Appendix D Terminology.docx

HCPF Solicitation #:

RFP UHAA 2026000258

Home and Community Based Services Quality and Member Experience Monitoring Appendix D Terminology

Defined Terms The following list is provided to assist the reader in understanding specifically defined terms used in this solicitation. Any term specifically defined in the body of the solicitation or in any other Appendix shall have the meaning attributed to it in that document.

Business Day – Any day in which the State is open and conducting business, but shall not include Saturday, Sunday, or any day which the State observes one of the holidays listed in C.R.S. §24–11–101(1).

Business Interruption – Any event that disrupts the Contractor’s ability to complete the Work for a period of time, and may include, but is not limited to a Disaster, power outage, strike, loss of necessary personnel or computer virus.

Child Health Plan Plus – Colorado’s public low–cost health insurance for certain children and pregnant women. It is for people who earn too much to qualify for Health First Colorado, but not enough to pay for private health insurance.

Closeout Period – The period beginning on the earlier of 90 days prior to the end of the last Extension Term or notice by the Department of its decision to not exercise its option for an Extension Term, and ending on the day that the Department has accepted the final deliverable for the Closeout Period, as determined in the Department–approved and updated Closeout Plan, and has determined that the closeout is complete.

Consumer Price Index – the Consumer Price Index published by the US Department of Labor, Bureau of Labor Statistics.

Contract – The agreement, including all attached Exhibits, all documents incorporated by reference, all referenced statutes, rules and cited authorities, and any future modifications thereto, that is entered into as a result of this solicitation.

Contract Funds – The funds that have been appropriated, designated, encumbered, or otherwise made available for payment by the State under the Contract resulting from this Solicitation.

Contractor – The individual or entity selected as a result of this solicitation to complete the Work contained in the Contract.

Contractor Pre–Existing Material – Material, code, methodology, concepts, process, systems, technique, trade or service marks, copyrights, or other intellectual property developed, licensed or otherwise acquired by Contractor prior to the Effective Date of this Contract and independent of any services rendered under any other contract with the State.

Data – State Confidential Information and other State information resources transferred to the Contractor for the purpose of completing a task or project assigned in the Statement of Work.

Deliverable – Any tangible or intangible object produced by Contractor as a result of the work that is intended to be delivered to the Department, regardless of whether the object is specifically described or called out as a “Deliverable” or not.

Department – The Colorado Department of Health Care Policy and Financing, a department of the government of the State of Colorado.

Disaster – An event that makes it impossible for Contractor to perform the Work out of its regular facility or facilities, and may include, but is not limited to, natural disasters, fire or terrorist attacks.

Effective Date – The date on which the Contract resulting from this solicitation is approved and signed by the Colorado State Controller or designee, as shown on the Signature and Cover Page for the Contract.

Goods – Any movable material to be acquired, produced, or delivered by Contractor which shall include any movable material acquired, produced, or delivered by Contractor in connection with the Services.

Health First Colorado – Colorado’s Medicaid program.

Incident – Any accidental or deliberate event that results in or constitutes an imminent threat of the unauthorized access or disclosure of State Confidential Information or of the unauthorized modification, disruption, or destruction of any State Records.

Key Personnel – The position or positions that are specifically designated as such in the Contract.

Member – Any individual enrolled in the Colorado Medicaid program, Colorado’s CHP+ program or the Colorado Indigent Care Program, as determined by the Department.

Offeror – Any individual or entity that submits a proposal, or intends to submit a proposal, in response to this solicitation.

Operational Start Date – When the Department authorizes the Contractor to begin fulfilling its obligations under the Contract.

Other Personnel – Individuals and Subcontractors, in addition to Key Personnel, assigned to positions to complete tasks associated with the Work.

Personally Identifiable Information – Personally identifiable information including, without limitation, any information maintained by the State about an individual that can be used to distinguish or trace an individual’s identity, such as name, social security number, date and place of birth, mother’s maiden name, or biometric records; and any other information that is linked or linkable to an individual, such as medical, educational, financial, and employment information. PII includes, but is not limited to, all information defined as personally identifiable information in §24–72–501 C.R.S.

Protected Health Information – Any protected health information, including, without limitation any information whether oral or recorded in any form or medium: (i) that relates to the past, present or future physical or mental condition of an individual; the provision of health care to an individual; or the past, present or future payment for the provision of health care to an individual; and (ii) that identifies the individual or with respect to which there is a reasonable basis to believe the information can be used to identify the individual. PHI includes, but is not limited to, any information defined as Individually Identifiable Health Information by the federal Health Insurance Portability and Accountability Act.

Provider – Any health care professional or entity that has been accepted as a provider in the Colorado Medicaid program, Colorado’s CHP+ program or the Colorado Indigent Care Program, as determined by the Department.

Services – The services to be performed by Contractor as set forth in this Solicitation, and shall include any services to be rendered by Contractor in connection with the Goods.

Start–Up Period – The period starting on the Effective Date and ending on the Operational Start Date.

State – The State of Colorado, acting by and through any State agency.

State Fiscal Rules – The fiscal rules promulgated by the Colorado State Controller pursuant to C.R.S. §24–30–202(13)(a).

State Fiscal Year – The 12-month period beginning on July 1 of each calendar year and ending on June 30 of the following calendar year. If a single calendar year follows the term, then it means the State Fiscal Year ending in that calendar year.

State Records – Any and all State data, information, and records, regardless of physical form, including, but not limited to, information subject to disclosure under CORA.

Subcontractor – Third-parties, if any, engaged by Contractor to aid in performance of the Work.

Tax Information – Federal and State of Colorado tax information including, without limitation, federal and State tax returns, return information, and such other tax–related information as may be protected by federal and State law and regulation. Tax Information includes, but is not limited to all information defined as federal tax information in Internal Revenue Service Publication 1075.

Work – The delivery of the Goods and performance of the Services described in the Contract.

Work Product – The tangible and intangible results of the Work, whether finished or unfinished, including drafts. Work Product includes, but is not limited to, documents, text, software (including source code), research, reports, proposals, specifications, plans, notes, studies, data, images, photographs, negatives, pictures, drawings, designs, models, surveys, maps, materials, ideas, concepts, know–how, and any other results of the Work. “Work Product” does not include any material that was developed prior to the Effective Date that is used, without modification, in the performance of the Work.

Acronyms and Abbreviations The following list is provided to assist the reader in understanding certain acronyms and abbreviations used in this solicitation:

CAPI – Computer Assisted Personal Interviewing software CFR – Code of Federal Regulations CHP+ –Child Health Plan Plus CMA – Case Management Agency CORA –Colorado Open Records Act, C.R.S. §24–72–200.1, et. seq.

C.R.S. – Colorado Revised Statutes CPI – Consumer Price Index CPI-U – CPI for all urban consumers HCBS – Homes and Community Based Sevices HIPAA – Health Insurance Portability and Accountability Act of 1996, as amended.

HSRI – Human Resources Research Institute MFP – Money Follows the Person MVR – Motor Vehicle Records NASDDDS - National Association of State Directors of Developmental Disabilities Services NASUAD - National Association of States United for Aging and Disabilities NCI-AD – National Core Indicators – Aging and Disability NCI-IDD – National Core Indicators – Intellectual Developmental Disabilities ODESA - Online Data Entry Survey Application PCI – Payment Card Information PHI – Protected Health Information PII – Personally Identifiable Information RFP – Request for Proposals SFY – State Fiscal Year U.S.C. – United States Code VARA – Visual Rights Act of 1990 Appendix D, Terminology Page 2 of 6 Solicitation #: RFP UHAA 2026000258 image1.png