10 Colo. Code Regs. § 2505-10-8.7204

Current through Register Vol. 47, No. 24, December 25, 2024

Section 10 CCR 2505-10-8.7204 - Functions of the Case Management Agency Supervisor

8.7204.ASupervision of Case Managers

1. Case Management Agencies shall provide adequate supervisory staff who shall be responsible for:

a. Regular supervisory conferences with Case Managers on a regular basis related to their caseload and Members needs;

b. Approval of indefinite lengths of stay in nursing facilities, determined according to Section 8.402.15;

c. Regular, systematic review and remediation of case records and other Case Management documentation, on at least a sample basis;

d. Communication with the Department when technical assistance is required by Case Managers and the supervisor is unable to provide answers after reviewing the regulations and other departmental publications;

e. Allocation and monitoring of staff to assure that all standards and time frames are met; and

f. Assumption of Case Management duties when necessary.

8.7204.BTraining of Case Management Agency Staff

1. Case Management Agency staff, including supervisors, shall attend training sessions as directed and/or provided by the Department for Case Management Agencies.

2. Prior to start-up, the Case Management Agency staff shall receive training provided by the Department or its designee, which shall include, but not be limited to, the following content areas:

a. Background information on the development and implementation of the Case Management Agency system;

b. Mission, goals, and objectives of the Case Management Agency system;

c. Regulatory requirements and changes or modifications in federal and state programs;

d. Contracting guidelines, quality assurance mechanisms, and Certification requirements; and

e. Federal and state requirements for the Case Management Agency.

3. The Case Management Agency is responsible for tracking completion of required Case Management Agency training and staff development of program knowledge. Staff who require retraining or additional training shall receive training through available Department training and the Case Management Agency internal training.

4. Case Management Agency staff must pass competency-based training requirements as defined by the Department including but not limited to disability/cultural competency, person-centeredness, soft skills, as well as program specific knowledge and skills.

5. Case Management Agencies are responsible for providing quality oversight of their staff work product. At least quarterly, the Case Management Agency shall audit case records to evaluate Case Management performance. The Case Management Agency shall audit ten percent (10%) of the Case Management Agency average monthly caseload size or ten individual case records, whichever is higher.

a. The Case Management Agency shall utilize the audit form issued by the Department for Case Management Agency quality oversight audits.

b. The Case Management Agency shall audit each Case Manager employed by the Case Management Agency at least once per year.

c. The Case Management Agency shall provide the results of the audit to the Department and shall utilize audit results as part of the Case Management Agency quality assurance efforts.

10 CCR 2505-10-8.7204

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