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Accountable Care Collaborative
Phase II Update
May 18, 2018                                                                                    
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The next iteration of the Accountable Care Collaborative (ACC) will begin July 1, 2018. The goals of the next phase are to improve member health and reduce costs.

In November 2017, the Department announced the awards for the seven Regional Accountable Entity (RAE) contracts. The Department has made available the contact information, proposals  and contracts for each of the entities on CO.gov/HCPF/ACCPhase2 . 

In this issue, you'll find:
  • Countdown to Phase II
  • Contracting Guidance for Mental Health and Substance Use Disorder Providers
  • What Physical Health Providers Must Do to Have Members Attributed Submit Your Questions 
  • Resources
  • Contacting Your Regional Accountable Entity


The Department is working closely with the RAEs, Health First Colorado Enrollment, DXC Technologies, outgoing contractors and other contractors to ensure a smooth transition of this substantial program transformation. We recognize there will be issues that arise with such a sizeable  undertaking and are developing processes to prioritize and work through issues.

At this time, we ask that members, providers and other interested parties start by contacting their RAE if they have questions. In addition, interested parties can submit their questions to the Department using this form. 

The Department will not be able to respond directly to all inquiries but will work closely with the RAEs and other contractors to address critical issues. The Department will continue to use the questions submitted to tailor upcoming communications and resources.

We ask for everyone's cooperation as we work to identify and resolve critical issues.

Contracting Guidance for Mental Health and Substance Use Disorder Providers
 
On July 1, 2018, the new RAEs will administer the capitated behavioral health benefit. All behavioral health providers who want to receive reimbursement for providing mental health and substance use disorder services covered by the capitated behavioral health benefit must contract directly with the RAE(s).
 
Behavioral health providers must be enrolled as a Health First Colorado provider and will need to be contracted and credentialed by the RAE to receive reimbursement for providing capitated behavioral health services as of July 1, 2018. As behavioral health providers frequently care for members who live outside of their RAE region, behavioral health providers are encouraged to contract with multiple RAEs.
 
The RAEs are prepared to work with behavioral providers to ensure continuity of care if a provider's contracting and credentialing process is not complete by July 1.

Action Needed
  • Contact a RAE immediately to begin the contracting and credentialing process. Behavioral health providers must contract with and be credentialed by a RAE to receive reimbursement for providing capitated behavioral health services after June 30, 2018.
  • Continue billing your current BHO for capitated behavioral health benefit services through June 30, 2018.
For more information please see the follow resources:
What Physical Health Providers Must Do to Have Members Attributed
  • Be validated by the Department and enrolled as a Medicaid provider in the Colorado interChange. Providers that successfully revalidated do not need to do so again.
  • Contract with a RAE. Each site of a practice must be contracted with a RAE as a PCMP to receive attributions. For more information see our  Primary Care Medical Provider Contracting Guidance Fact Sheet on CO.gov/HCPF/ACCPhase2.
  • Use the correct site ID in billing. Submit claims with the right service location ID and address where services are rendered, so the member is attributed to the right location. For guidance, see our Multiple Service Locations Fact Sheet.
For more information on attribution review our fact sheet and   frequently asked questions.

Resources Available on CO.gov/HCPF/ACCPhase2

ACC Phase II Implementation Process Overview
Recorded Webinar

ACC Phase II Key Concepts
 
ACC Phase II Attribution
 
ACC Phase II: Provider Contracting (What Providers Need to Know)
Recorded Webinar

ACC Phase II: Short-term Behavioral Health Services in the Primary Care Setting
The Department is working to develop additional guidance on this topic that will be published in the coming weeks.

ACC Phase II: Performance Measurement

Phase II Questions

Interested parties can submit their questions to the Department using this form on  CO.gov/HCPF/ACCPhase2 . The Department will not be able to respond directly to all inquiries but will use the questions submitted to tailor upcoming communications and resources. 

Contacting Your Regional Accountable Entity

Providers are strongly encouraged to contact their RAE directly regarding contracting. 

Region 
Regional Accountable Entity 
Contact Information
1 
Rocky Mountain Health Plans 
2 
Northeast Health Partners 
9925 Federal Drive, Suite 100
Colorado Springs, CO 80921
Phone: 1-800-804-5040
Email:  [email protected]
3 
Colorado Access 
Amber Garcia
Phone: 720-744-5487
Email:  [email protected]
4 
Health Colorado, Inc. 
9925 Federal Drive, Suite 100
Colorado Springs, CO 80921
Phone: 1-800-804-5040
Email:  [email protected]
5 
Colorado Access 
Amber Garcia
Phone: (720) 744-5487
Email:  [email protected]
6 
CO Community Health Alliance 
Phone: 303-256-1717 (Local) 855-627-4685 (Toll-Free)
 Contact Us
7 
CO Community Health Alliance 
Phone: 303-256-1717 (Local) 855-627-4685 (Toll-Free)
 Contact Us

Stay Informed
We encourage all interested parties to check out our Accountable Care Collaborative Phase II site for the latest information: CO.gov/HCPF/ACCPhase2 .


Colorado Dept. of Health Care Policy & Financing  
(303) 866-2993 | 1570 Grant Street, Denver, CO 80203