PITP Program Implementation and Care Coordination

State of Colorado; Denver (CO); On-site; USD 80,000 - 110,000; Full time

Benefits offered by this job

PERA retirement benefits

Medical, Dental, Vision insurance

Disability coverage

Life and AD&D Insurance

FMLA PFML and Paid Holidays

Job summary

State Of Colorado is seeking a statewide PITP subject matter expert to lead intensive coordination and policy development for the Permanently Incompetent to Proceed program. You will work across HCPF, CMAs, RAEs, and external partners to align care coordination, eligibility considerations, and placement pathways while ensuring compliance and safety across systems.

The role emphasizes cross-agency collaboration, development of standardized procedures, and ongoing guidance to support complex cases

Qualifications

• Seven years of relevant professional experience in Medicaid, LTSS/HCBS, behavioral health, disability services, criminal justice, or related health and human services field.
• Experience must include complex care coordination, program or policy implementation, and collaboration across agencies or service systems.
• Or Bachelor's degree plus three years of relevant professional experience in Medicaid, LTSS/HCBS, behavioral health, disability services, or related field with similar requirements.

Responsibilities

• Lead comprehensive PITP program implementation and statewide care coordination across HCPF and external partners.
• Coordinate cross-system planning for secure and step-down placements, safety planning, and crisis response.
• Develop statewide PITP operational guidance, workflows, policies, and materials; monitor outcomes and identify system gaps.
• Engage with CMAs, RAEs, courts, providers, and other stakeholders to ensure compliant program operations.

Skills

Complex care coordination

Policy development

Interagency collaboration

Stakeholder engagement

Education

Bachelor's degree in Public Administration, Health Care Policy, or related field

Job description

State Of Colorado Residency Required At Time Of Application

NOTE: This announcement may be used to fill multiple openings.

Department Information

The Department of Health Care Policy & Financing (HCPF) oversees and operates Health First Colorado (Colorado's Medicaid Program), Child Health Plan Plus (CHP+), and other state public health programs for qualified Coloradans. Our mission is to improve health care equity, access and outcomes for the people we serve while saving Coloradans money on health care and driving value for Colorado.

We are committed to increasing the diversity of our staff and providing culturally responsive programs and services. Therefore, we encourage responses from people of diverse backgrounds and abilities.

As part of the State of Colorado, HCPF offers a competitive benefits package:

• PERA retirement benefits including PERA Defined Benefit Plan, PERA Defined Contribution Plan, plus 401K and 457 plans
• Medical, Dental, and Vision insurance coverage
• Automatic Short-Term and Optional Long-Term Disability Coverage
• Life and AD&D Insurance
• Flexible Spending Accounts (FSAs)
• Family Medical Leave Act (FMLA) job protection and State of Colorado Paid Family Medical Leave (PFML)
• 11 Paid Holidays Annually and Accrued Annual and Sick Leave
• Accrued Sick Leave for State of Colorado Temporary Employees
• Flexplace and Flextime work arrangements
• Variety of discounts on services and products available through the State of Colorado's Work-Life Employment Discount Program
• Free RTD EcoPass to all eligible State Employees
• Credit Union of Colorado Membership Eligibility
• Some positions may qualify for the Public Service Loan Forgiveness Program. For more information, go to https://www.colorado.gov/pacific/dhr/student-loan-forgiveness-programs. https://dhr.colorado.gov/dhr-resources/student-loan-forgiveness-programs

The Compliance and Innovation Division (CID), within the Office of Community Living (OCL), supports the development, implementation, and operationalization of the Permanently Incompetent to Proceed (PITP) program. The program serves individuals with complex needs who require coordinated services and placement across multiple systems.

PITP work requires intensive, responsive, and structured collaboration across HCPF and with Eligibility Sites, Case Management Agencies (CMAs), RAEs, CDHS, CDPHE, healthcare and community-based providers, and the criminal justice system.

The Division supports PITP care coordination, crisis system navigation, review and response to court-related documentation, cross-system placement and stabilization pathways, and continuity of care.

This work is intended to support appropriate member placement, coordinated service delivery, compliance with program requirements, and community safety.

