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Fitting the Pieces Together: The Safety Net and the Affordable Care Act

Fitting the Pieces Together: The Safety Net and the Affordable Care Act. Susan E. Birch, Colorado Department of Health Care Policy and Financing October 4, 2011. Susan E. Birch. COLORADO FUN FACTS. Susan E. Birch. AGENDA. Colorado’s Safety Net Program Overview Delivery System Reforms

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Fitting the Pieces Together: The Safety Net and the Affordable Care Act

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  1. Fitting the Pieces Together: The Safety Net and the Affordable Care Act Susan E. Birch, Colorado Department of Health Care Policy and FinancingOctober 4, 2011 Susan E. Birch Improving access to cost-effective, quality health care services for Coloradans.

  2. COLORADO FUN FACTS Susan E. Birch Improving access to cost-effective, quality health care services for Coloradans.

  3. AGENDA • Colorado’s Safety Net Program Overview • Delivery System Reforms • Accountable Care Collaborative • Long-Term Services and Supports • Affordable Care Act Impact Susan E. Birch Improving access to cost-effective, quality health care services for Coloradans.

  4. DEPARTMENT OF HEALTH CARE POLICY AND FINANCING • Federally designated agency to receive funds for Medicaid Child Health Plan Plus (CHP+) • Administers the following programs: - Medicaid - CHP+ - Home and Community -Based Services (HCBS) Medicaid Waivers - Colorado Indigent Care Program (CICP) Susan E. Birch Improving access to cost-effective, quality health care services for Coloradans.

  5. MEDICAID CASELOAD Medicaid Expansions *Projections from the Department’s November 1, 2010, Budget Request Expansions are a result of HB 09-1293, the Colorado Health Care Affordability Act Susan E. Birch Improving access to cost-effective, quality health care services for Coloradans.

  6. CHP+ CASELOAD CHP+ Expansions *Includes children and prenatal. ** Projections from the Department’s November 1, 2010 Budget Request. Expansions are a result of HB 09-1293, the Colorado Health Care Affordability Act. Susan E. Birch Improving access to cost-effective, quality health care services for Coloradans.

  7. PARTNERSHIPS • Colorado Health Institute • Colorado Community Health Network • Colorado Regional Health Information Organization • Center for Improving Value in Health Care • All Payer Claims Database • Health Insurance Exchange Workgroups Susan E. Birch Improving access to cost-effective, quality health care services for Coloradans.

  8. PUTTING THE PIECES TOGETHER: ACC Susan E. Birch Improving access to cost-effective, quality health care services for Coloradans.

  9. RCCOS & THE SAFETY NET Susan E. Birch Improving access to cost-effective, quality health care services for Coloradans.

  10. INNOVATIONS • Eligibility Modernization • Identity, Income and U.S. citizenship electronic verification • Automatic re-enrollment • Dual Eligibility • Systems of Care Susan E. Birch Improving access to cost-effective, quality health care services for Coloradans.

  11. Susan E. Birch Improving access to cost-effective, quality health care services for Coloradans.

  12. HEALTH CARE REFORM • Board will create exchange • HIE Work Groups • Marketing, Enrollment and Outreach; • Eligibility, Verification and Enrollment; • Small Employers Workgroup; and • Data Advisory Workgroup. Susan E. Birch Improving access to cost-effective, quality health care services for Coloradans.

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