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Colorado pilots unified digital records for IDD

Dec 17, 2025

Colorado has launched a pilot program to unify digital records for individuals receiving intellectual and developmental disabilities (IDD) services. The initiative aims to create a comprehensive framework that consolidates data from various providers and service systems. This unified system is designed to improve care coordination, reduce duplication, and enhance reporting capabilities for both providers and state administrators.

The pilot brings together disparate data sources, including Medicaid claims, service plans, and health records, into a single digital platform. By doing so, it addresses longstanding challenges in managing fragmented information across multiple agencies involved in IDD care. This integrated record system supports more efficient service delivery and enables timely access to critical information for care teams.

Improving compliance and funding oversight

The unified records framework also strengthens compliance monitoring by providing a clear audit trail of service delivery and billing activities. With accurate and accessible data, Colorado officials can better ensure adherence to Home and Community-Based Services (HCBS) requirements and Medicaid billing regulations, including Electronic Visit Verification (EVV).

Additionally, consolidating data assists in analyzing cost trends and funding allocations within the IDD service system. This visibility aids in identifying resource gaps and supports informed decision-making for future rate setting and waiver modifications. The pilot’s success could offer a model for other states seeking to modernize their IDD data infrastructure.

Technology and workforce impact

Adoption of the digital records framework has implications for both technology use and workforce management in IDD care. Providers involved in the pilot report streamlined administrative workflows and reduced paperwork, allowing staff to focus more on direct client support. The system’s user-friendly interface facilitates training and encourages consistent data entry across diverse care settings.

Moreover, unified data supports workforce planning by highlighting service demands and staffing patterns. This insight helps agencies address recruitment and retention challenges that impact care quality and availability. As the pilot progresses, Colorado officials will evaluate scalability and potential integration with other health and social service programs.

The Colorado digital records pilot represents a strategic step toward enhanced data interoperability and service coordination in IDD care. Its outcomes will inform ongoing efforts to leverage technology in support of Medicaid compliance, efficient funding use, and workforce optimization.