Position Summary

Serves as a statewide subject matter expert for HCPF’s Permanently Incompetent to Proceed (PITP) program, providing expertise and guidance on program design, policy implementation, care coordination, crisis system navigation, and cross-system placement and stabilization. This position works collaboratively across HCPF and with external partners, including Eligibility Sites, Case Management Agencies (CMAs), CDHS, CDPHE, OPG, RAEs, healthcare and community partners, and the criminal justice system, to coordinate complex cases, address systemic barriers, and support safe and appropriate member placements. The position develops and operationalizes statewide PITP care coordination standards and cross-system placement pathways to promote continuity of care, effective resource utilization, legal and program compliance, and community safety.

Key Responsibilities

This position plays a key role in the statewide implementation of HCPF’s Permanently Incompetent to Proceed (PITP) program. The position provides subject matter expertise at the intersection of Medicaid, Long-Term Services and Supports (LTSS), disability services, competency, and the criminal justice system. Working across HCPF and with state and community partners, this position leads complex care coordination, supports program and policy development, resolves cross-system barriers, and helps establish consistent statewide approaches for serving PITP members.

PITP Intensive Coordination and Statewide Program Implementation

• Lead intensive coordination and stabilization planning for PITP members with intellectual and developmental disabilities (I/DD), neurocognitive disorders, complex support needs, and significant justice-system involvement.
• Review Medicaid eligibility information and coordinate the collection of documentation needed to support eligibility and access to services.
• Partner with Case Management Agencies (CMAs), Regional Accountable Entities (RAEs), providers, counties, crisis teams, families, and state and criminal justice partners to develop stabilization and placement solutions.
• Develop and implement processes for secure and step-down placement planning while considering member needs, public safety, facility security requirements, judicial conditions, and continuity of care.
• Identify and resolve barriers involving Medicaid benefits and eligibility, waiver access, provider capacity, crisis protocols, facility requirements, and placement availability.
• Identify systemic barriers affecting PITP members and develop statewide operational solutions and standards to support consistent service delivery.
• Determine when complex cases require cross-agency escalation, additional subject matter expertise, or modifications to stabilization and placement plans.
• Provide Department leadership with program updates, recommendations, risk-mitigation strategies, and lessons learned to inform program decisions and legislative recommendations.

Cross-System and Interagency Coordination

• Serve as a primary HCPF liaison for PITP and complex-needs coordination across state agencies, healthcare and community systems, and criminal justice partners.
• Coordinate with CDHS, CDPHE, RAEs, OPG, CMAs,courts, probation, public defenders, sheriffs, community corrections, crisis services, providers, and internal HCPF programs.
• Facilitate cross-system planning related to secure and step-down placements, shared care plans, safety planning, crisis intervention, stabilization, and transitions between levels of care.
• Facilitate resolution of complex issues involving multiple agencies, service systems, regulatory requirements, and funding responsibilities.
• Coordinate with HCPF legal, financial, eligibility, policy, and operational teams to evaluate Department-wide impacts of potential program, regulatory, or waiver changes.
• Manage PITP-related interagency agreements and participate in recurring statewide coordination activities.

PITP Program and Policy Development

• Develop and refine statewide PITP operational guidance, workflows, procedures, stabilization and placement pathways, and interagency coordination protocols.
• Draft policy recommendations, operational guidance, implementation materials, and resources supporting PITP and complex-needs populations.
• Develop and monitor measures related to member outcomes, secure placement utilization, program performance, and systemic barriers.
• Identify and prioritize policy and program improvements affecting access to LTSS, stabilization services, and continuity of care.
• Interpret and apply applicable judicial orders, statutes, regulations, waiver requirements, and HCPF policies to support compliant program operations.
• Engage state agencies, CMAs, RAEs, criminal justice partners, providers, and other stakeholders to identify system needs, barriers, and opportunities for improvement.
• Research national practices and emerging approaches to inform PITP program design and improve member outcomes.
• Recommend statewide policy and program improvements to Department leadership based on data, stakeholder feedback, operational experience, and identified system gaps.

