Update on Our Progress

 

Contracting & Attribution

The RAEs are currently working to execute their initial round of Primary Care Medicaid Provider (PCMP) contracts with eligible primary care providers before April 15, 2018. While the program will not begin until July 1, the Department requires this information in advance to process member attribution and enrollment by May 15, 2018. This will enable the Department to start notifying members of their RAE assignment by June 1, 2018. Get more information Primary Care Medical Provider and Behavioral Health Provider Contracting.

 

The Department is currently working with the fiscal agent, DXC Technology, to test the attribution processes and other enrollment functions. This new functionality will allow the RAEs and providers to review and monitor their member panels. To learn more about attribution, check out our recorded webinar  and   frequently asked questions .

 

Performance Measurement

The Department is working with its vendors to finalize the performance measure specifications. The Department's data analytics vendor, IBM Watson Health, will incorporate these measures in to the Data Analytics Portal so PCMPs and RAEs can view their performance monthly. Want to learn more about performance measurement in Phase II? Sign up for our webinar on April 24 .

 

Centers for Medicare and Medicaid Services 

Upcoming Webinars

 

ACC Phase II Performance Measurement

The purpose of this webinar is to describe performance measurement under ACC Phase II, including key performance indicators and behavioral health incentive program.

Date: April 24, 2018
Time: 12:00-1:00 p.m.
Registration:   https://cohcpf.adobeconnect.com/eqddww7shy1g/event/event_info.html 
Participation is capped at 200. The webinar will be recorded and posted online after April 24, 2018. Participants will be provided a Q&A opportunity through the webinar chat function. 

ACC Phase II Operational Guidance
The purpose of this webinar is to provide operational guidance on ACC Phase II.
Date: May 1, 2018
Time: 3:30-4:30 p.m.
Registration:  https://cohcpf.adobeconnect.com/eql9mwfemg21/event/event_info.html
Participation is capped at 200. The webinar will be recorded and posted online. Participants will be provided with a Q&A opportunity through the webinar chat function.

Attribution-Common Terms Defined

 

Enrollment: Enrollment is the term the Department uses for registering members into the ACC.

 

Assignment: Assignment is the method used to connect a Health First Colorado member to their RAE. For Phase II, the PCMP attribution will also determine a member's RAE assignment. Members will be assigned to the RAE region in which their PCMP is located.

 

Attribution: Attribution is the method used to link Health First Colorado members to their medical home, or PCMP.

 

Auto-attribution: Auto-attribution occurs when a Health First Colorado member is systematically assigned to a PCMP.

 

Want to learn more about the attribution process for Phase II? Check our recorded webinar  and   frequently asked questions .

Provider Contracting

 

In ACC Phase II, the RAEs are responsible for developing and managing a network of primary care physical health providers and behavioral health providers to ensure access to appropriate care for Health First Colorado members.

All primary care providers who want to serve as a PCMP must contract directly with the RAE(s). The Department will no longer have a unique PCMP contract with providers.

Behavioral Health providers will need to contract with and be credentialed by the RAE to receive reimbursement for providing capitated behavioral health services as of July 1, 2018. Behavioral Health providers must be enrolled as a Health First Colorado provider before they can be credentialed by a RAE.

Note: Provider contracting with the RAE is separate from revalidation through Colorado interChange. Health First Colorado providers with a current enrollment (successfully completed revalidation through the Colorado interChange) with the fiscal agent, DXC Technology DXC, do not need to make changes to their enrollment to contract with the RAE(s).

Check out our Primary Care Medical Provider and Behavioral Health Provider Contracting  Fact Sheets on   CO.gov/HCPF/ACCPhase2 for more information.

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. 

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 .