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

CCHA administers physical and behavioral health benefits and coordinates care and services for more than 303,000 members.

Regional Program Improvement Advisory Committee

CCHA is dedicated to partnering with the Health Neighborhood and community entities to achieve Key Performance Indicators (KPIs) 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.

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 Health First Colorado members’ access to preventive health services to include oral and physical health.
  • Increase Health First Colorado members’ access to behavioral health services and benefits.
    • Access to behavioral health services could include connection to behavioral health services in a primary care setting, prompt follow-up after an inpatient visit, facilitation of behavioral health screens and assessments, and providing access to Substance Use Services.
  • Increasing support and services to members who are pregnant by increasing prenatal visits and educating members about their benefits.
  • Reducing the number of Health First Colorado members seeking care in the emergency department (ED) for services that could be more appropriately supported in a primary care setting.
    • This may include linking members to the appropriate services (physical, behavioral, substance) upon discharge to reduce the number of members returning to the ED after discharge.
  • Increase connections between primary care clinics and specialty care providers in order to improve timely access to specialty services.
  • 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
  • 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.
  • Programs, services, initiatives not already covered by a Health First Colorado benefit
  • Programs that align with at least one priority listed above
  • Entities must have a nondiscrimination policy
  • Collaborations and partnerships (informal/formal) among entities are strongly encouraged as well as applications from rural counties.
  • Capital requests
  • 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 Primary Care Medical Provider incentive program
  • 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
  • Estimated distribution of funds based on two general amounts:
    • 3-4 applications funded up to $30,000
    • 2-3 applications funded up to $150,000
    • Awards could be given partial or full amount requested depending on other requests and justification for dollars spent
    • Number of awards could change depending on total funds and total applications received
  • Funding term is one-year with option to re-apply

Step 1: August 1, 2019-September 30, 2019 - Regional PIAC issues a request for community organizations to submit funding proposal (application must be completed on CCHA website)

Step 2: October 1, 2019-October 31, 2019 - CCHA staff reviews all applications and reaches out to organizations for any additional supporting information needed.

Step 3: October 15, 2019-October 31, 2019 - Regional PIAC voting members will receive application via email and will have two weeks to review.

Step 4: Week of November 4, 2019 - Voting Member-ONLY meeting will be held to review and vote on approved applications.

Step 5: November 15, 2019-November 31, 2019 - Award recipients and non-award recipients notified of selection.

Step 6: Awards presented at December Regional PIAC meeting.

Step 7: During month of December, contracts signed and funding awarded.