Case Management

Case Management is an individually centered, family and community focused service in which programs and resources are coordinated to enhance people’s lives. Case Managers assist people to identify their unique strengths and to find ways to enhance them. Case Managers explain what supports are available for individuals, how to become eligible, and how to request services. The goal of the Case Manager is to assure that necessary services are provided effectively and efficiently through establishing meaningful relationships with each individual, their family, and the community in which they live, work and play.

Case managers act as an advocate and assist individuals with various aspects of their lives including:

• Coordinating team process for developing treatment programs and monitoring to ensure that program is being delivered and goals are being met.
• Locating and applying for desired services and placements
• Acquiring and maintaining benefits and supports from other agencies.
• Completing all paperwork to ensures each person receives Medicaid waiver services
• Working with individual and family to complete state required reports and forms annually; including SIS, PAR and BUS
• Developing and monitoring treatment programs to meet the needs of persons receiving services.
• Communicating regularly between staff, persons served, and their families

RIGHTS OF INDIVIDUALS RECEIVING SERVICES

All persons receiving services have the same legal rights and responsibilities guaranteed to all other individuals under the Federal and State Constitutions and laws unless such rights are modified by a Court Order. An individual’s rights under the provisions of C.R.S. 27-10.5-112 through and including C.R.S. 27-10.5-124, may be suspended only for purposes of habilitation, treatment, or to protect the individual from endangering him/herself, or others.  

Look here for a list of those rights in English.

Look here for a list of those rights in Spanish.

Case Management Redesign Update

If you use Health First Colorado’s (Colorado’s Medicaid program) home and community-based
services and supports (HCBS), then you should know that important changes are coming to the
case management system.

For people living in Lake County, your Case Management Agency is Rocky Mountain Health Plans. You can contact them at: Jessica Healey- jessica_healey@uhc.com.  For people living in Garfield, Pitkin, and Eagle Counties, beginning 7/1/2024, your Case Management Agency will be Garfield County Department of Human Services. You can contact them at: CMAtransition@garfield-county.com

What changes will I see in case management?

You’ll be able to find the services you need more easily.
— One agency will provide case management services for all waiver programs in each
area. Quality of services will improve.

— With fewer case management agencies to manage, the Department of Health Care
Policy and Financing can play a more active role in overseeing the services you get and
make sure that your case management needs and goals are met.

Case management services will grow with your child.
— Your child can receive all the services they need with the same case management
agency. They can transition to adult services without the disruption of finding a new case
management agency.

Learn more about case management redesign, see common questions and answers, and more
at hcpf.colorado.gov/my-hcbs-case-management