PEAK NEWS Contents June 2015 Enhancements for Community Partners Overview Helpful Links Training Additional Support Enhancements Employment and Benefits Division Food Assistance Medical Assistance Contacts for Questions about Applying for Benefits June 2015 Enhancements for Community Partners Overview On Sunday, June 28, 2015, numerous enhancements will be made across PEAK and CBMS to reduce application processing times, reduce errors, and improve the overall user and client experience. The following information is a highlevel overview of the PEAK and CBMS enhancements and the impact they might have on stakeholders. Helpful Links PEAK Outreach Initiative – Training & Materials www.peakoutreach.com Department of Health Care Policy and Financing – Training and Materials www.colorado.gov/hcpf/eligibility-partners Report Technical Issues with PEAK [email protected] Training PEAK Outreach Initiative Webinars These webinars will provide detailed information on the enhancements to PEAK functionality that will go live on June 28. Wednesday, June 18, 2015 | 2-3:00 p.m. Register at https://cc.readytalk.com/cc/s/registrations/new?cid=leo2lke3bp07 Monday, June 22, 2015 | 9-10:00 a.m. Register at https://cc.readytalk.com/cc/s/registrations/new?cid=bwrtc28k91lq Additional Support Post-Build Call: Summary of System Performance and Known Issues for Community Partners Thursday, July 2, 2015 | 3-3:45 p.m. Conference Line: 720-279-0026 (Local) or 1-877-820-7831 (Long Distance) / Passcode: 349141# Enhancements Employment and Benefits Division Colorado Works – Workforce Development Update to Student Detail and Plan In order to be in compliance with federal law, there will be new information gathered about the highest level of education completed by TANF recipients. Transitional Food Assistance for Colorado Works When a family’s household income increases and they become ineligible for Colorado Works continued basic cash assistance benefits (TANF), they will continue to be eligible for Food Assistance for up to five months at the prior benefit amount (before their income increased) to provide them more stability during this transitional period. Food Assistance CDHS Updates to Client Correspondence Food Assistance notices will explain to clients that applications received after the 15th of the month will issue both the partial and the first full-month benefits at the same time. When Expedited Food Assistance is approved but documentation is still needed, clients will receive a notice explaining their responsibility to provide additional proof and how their benefits may be impacted. Farm Bill Disqualification Updates to PEAK and CBMS With 2014 Farm Bill legislation, Food Assistance is required to add questions to the PEAK online application and recertification. If an individual in the household declares that he or she is not in compliance with the terms of a conviction, Food Assistance will deny the individual for benefits while still counting his or her resources and income. Judgment Claims Claims generated for overpayment of Adult Financial, Colorado Works, and/or Food Assistance benefits will be improved to prevent incorrect income tax interception and benefit recoupment. Medical Assistance “5-Year Bar” Non-Citizen Update for Legal Permanent Residents Effective July 1, 2015, the five-year U.S. residency bar will be lifted for legally present immigrants. Pregnant women of any age may qualify for Child Health Plan Plus (CHP+) Prenatal, and children under the age of 19 may qualify for CHP+ and Medicaid if all other eligibility criteria are met. Marital Status Modification The logic for Medical Assistance (certain Non-MAGI categories) will be modified to not consider the income and/or resources of the applicant’s spouse based on marital status and whether spouse is in the home or not. Medical Card File Transfer Starting July 1, 2015, Medical Cards will be printed on thick card stock and will no longer have a magnetic strip. Cards printed previously will continue to be valid. PEAK Call Center Enhancements The PEAK mobile site will be enhanced so that users can submit questions online and access chat functionality for Medical Assistance. PEAK Online Payment Information PEAK will be updated to enhance how clients pay CHP+ enrollment fees and Buy-In premium payments online. It will also provide a more detailed payment record for consumers/clients who have made payments. PEAK Redesign and User Experience Updates The overall design of the PEAK website will be updated in order to improve and enhance the customer/client experience. The printable application PDF has been redesigned. This project does not change PEAK functionality. FAQs will be available on the PEAK website. PEAKHealth Campaign Messages To enhance the client experience, the PEAKHealth application will be updated to allow users to rate health tips, mark providers as favorites, and report inaccurate data in the provider locator feature. Shared Eligibility System Updates This project will improve the Shared Eligibility System (SES) by: Allowing client correspondence for a Medical Assistance/Advanced Premium Tax Credits household to be sent to an authorized representative. Allowing individuals to report Life Change Events for the loss of Minimum Essential Coverage up to 60 days in advance of the coverage ending. Changing some Medical Assistance/Advanced Premium Tax Credits correspondence and SES changes based on Work Study income and expenses. Verification Checklist Updates To lessen the chances for confusion to the applicant, wording will be added to the Verification Checklist (VCL) that explains in more detail what type of information is needed. The first page of the VCL will also be made dynamic to display certain information based on the case programs. Do You Have a Question about Applying for Benefits or a