Community Incentive Program

CCHA Community Incentive Program: Application Process

Overview

Colorado Community Health Alliance (CCHA) is the Health First Colorado (Colorado’s Medicaid Program) regional organization serving the following counties:

  • Region 6: Boulder, Broomfield, Clear Creek, Gilpin, Jefferson
  • Region 7: El Paso, Park, and Teller

Regional Program Improvement Advisory Committee

CCHA is dedicated to partnering with the Health Neighborhood and community entities to achieve Key Performance Indicators (KPIs) and Behavioral Health Incentives and support a health care delivery system that improves member health and reduces cost. One way CCHA does this is through the convening of the CCHA Regional Program Improvement Advisory Committee (PIAC).

The mission of CCHA’s Regional PIAC is to convene a diverse, multi-disciplinary network of health care providers, community organizations, other service providers, members, members’ families and/or caregivers, and advocates to provide feedback on processes and systems to improve health, access, cost, and satisfaction of members and providers. 

Purpose of Regional PIAC            

  • Engage and strengthen the health neighborhood and community of the Accountable Care Collaborative (ACC), which includes: Boulder, Broomfield, Clear Creek, Gilpin, Jefferson, El Paso, Park, and Teller Counties
  • Provide a forum to give feedback about CCHA’s processes and systems
  • Create a health neighborhood and community leadership network within the region
  • Advise on strategies for reinvesting CCHA incentive funds to support and strengthen the Health Neighborhood and Community

Voting members include representatives from multiple sectors including physical health, behavioral health, advocacy groups, long term care and support services, government, oral health, community organizations, and Health First Colorado members.

Community Incentive Program

CCHA is committed to supporting and reinvesting funds in community programs. The CCHA Community Incentive Program is funded using incentive payments CCHA has earned for achieving KPIs set by the Department of Health Care Policy and Financing (HCPF).

The CCHA Community Incentive Program application and selection process is managed by the voting membership of CCHA’s Regional PIAC annually.

Key Priority Areas

Community Incentive Programs must align with at least one of the priorities of the Accountable Care Collaborative (ACC) program, Key Performance Indicators and/or Behavioral Health Incentives: 

  • Increase the amount of members who engage in preventative health services such as dental and annual well-visits
  • Increase the amount of members who utilize needed behavioral health services
    • Behavioral health services may include: connecting with a behavioral health provider within the primary care setting, receiving a follow-up after an inpatient stay, completing necessary behavioral health screens and assessments, or accessing substance use services
      • Programming could be specific to members releasing from Department of Corrections.
    • Increase engagement from pregnant members by ensuring prenatal visits occur and/or that members experiencing high-risk pregnancies are identified and receive support.
    • Reduce the amount of members who access the Emergency Department (ED) for care more appropriately addressed in the primary care setting
      • Ensure the members are connected or referred to needed services (i.e. behavioral, substance use, physical) before ED discharge to decrease the probability of repeat visits.
    • Enhance relationships between primary care providers and specialty care providers to ensure members are getting the care they need in a timely and appropriate manner
    • Decrease overall cost of care for members, by helping to ensure members receive the right level of service, in the right setting, at the right time.
    • Improve health outcomes or overall health for members by implementing programs focused on one of the following areas:
      • Programming or education to support members with medication adherence for chronic conditions
      • Evidenced based programming to help members manage a chronic condition (COPD, Asthma, Diabetes)

Awardee Expectations

If selected, awarded organizations are expected to:

  • Adhere to the terms outlined in the negotiated contract. Any changes to the project terms will require a contract amendment.
  • Maintain regular and timely communications with CCHA staff, including monthly check-in calls on project status.
  • Submit timely quarterly deliverable reports, as outlined in the negotiated contract.
    • Funding will not be awarded in a lump sum. Upon contract execution, a portion of funding will be released. Subsequent payments are contingent upon satisfactory deliverables.