Technical Assistance, Training, and Stakeholder Support

• Provide technical assistance to CMAs, RAEs, counties, providers, and criminal justice partners on PITP requirements, care coordination, secure placement, safety planning, and cross-system navigation.
• Develop and deliver training on PITP program requirements, disability-responsive care coordination, secure placement processes, and complex system navigation.
• Develop guidance documents, tools, resources, and communication materials that support consistent statewide implementation.
• Identify compliance concerns involving statutes, waivers, regulations, policies, or established processes and provide guidance to support appropriate and consistent implementation.
• Identify inconsistencies or gaps among statutes, regulations, waiver requirements and HCPF policies and recommend clarification or revision.
• Use program data, case experience, and stakeholder feedback to identify training, technical assistance, and system-improvement needs.
• Consult with HCPF Legal or the Attorney General’s Office when legal interpretation or guidance is necessary.

Residency Requirement

Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights

This posting is only open to residents of the State of Colorado at the time of submitting your application.

Class Code And Class Description

Administrator IV H1B4XX

Minimum Qualifications

Experience Only: Seven (7) years of relevant professional experience in Medicaid, LTSS/HCBS, behavioral health, disability services, criminal justice, OR a related health and human services field. Relevant experience must include complex care coordination, program or policy implementation, and collaboration across agencies or service systems.

OR

Education And Experience: Bachelor's degree from an accredited institution in Public Administration, Business Administration, Criminal Justice, Social Work, Health Care Policy, or related field AND Three (3) years of relevant professional experience in Medicaid, LTSS/HCBS, behavioral health, disability services, criminal justice, OR a related health and human services field. Relevant experience must include complex care coordination, program or policy implementation, and collaboration across agencies or service systems.

Preferred Qualifications

• Demonstrated ability to interpret and operationalize statutes, regulations, court orders, Medicaid requirements, or other complex legal and policy requirements and translate them into procedures, workflows, guidance, or individual case decisions.
• Professional experience working within Colorado Medicaid, Long-Term Services and Supports (LTSS), Home and Community-Based Services (HCBS), or a comparable publicly funded health and human services system, including experience navigating eligibility, waiver services, case management, benefits, and/or residential services.
• Experience working with individuals with intellectual and developmental disabilities, neurocognitive disorders, serious behavioral health needs, or other complex support needs, particularly individuals requiring coordination across multiple service systems.
• Experience coordinating complex or high-risk cases involving multiple agencies or systems, such as Medicaid, behavioral health, developmental disability services, health care, courts, corrections, probation, law enforcement, crisis services, or protective services.
• Knowledge of or experience with the criminal competency system, including competency to proceed, individuals found unlikely or unable to be restored to competency, civil commitment, protective placement, court orders, or transitions from criminal justice settings into health or human services systems.
• Experience providing technical assistance, consultation, or training to professionals or organizations responsible for implementing complex programs or requirements.
• Prior state experience related to the duties of this position

Definition Of Professional Experience

Work that involves exercising discretion, analytical skill, judgment, personal accountability, and responsibility for creating, developing, integrating, applying, and sharing an organized body of knowledge that characteristically is uniquely acquired through an intense education or training regimen at a recognized college or university; equivalent to the curriculum requirements for a bachelor's or higher degree with major study in or pertinent to the specialized field; and continuously studied to explore, extend, and use additional discoveries, interpretations, and application and to improve data, materials, equipment, applications and methods.

Conditions Of Employment

• All positions at HCPF are security sensitive positions and require that the individuals undergo a criminal record background check as a condition of employment.
• Employees who have been disciplinary terminated, resigned in lieu of disciplinary termination, or negotiated their termination from the State of Colorado must disclose this information on the application.

Appeal Rights

An applicant who has been removed from an employment list or removed from consideration during the selection process may request a review by the State Personnel Director.

As an applicant directly affected by the results of the selection or comparative analysis process, you may file a written appeal with the State Personnel Director.

Review of the completed, signed and submitted appeal will be timely on the basis of written material submitted by you, using the official appeal form signed by you or your representative. This form must be completed and delivered to the State Personnel Board by email at [e-mail] within ten (10) calendar days from your receipt of notice or acknowledgement of the Department’s action.

For further information on the Board Rules, you can refer to 4 Colorado Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, atspb.colorado.gov/board-rules.