Health Plan, Need To Get More Information about the Affordable Care Act, or Want To Report a Technical Issue with PEAK? Agency/Service Phone/Email/ Website Hours of Operation Services Provided Affordable Care Act Newsletter Colorado.gov/HCPF/ ACAResources Sign Up: COHealthInfo.com Connect for Health Colorado Marketplace – General Assistance or Report a Problem 855-PLANS-4-YOU 855-752-6749 Within US Customer Service Center 7:00AM – 8:00PM Monday – Saturday 303-590-9675 Outside US Customer Service Center 7:00AM – 8:00PM Monday – Saturday Updates on the Affordable Care Act for county partners, eligibility workers, and stakeholders published by the Colorado Department of Health Care Policy and Financing Authorization Number look up How to sign up for a plan Questions about tax credits Report a technical issue with the Marketplace Report a problem encountered while using connectforhealth.com via phone or send an email to [email protected], and enter “Requesting Enrollment Help” in the email Subject Line Authorization Number look up How to sign up for a plan Questions about tax credits Report a technical issue with the Marketplace Report a problem encountered while using connectforhealth.com via phone or send an email to [email protected], and Agency/Service Phone/Email/ Website Hours of Operation Services Provided enter “Requesting Enrollment Help” in the email Subject Line 855-346-3432 TYY Line Customer Service Center 7:00AM – 8:00PM Monday – Saturday Colorado.gov/Health Colorado.gov/Health 24-Hours County Offices Colorado.gov/HCPF/ Counties Colorado.gov/apps/ maps/hcpf.map Variable Division of Insurance 303-894-7490 (Denver Metro) 800-930-3745 dora_ins_website@s tate.co.us 800-536-5298 Food or Cash Assistance Applications Colorado Department of Human Services HealthColorado Medicaid or CHP+ Medical Assistance Site Contractor (MAXIMUS) Colorado Department of Health Care Policy and Financing 303-839-2120 (Denver Metro) 888-367-6557 888-876-8864 (TDD) HealthColorado.org HealthColorado.org/ plan_selection.aspx 800-359-1991 General Assistance for the Hearing Impaired Authorization Number look up How to sign up for a plan Questions about tax credits Report a technical issue with the Marketplace Report a problem encountered while using connectforhealth.com via phone or send an email to [email protected], and enter “Requesting Enrollment Help” in the email Subject Line FAQs Online and Paper Application for Health Coverage Health Coverage Information Wellness Information Get Information about a current Food, Cash Assistance, Medicaid, and/or Child Health Plan Plus (CHP+) Case In-Person Help with completing an Application for Food, Medical, or Cash Assistance Questions Agents Insurance Companies Private Insurance 8:00AM – 5:00PM Monday – Friday (closed on holidays) General Assistance Request for Cash Assistance Request for Food Assistance 8:00AM – 5:00PM Monday – Friday (closed on holidays) General Assistance Choosing a Primary Care Provider Enroll in a health plan (for current Medicaid or CHP+ clients) [Note: Not for applying or getting information about Medicaid or CHP+ benefits] 8:00AM – 6:00PM Monday – Friday (closed on holidays) Provides Eligibility and Enrollment Information Appeal and grievance information for CHP+ and Medicaid CHP+ and Medicaid eligibility and documentation requirements Contact information for participating providers for CHP+ and Medicaid Contact information for other CHP+ and Medicaid eligibility sites Description of medical assistance programs Details of the enrollment and renewal processes for CHP+ and Medicaid Enrollment fee and premium payments info for CHP+ and Medicaid-In programs Referrals to county offices for other public benefits Agency/Service Phone/Email/ Website Hours of Operation Services Provided Medicaid Customer Contact Center Colorado Department of Health Care Policy and Financing 800-221-3943 TDD 800-659-2656 Colorado.gov/HCPF Colorado.gov/HCPF/ Benefits Colorado.gov/HCPF/ medicaid-customercontact-center 800-283-3221 7:30AM – 5:15PM Monday – Friday (closed on holidays and every Friday from 10:00AM-11:00AM for staff meetings) General Assistance Billing Help Navigating the PEAK Application Managed Care/Special Programs Medicaid or CHP+ Benefits Pharmacy 24-Hour Line General Assistance for Medicaid Clients Colorado.gov/PEAK [Select Live Chat icon on home page.] 12:30PM – 4:00PM Monday - Friday General Assistance Billing Help Navigating Managed Care/Special Programs Medicaid or CHP+ Benefits Variable PEAK Colorado.gov/HCPF/ Counties Colorado.gov/apps/ maps/hcpf.map Colorado.gov/PEAK PEAK Technical Support [email protected] o.us 8:00AM – 5:00PM Monday – Friday Training and Resources Colorado Department of Health Care Policy and Financing Colorado.gov/HCPF/ ACAResources PEAK Outreach Tinyurl.com/peakout reach peakoutreach@boul dercounty.org Staff Development Center www.TrainColorado. com 24-Hours Get Information about a Medicaid or CHP+ Case In-Person Help with completing a Medical Assistance Application through CBMS Add a new person to your case Change contact information Check the status of a submitted application Download and print Medicaid cards Look up Authorization Number Request a new Medicaid card Update income and employment Upload verification documents View what information you may still need to provide View your correspondence Technical Assistance Error Messages Frozen Screens/Cannot Move Forward in the Application Grayed-Out Buttons Time Outs Consumer Resources Health Care Reform Resources Medicaid Nurse Advice Medical Assistance LIVE CHAT Colorado Department of Health Care Policy and Financing Medical Assistance Sites 24-Hours 24-Hours Logo Guidance PEAK Website Use Resources Use of the PEAK Website Training 24-Hours Single Eligibility System User Guide
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