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.
For information on intake, eligibility and services, please click here.
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.
CASE MANAGMENT REDESIGN UPDATE
No later than July of 2024, all case management for HCBS waivers will be conducted by an agency other than Mountain Valley Developmental Services. This separation of case management from the Community Centered Board and Provider side of MVDS has been mandated by Colorado Healthcare Policy and Financing, HCPF. The federal Centers for Medicaid and Medicare have a mandate to separate case management services from businesses that also provide services to those receiving case management. The state department of Health Care Policy and Finance is enforcing this mandate through Case Management Redesign, which will be implemented no later than July 1st, 2024. This will bring the state into compliance with federal rule, ensure the continuation of federal money into the department, and will house all case management services for Home and Community Based (HCBS) Waivers, creating one place for people to go to for case management.
What does case management look like now?
In our area, there are two agencies that provide case management. MVDS-the Community Centered Board for this region, and Northwest Options for Long Term Care- the Single Entry Point for this area. Waiver programs are divided between these two agencies.
What will change?
A single case management agency will coordinate all services for ten available waivers per geographic region. The state will award a single contract to the selected agency who wins that competitive process.
Depending on who receives the contract, our current area could be divided into two:
Area 15 including Garfield, Eagle, Pitkin, and Summit Counties.
Area 13 including Lake, Chaffee, Fremont, and Custer Counties.
Click the link on the bottom of this page for the full map of Colorado Case Management Agency areas.
Current individuals who receive case management from MVDS in Lake County may be served by an agency separate from the agency that serves Garfield, Eagle and Pitkin counties.
Will my services from my provider change?
No. MVDS as a provider will continue to serve all current areas, including Lake County.
Why can’t MVDS continue to be my case management agency?
MVDS cannot provide both case management and direct care services under the future rules.
What happens to MVDS when they no longer offer case management?
MVDS will continue to provide all other current services. It will remain as the Community Centered Board for its current area and will continue the same mission with the same staff and board of directors.
Will I get a new case manager?
Every effort will be made during this transition to provide a stable and worry-free experience for our members receiving case management. It is the hope of MVDS’ administration that there will be minimal disruption in relationships and teams, including case managers. If MVDS does not continue providing case management, MVDS will collaborate with the awarded case management agency to advocate for this.
There will be a continuing need for all professional positions in the human services field, including case managers. We have the most stable and knowledgeable team in the state of Colorado. We are proud of these citizens who have lived in this community for years, and who are invested in the lives of the people we serve.
Please click on this link for full information, including the timeline for change.
We will update this information as it changes. Please speak with your case manager, or Brent Basham the Director of Case Management email@example.com if you have any questions.