Colorado’s Medicaid Tech Issues Cause Delays in Critical Funds for Thousands with Disabilities

Families of people with long-term disabilities in Colorado are speaking out against the dysfunction and chaos within the state’s Medicaid offices, claiming that vulnerable populations are being failed. CBS News Colorado obtained state documents revealing a myriad of technology problems with platforms used to handle Medicaid claims.

One mother, Jan Taylor, shared her struggles with getting Medicaid benefits for her 11-year-old daughter, Tessa, who has cerebral palsy and epilepsy. Taylor recounted the challenges she faced with the state incorrectly counting her Medicaid income and the subsequent denial of payments needed for Tessa’s care.

Issues with Colorado’s new case management system, the “CCM,” further exacerbated the situation, causing delays and denials for thousands of claims and payouts for people with long-term disabilities. Taylor expressed how the lack of Medicaid payments affected Tessa’s therapy and care.

Attorneys from the Colorado Center for Law and Policy filed a federal civil rights complaint against the Colorado Department of Healthcare Policy and Financing, alleging discrimination against people with disabilities. They highlighted the outdated technology and poor planning behind the case management redesign.

Despite efforts by HCPF to address the issues, many families continue to face challenges with their Medicaid claims. The state auditor is conducting audits to assess the situation, while advocates urge affected individuals to file appeals to ensure their entitlement to benefits. The ongoing struggle highlights the urgent need for systemic changes to protect the state’s most vulnerable populations.