FAQs

  • I have questions about the application and process. How can I get more information?
  • I’m having trouble with the application webform. Who do I contact for support?
    • Please ensure all required fields are completed and all required attachments are in PDF format. If you have further questions, please contact PIAC@CCHAcares.com
  • What kind of project is the Community Incentive Program looking to fund?
    • Projects should serve Medicaid members and directly relate to the Key Performance Indicators, Behavioral Health Incentive measures, and improve the health and wellbeing of members while ensuring efficient use of Medicaid dollars as outlined in the Priorities section above.
  • Who decides which projects receive funding?
    • While CCHA is in charge of the overall program, the Regional PIAC voting members are responsible for selecting projects to be funded.  
  • Can voting members vote for their own organization’s proposal?
    • No. Voting members are required to disclose any conflicts of interest related to the applications submitted, and may not evaluate, participate in discussions about, or vote to select an application with which they have a conflict of interest.
  • Is there a lower limit on how many Region 6 or Region 7 members we need to serve each year to qualify?
    • No lower limit, however, voting members can take this into consideration when voting
  • Would case management services, or follow up care expansion be considered in one of the priorities for either behavioral health or reducing costs initiatives?
    • If applicants can demonstrate that the outcomes meet those priorities, yes, this project would be taken into consideration. However, applicants are urged to be mindful of case management services that overlap with any services provided before submitting an application.
  • Will outreach and engagement to screen individuals for substance use treatment be eligible?
    • A project such as this is eligible as screening and preventive services align with the priorities, especially around substance use.
  • What time frame do the awards cover?
    • The calendar year 2021
  • We are a pediatric clinically integrated network that supports practices within your RAE; can we apply on behalf of our practices?
    • Yes, with the caveat that the applicant needs to define how the funding will go to services that are not already provided by the RAE or Health First Colorado
  • Can hospitals participate? Are there any hospitals that are currently participating?
    • Yes, hospitals can participate. At this time, no hospitals are participating in the Community Incentive Program.
  • What is the range of dollar amount available for each project?
    • Up to $150,000 was awarded for selected applicants for the 2020 Community Incentive Program. Applicants can apply for a higher amount; however, voting members will make the final decision on whether a full or partial amount is awarded.
  • Are we going to look at disparities and hard to reach communities?
    • Yes
  • Is CCHA expecting quarterly goals and a set timeline to meet those goals?
    • Within the application, CCHA is requesting a timeline of outcomes and goals. Additionally, awardees will be asked to submit a quarterly deliverable, which will, in turn, trigger a payment.
  • Is it better to focus on one priority area or multiple (i.e., we provide dental, behavioral health, primary care, and case management)?
    • This depends on the applicant. If applicants believe they can be successful with more than one priority area, CCHA encourages applicants to do so. However, if applicants feel that focusing on one priority area is best, that is acceptable as well.
  • Are voting members who also apply for funds required to recuse themselves from the voting process?
    • Voting members who have a stake in any of the organizations that apply for funding must disclose their association before beginning the voting phase of the program. They must also recuse themselves.
  • We were funded last year and are thinking through how to frame a request this year. Is it appropriate to build off our previous year's project to incorporate what we learned in implementation?
    • Yes
  • Are the voting members diverse? Do they understand the work on the ground? Communities of color?
    • A list of our voting members can be found here.
  • How weighted will the score be for collaborative projects?
    • Collaborations are taken into consideration during the voting process; however, they are not weighted higher.
  • Is there a specific number of people or percentage of patients that have to be part of the RAE to apply for the program?
    • CCHA is looking to support programs for entities that primarily serve CCHA/Health First Colorado members; however, there is not a specific number or percentage to qualify as an applicant.
  • Is there is a word/character limit for answers to each question on the application form?
    • While the application form does not have a specific limit on each answer, we recommend limiting answers to no more than two pages (approximately 800 words).
  • Organizations currently serving Health First Colorado members in Region 6 or Region 7. Applications must be specific to one region; however, an organization can apply for projects in both regions by submitting two different applications.
  • Organizations with historical experience serving Health First Colorado members for a minimum of 2 years
  • Programs, services or initiatives that directly serve Health First Colorado members
  • Entities within the Community or Health Neighborhood Network
  • Health Neighborhood Network: A network of entities who bill Medicaid or are directly funded by Medicaid though a contract.
  • Community Network: A network of entities who do not bill Medicaid, nor are supported by Medicaid funding, however, the entities do work with Medicaid Members (or eligible populations) in the community.
  • If previous award winners apply for 2021 funding program, CCHA will share relevant performance information to voting members.
  • Programs, services, initiatives not already covered by a Health First Colorado benefit and/or CCHA

*Note: If applicants submit projects related to COVID-19, all eligibility requirements must still be met.    

  • Capital requests – defined as the money an organization or corporate entity spends to buy, maintain, or improve its own fixed assets, such as buildings, vehicles, equipment, or land. It is considered a capital expenditure when the asset is newly purchased or when money is used towards extending the useful life of an existing asset, such as repairing the roof.
  • State and federal lobbying
  • Individuals
  • Programs that require membership in a certain religion or advance a particular religious faith (faith-based organizations may be eligible for funding if they welcome and serve all members of the community regardless of religious faith, and provided that they do not require participation in activities that are specifically religious)
  • Debt retirement
  • Fundraising events
  • Endowments

CCHA is committed to re-investing the KPI incentives dollars back into the community.

  • A portion of the dollars will be used to fund the CCHA Community Incentive Program through an application process voted on by CCHA’s Regional PIAC
  • The final amount awarded will be dependent on total available funds for this program year. In addition, CCHA PIAC voting members may partially fund a proposal, depending the amount available for the program, other requests and justification for the dollars spent. 
  • Number of awards AND amount of awards could change depending on total funds and total applications received◦ Funding will not be awarded in a lump sum. Upon contract execution, a portion of funding will be released. Subsequent payments are contingent upon satisfactory deliverables.
  • Funding term is one-year with option to re-apply

Step 1: July 1, 2020 – August 31, 2020 - Regional PIAC issues a request for community organizations to submit funding proposal (application must be completed on CCHA website)

Step 2: September 1, 2020 – September 30, 2020 - CCHA staff reviews all applications and reaches out to organizations for any additional supporting information needed.

Step 3: October 1, 2020 – October 16, 2020 - Regional PIAC voting members will receive application via email and will have two weeks to review.

Step 4: Week of October 19, 2020 - Voting Member-ONLY meeting will be held to review and vote on approved applications.

Step 5: October 26, 2020 – October 30, 2020 - Applicants notified of award status

Step 6: Awards presented at December Regional PIAC meeting.

Step 7: During months of November and December, contracts signed and first portion of funding awarded.