Long-Term Services and Supports (LTSS) Provisional Provider Payments (3Ps)

Long-Term Services and Supports (LTSS) providers are experiencing an increase in claim denials as a result of financial eligibility determination delays, and delays in functional eligibility assessments. The Department of Health Care Policy & Financing (HCPF) has been notified of these issues, as agencies and providers are unable to carry the unpaid claims balance within their existing resources. Some agencies have reported having to limit services, deny accepting new members, or even terminate staff to remain solvent.

HCPF wants to ensure our most vulnerable members continue receiving the support necessary within their communities by mitigating major financial stressors that some LTSS providers are experiencing, which are threatening their solvency or ability to provide service continuity. Therefore, the Department will provide provisional payments in the form of short-term advances to providers that demonstrate the greatest need. HCPF is issuing the LTSS Provisional Provider Payments Request for Application (RFA) to solicit applications from eligible providers. 

PLEASE NOTE: Providers receiving the provisional payment must continue to submit claims and rework denied claims, as normal.

Visit the following URL to learn more or to apply. https://hcpf.colorado.gov/resources-hcbs-providers#3Ps

If you have any questions, please email [email protected].