Also, their on-site review in April revealed that a number of serious incidents have continued to occur. The Pueblo Sheriffs Office said it had had investigated 19 claims about staffers at the Pueblo center and had referred eight cases to the District Attorneys Office in Pueblo for prosecution. Officials with the District Attorneys Office did not return numerous telephone calls seeking clarification on the status of those criminal cases. While the states corrective plan said state Medicaid officials still are trying to determine the best way to track critical incidents and occurrences at the Pueblo center and similarfacilities, that plan stressed that the state is making strides elsewheretoensure residents are safe. The Colorado Department of Human Services has put in place a new reporting system that automatically notifies that agencys executive management up to and including Bicha of serious incidents, according to the corrective plan. Thehuman services department is responsible for overseeing the daily operations at the center. The Colorado Department of Health Care Policy and Financing also plays a role since it is the states ultimate manager of Medicaid funds that finance the housing of residentsat the center. As fiscal agent, HCPF is in charge of ensuring the state is providing proper oversight of the daily operations. A third state agency, the health department, is in charge of licensing the center. The corrective plan noted that an employee with the states Medicaid agency now is housed with the health department to provide coordination and to provide follow up, resolution and trend analysis. State Medicaid officials also have boosted training of case managers to make sure they are now doing a better job of tracking abuse allegations. And a new position inHCPF has been created to review the abuse tracking by those case managers. There now are two other sets of eyes consistently on that reporting process that werent there before, said Barbara Ramsey, the HCPFs director of intellectual and developmental disabilities.What were working on now is to actually change the reporting systems so we have one streamlined, consistent process that goes into one system. Parents and guardians of people who live at the Pueblo center wereoutraged and frightened by the new abuse details that became public this week.
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