Denver seeks $1.37 million for Medicaid eligibility agreement
The proposed amendment would raise the agreement total to $2.67 million and extend it through June 2027, using federal funds received through Colorado.
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Denver Human Services is seeking a $1,370,255.08 increase to its agreement with the Colorado Department of Health Care Policy and Financing for Medicaid eligibility work. The proposed amendment would bring the agreement total to $2,665,043.48 and extend its term from June 30, 2026, through June 30, 2027, the city’s October 15 request says.
The added funds are federal money received through Colorado. The agreement covers Medicaid eligibility work Denver Human Services performs citywide, with costs shared by the city and state under state law. It also provides performance-based incentives tied to benchmarks for county administration, eligibility determinations and coordination with other Medical Assistance entities.
The amendment sets a target of at least 95% for three timeliness measures: application determinations subject to 45-day and 90-day timelines, and timely renewals for people not receiving long-term services and supports. For the renewal measure, the calculation compares timely renewals with all determinations completed during the reporting period.
If the state department determines Denver has missed a performance target, the agreement calls for a Management Decision Letter requiring an Improvement Action Plan or Corrective Action Plan. The department will monitor the plan, and Denver must investigate why it missed the target. The city’s request says the amendment requires city signatures.