The board discussed enterprise updates regarding the Fiscal Year 2025-26 CHASE model, specifically concerning the exemption of psychiatric hospitals from the hospital provider fee and the redistribution of those fees to comply with state and federal regulations. The discussion included potential options for maximizing federal funding, such as increasing payments to 100% of the Upper Payment Limit and adjusting intergovernmental transfers. Board members expressed concerns about the timeline, federal risks, and the need for external consultant analysis, ultimately deciding to delay action until the next meeting to allow for further deliberation and collaboration.
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Colorado Healthcare Affordability And Sustainability Enterprise Board Meeting Minutes
The board discussed the 2026-27 meeting cadence, moving to a monthly schedule. The Executive Director provided an update on the Upper Payment Limit (UPL) methodology, explaining that it cannot be restructured at this time due to legal counsel and potential federal risks. The board reviewed the FFY 2025-26 CHASE model, including utilization data for state-directed payments and a proposed 20% withholding of funds to mitigate recoupment risks. Updates were provided on the Hospital Incentive Program (HIP) and the creation of two new support boards, the Facility Provider Fee Enterprise Support Board and the Medicaid Buy-in Program Enterprise Support Board, to oversee specific components within the enterprise. Public comments included concerns regarding the UPL process and a desire for continued collaboration.
Aug 10, 2026·BoardMeeting
Board
Medicaid Buy-in Enterprise Support Board Meeting Minutes
The board conducted elections for the positions of chair and vice-chair. The meeting included an overview of the board's purpose and authority, as well as a detailed review of buy-in program structures, eligibility criteria, income levels, and federal match percentages. Members reviewed foundational documents such as the welcome packet and working charter. Discussions addressed procedures for legislative sessions, the timeline for distributing meeting materials, and preferred meeting times. Regarding board actions, the vote on bylaws was deferred, and a recurring meeting schedule was officially approved.
The board discussed the proposed Federal Fiscal Year 2025-26 CHASE model, focusing on updates to utilization data and outpatient methodology. Significant attention was given to the Rural Support Fund, covering proposed methodologies, funding levels, hospital eligibility, and the impact of excluding or including specific facilities. Public comments addressed concerns regarding the State Plan Amendment language and support for under-funded rural hospitals. The board ultimately approved the Rural Support Fund recommendations, establishing a 3-year review cycle and inclusion criteria for 23 hospitals.
Extracted from official board minutes, strategic plans, and video transcripts.
