Statutes, codes, and regulations
Colorado Administrative Code
Department 2505 - Department of Health Care Policy and FinancingDivision 2505 - Medical Services Board (Volume 8; Medical Assistance, Children's Health Plan)
Rule 10 CCR 2505-10-8.7000 - CREATION OF MEDICAL ASSISTANCE ACT SECTION 7.000 CONCERNING CASE MANAGEMENT, MEMBER RIGHTS AND RESPONSIBILITIES HOME AND COMMUNITY BASED SERVICES AND PROVIDER AGENCY REQUIREMENTS
Section 10 CCR 2505-10-8.7203 - Case Manager Requirements and Responsibilities

10 Colo. Code Regs. § 2505-10-8.7203

Download
PDF
Current through Register Vol. 47, No. 24, December 25, 2024
Section 10 CCR 2505-10-8.7203 - Case Manager Requirements and Responsibilities
8.7203.ACase Manager Requirements
1. The Case Manager(s) hired on or after October 8, 2021 shall meet minimum qualifications for HCBS Case Managers set forth in these regulations and shall be able to demonstrate competency in pertinent Case Management knowledge and skills.
2. All Home and Community-Based (HCBS) Case Managers must be employed by a contracted Case Management Agency. Case Management Agencies must maintain verification that employed Case Managers meet the minimum qualifications set forth in these regulations.
3. The minimum qualifications for HCBS Case Managers hired on or after October 8th, 2021 are:
a. A bachelor's degree; or
b. Five (5) years of relevant experience in the field of Long-Term Services and Supports, which includes Developmental Disabilities; or
c. Some combination of education and relevant experience appropriate to the requirements of the position.
d. Relevant experience is defined as:
i. Experience in one of the following areas: long-term care services and supports, gerontology, physical rehabilitation, disability services, children with special health care needs, behavioral science, special education, public health or nonprofit administration, or health/medical services, including working directly with persons with physical, intellectual or Developmental Disabilities, mental illness, or other vulnerable populations as appropriate to the position being filled; and,
ii. Completed coursework and/or experience related to the type of administrative duties performed by Case Managers may qualify for up to two (2) years of required relevant experience.
4. Case Managers may not:
a. Be related by blood or marriage to the individual.
b. Be related by blood or marriage to any paid caregiver of the individual.
c. Be financially responsible for the individual.
d. Be the individual's legal Guardian, Legally Authorized Representative, Long-Term Services and Supports Representative, or Authorized Representative under Sections 8.7514 and 8.7527, or be empowered to make decisions on the individual's behalf through a power of attorney.
e. Be a provider for the individual, have an interest in, or be employed by a provider for the same individual. Case Managers employed by a Case Management Agency that is operating under an exception approved by the Centers for Medicare and Medicaid Services (CMS) in the approved waiver application are exempt from this requirement.
f. Be related by blood or marriage to the owner or managing employee of a provider.
5. Case Management Agency staff must pass competency-based training requirements as defined and enforced by the Department through contractual agreements.
6. The Case Management Agency supervisor(s) shall meet all qualifications for Case Managers and have a minimum of two years of experience in the field of HCBS Case Management.

10 CCR 2505-10-8.7203

47 CR 03, February 10, 2024, effective 3/16/2024