Colorado Welfare Fraud Council

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Conference

Conference registration is open! Click here to register!
Update 4/19/2022: Conference registration will close at the end of the day on 4/22/2022!
Update 3/24/2022: Conference seats are filling up fast! Two classes are already at capacity and many more are close. Register today so you don’t miss out!


This year we will only be able to accept 150 conference attendees. Please remember that your registration will not be considered complete until payment has been received. You will receive an email from us once your registration is complete!

CWFI Exam Information:
The CWFI exam will be offered at the conference this year! The application to take the exam is below. Your form and payment must be received by UCOWF by April 15, 2022 in order to take the test. Completed applications should be submitted to ucowfmail@gmail.com and payments by credit card can be made by calling 785-477-5424.

cwfi_app-2018-7Download

Tentative List of Sessions

TitlePresenter(s)Great for:Session Description
CDHS Claims OverviewSheryln Stephens & Jennifer PeckInvestigators, Technicians, Claims and Recoveries Techs, Supervisors
CDHS SNAP TeamTBD
Colorado Works Eligibility and March 2022 Rule ChangesMarnie BrandtStaff needing general knowledge of CWOverview of main Colorado Works eligibility criteria and program requirements and discussion of what rules changed in March 2022.
Consideration of Trusts in Determining Medical Assistance EligibilityTiffany WalkerInvestigators, QA Reviewers, Technicians, Case Managers, Business Staff, SupervisorsMedicaid regulations require that if an individual or the individual’s spouse has transferred assets into a trust or is a beneficiary of a trust, the trust document is required to be submitted to HCPF to determine the effect of the trust on Medicaid eligibility.  This presentation will provide an overview of the types of trusts, the County’s role in implementing the trust determination as it relates to an individual’s eligibility, and how to submit those trusts to the State for review.  This presentation is designed around questions that eligibility sites have asked of HCPF concerning trusts and issues HCPF has encountered in analyzing, evaluating and determining the countability of trusts under federal and state law.
CWFI TestMary VasquezExperienced InvestigatorsIn order to take the CWFI test you must submit your application and payment to UCOWF
EBT Fraud WorkbookSarah Mitchell & David KrasnowInvestigators, Supervisors
Filing Exceptions to Initial IPV Determinations Made Through the OACSusan Skyberg & Matt FurphyInvestigators, SupervisorsWe will be reviewing a case or two involving an initial IPV decision made through the OAC with outcomes in the client’s favor. We will be showing the steps of filing exceptions and reviewing a case from hearing submission date through filing an exception and receiving the final decision from the Office of Appeals.
FNS Integrity TeamGina BrandInvestigators, SupervisorsIntegrity related hot topics including social media “Sprinkle” groups, cloned/compromised EBT benefits and the Fraud Framework Grant and what states have been able to use the money for.
HCPF Oversight and Accountability Program Overview Joshua Montoya & Nicole Duran JonesQA Reviewers, Technicians, Case Managers, SupervisorsThe Oversight and Accountability Program launched in February 2021 and is the Department’s methodology of having oversight of Eligibility site’s administration of Medical Assistance programs and tools for joint accountability to meet with state and federal rules, regulations and guidance.  This presentation will cover the programs and changes within the Oversight and Accountability including updates to the Administrative ruleset, Quality Assurance, Performance Management, Management Evaluations and how they tie together.
HCPF Total Quality ManagementJoshua Montoya, Nicole Duran Jones & Melissa VincentQA Reviewers, Technicians, SupervisorsAn overview of HCPF’s QA Programs, Eligibility Site responsibilities, and how this fits within the Department’s Oversight and Accountability program.
“Maid” Made me a Better Case ManagerPatty Coombs & Jackee BowlerCase Managers, TechniciansThe ways clients and technicians experienced the pandemic together and what we can learn from the shared experience.
Medicare Buy-in, Health Insurance Buy-in and TPL OverviewEujenia RenfroeInvestigators, QA Reviewers, Technicians, Case Managers, Business Staff, SupervisorsThe Medicare Buy-in, Health Insurance Buy-In and TPL Overview presentation will deliver general program information on Medicare Buy-In and HIBI while also exploring more complex case scenarios, as well as best practices.  The presentation will also touch on the subject of third party liability (TPL) and the county’s role in collecting this information from members and applicants.  Eujenia will explain what HCPF uses TPL information to achieve from a systematic perspective.
Medicaid Member Appeals 101Christine Nierenz, Jenn Hart & Joelle MorrisonInvestigators, Case Managers, Technicians, SupervisorsAn introduction to the member appeals process for those new to the member appeals process.
Medicaid Member Appeals 201Christine Nierenz, Jenn Hart & Joelle MorrisonInvestigators, Technicians, Case Managers, SupervisorsAdvanced presentation about the member appeals process for those already handling member appeals.
PARIS Automation and ReportingJared ShafferInvestigators, QA Reviewers, TechniciansThis presentation will provide an overview of the automation and reporting changes that have been implemented for PARIS, along with some tips to handle the PARIS workload.
PEAK: Supporting Clients Through Self-ServiceTeri SlaterAnyone who wants to learn more about what clients can do on PEAK
Provider Fraud: Identification, Reporting and TrendsBart Armstrong & Miles KingInvestigators, Technicians, Other County StaffThis presentation provides a general overview of the provider fraud process and the roles played by the Colorado Department of Health Care Policy and Financing and by the Colorado Medicaid Fraud Control Unit. The presentation will cover how county staff can recognize and report provider fraud to the Department and it will provide different examples of provider fraud and contexts in which it might be discovered. The presentation will also explain some of the recent larger provider fraud schemes, including some involving member cooperation.
Trusts and Other RecoveriesAshley DiRienzoInvestigators, QA Reviewers, Case Managers, SupervisorsThis presentation will provide a basic overview on the Department’s recoveries, specifically from trust closures, excess resources, personal needs allowances, etc.  The presentation will provide a guidance on when and how to close trusts, the types of excess resources a client may encounter, and when personal needs funds should be remitted to Colorado Medicaid.  The presentation will briefly cover other types of recoveries such as tort and casualty, third party liability, and cost avoidance.
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