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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

1Improving access to cost-effective, quality health care services for Coloradans.Susan E. Birch

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

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• Colorado’s Safety Net Program Overview

• Delivery System Reforms

• Accountable Care Collaborative

• Long-Term Services and Supports

• Affordable Care Act Impact

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• 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)

Improving access to cost-effective, quality health care services for Coloradans. 4Susan E. Birch

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Improving access to cost-effective, quality health care services for Coloradans. 5

*Projections from the Department’s November 1, 2010, Budget RequestExpansions are a result of HB 09-1293, the Colorado Health Care Affordability Act

Medicaid Expansions

Susan E. Birch

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Improving access to cost-effective, quality health care services for Coloradans. 6

35,000

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45,000

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*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.

CHP+ Expansions

Susan E. Birch

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• 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

Improving access to cost-effective, quality health care services for Coloradans. 7Susan E. Birch

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Improving access to cost-effective, quality health care services for Coloradans. 8Susan E. Birch

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Improving access to cost-effective, quality health care services for Coloradans. 9Susan E. Birch

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• Eligibility Modernization– Identity, Income and U.S. citizenship

electronic verification

– Automatic re-enrollment

• Dual Eligibility

• Systems of Care

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• Board will create exchange

• HIE Work Groups–Marketing, Enrollment and Outreach;

– Eligibility, Verification and Enrollment;

– Small Employers Workgroup; and

– Data Advisory Workgroup.

Improving access to cost-effective, quality health care services for Coloradans. 12Susan E. Birch