card (Medicaid, WIC)
State or federal prison or corrections card
Tribal ID Card
Work ID, Paycheck Stub (within 3 months), or W-2
UNITED STATES: Birth Certificate of ApplicantDivorce Decree Marriage license Motor vehicle registration or title Selective Service Card Weapon or gun permit
Any document listed on the PRIMARY list expired 6 months or less
CAAS Verification Process Option 1
Photocopy original or certified copy of document(s)
Stamp or neatly write the following CAAS information on each photocopied document• Agency name as it appears in the Mapping Tool• Name and signature of staff who viewed documents• Agency address• Agency phone number• Date of document verification
Write “verified original” above agency information
Write PEAK tracking number on each document if application was submitted online
Submit application and/or all verified documents to an eligibility site with 5 business days
CAAS VERIFICATION PROCESS OPTION 2
Photocopy original or certified copy document(s)
Complete the Citizenship and Identity Documentation Received (CIDR) form and attach photocopied document(s)
Write “verified original” above agency information and if applicable, Write the PEAK tracking number on each document and CIDR form for applications submitted online and submit all verified documents to eligibility site
*consider adding verified original(s), PEAK tracking #, CAAS name, number, address and phone # to the CIDR form before making copies for your staff
VERIFIED ORIGINAL(S) _√_ PEAK TRACKING # ________________________
Falsified Documents
CAAS verify they have viewed the original/certified copies of citizenship and identity documents presented by applicants and are required to maintain an activity log for auditing purposes
CAAS should not knowingly verify falsified documents
Do not verify documents if you have doubts
Do not verify faxes or photocopies of documents
Must only use information as provided by the applicant
Cannot refuse to include or eliminate information whether or not the applicant provides supporting documentation
QUESTIONS ABOUT VERIFYING DOCUMENTS?
134
All pages of the application (complete or incomplete) must be forwarded to an eligibility site within 5 business days
CAAS will continue to verify citizenship and identity documents if presented, but will not hold an application for any missing information or documentation
CAAS will be responsible for submitting a completed and signed Employee Information sheet listing all staff that will provide CAAS assistance within 30 days of CAAS enrollment or recertification or staffing changes
CAAS will submit a quarterly report detailing CAAS activity on or before the due date as identified on each spreadsheet (report must be submitted even if no CAAS assistance has been provided during the reporting quarter)
CAAS will provide information on additional potential medical benefit resources to applicants determined to be ineligible for Medicaid benefits
CAAS RESPONSIBILITIES
135
Best Practices
Make sure the applicant has signed page 11 of the application, and if appropriate page 3 of WORKSHEET D
Attach a note identifying missing or incomplete documentation
Date stamp all applications processed and forwarded by your site
Do not date stamp applications for applicants choosing to hand deliver
Best Practices· Stamp or write your entire CAAS site name and number on
all CAAS related documents and communications
· Email messages informing you of important changes, updates and training opportunities that pertain to CAAS will periodically be sent out , but it is the responsibility of each site to stay informed by reading the messages
· Provide at least one (1) additional back-up contact(s) in the event your sites main contact changes or is unavailable
Set a reminder to renew your CAAS certification approximately 30 days before your current certification expires
Best Practices
Notify CAAS Administrator of changes that may/will impact your ability to perform your CAAS responsibilities (staff, phone, address, etc.)
Before contacting the CAAS Administrator with a question review your training materials to see if the answer is included
If staff is struggling with CAAS processes have them review the training presentation and/or request in-person training from the CAAS Administrator
138
Best Practices
Advise applicant that all communications will be sent directly to the address they provided and the importance going into PEAK or notifying the county of address or phone number changes
Advise applicant they may provide authorization to have their communications sent to another individual or directly to the CAAS site. (This must be arranged and agreed upon by the applicant and the CAAS)
Explain timely processing expectations, provide contact information for your site and the county, eligibility site, or Eligibility and Enrollment Medical Assistance Program (EEMAP) vendor and a list of missing documents
Frequently Used Phone Numbers
Connect for Health Colorado(C4HCO)
Website: getcoveredco.org or ConnectforHealthCo.com Phone: 1-855-PLANS-4-YOU (1-855-752-6749)
TTY/TDD 1-855-346-3432
Medicaid Client ServicesWebsite: colorado.gov/hcpf
Phone: 303-866-3513 or 1-800-221-3943Fax: 303-866-4411
Medicare Website: medicare.govPhone: 1-800-MEDICARE (633-4227)
State Health Insurance Assistance Program (SHIP) Phone: 1-888-696-7213
Social Security AdministrationWebsite: ssa.gov
Phone: 1-800-772-1213
Website: ChpPlus.orgPhone: 303-751-9051 or 1-800-414-6198
State Managed Care Network (CHP+)
Xerox (Medicaid Fiscal Agent) Phone: 1-800-237-0044 or 1-800-237-0757
Eligibility Site Program Contacts
Presumptive Eligibility (PE) Site Program:Georgann Garcia * PE Specialist 303-866-3544 * [email protected]
Hospital Outstationing Program:Brian Knight * Hospital Outstationing Contract Mgr. 303-866-4221 * [email protected]
Medical Assistance Site Program:Monica Owens * M.A. Site Program Manager 303-866-2286 * [email protected]
Certified Application Assistance
Site Program Contacts
Please send all CAAS related communications to:
QUESTIONS?
