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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.
The contact information,
proposals
and contracts for each of the new seven Regional Accountable Entities are available on
CO.gov/HCPF/ACCPhase2
.
In this issue, you'll find:
- Countdown to Phase II
- Payment for Physical Health Services
- Member Communications
- Submitting Questions
- Key Resources
- Contact Information
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Key Milestone Updates
Attribution & Enrollment Letters
Health First Colorado members began receiving letters indicating a member's attribution and enrollment. The majority of letters will be mailed between June the last week of June26 and mid-July.
Information about the letters can be found on our Member Messaging Resources Center on
CO.gov/HCPF/ACCPhase2
.
- Members should contact Health First Colorado Enrollment if they have any questions regarding their letter at 1-888-367-6557. State Relay: 711 for callers with hearing or speech disabilities. Call Monday to Friday, 8 a.m. to 5 p.m.
- Providers should contact their RAE for information about the attribution process or if they have questions about their list of assigned members.
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Payment for Physical Health Services
Physical health services will continue to be reimbursed fee-for-service. Member assignment to a primary care medical provider (PCMP)
does not
affect
fee-for-service payments to providers.
While the ACC program promotes member utilization of the assigned PCMP and use of referrals for specialty care, the ACC does not lock members in to a PCMP or require referrals for health services.
A member's assignment to a PCMP
does affect the administrative payments made by the RAE to the PCMP, so providers should encourage members to change their PCMP by contacting Health First Colorado Enrollment.
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Member Communications
The Department has developed a Member Messaging Resource Center for our partners on
CO.gov/HCPF/ACCPhase2
. This resource center will provide you the latest information and messaging for Health First Colorado members related to the ACC. We will regularly add to the resource center, so check back often.
The following resources are available now:
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Submitting Questions
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 direct questions to the appropriate entity while we 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.
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Key Resources
Key Concepts
Attribution
Provider Contracting (What Providers Need to Know)
Short-term Behavioral Health Services in the Primary Care Setting
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Contact Information
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Region
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Entity Name
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Contact Information for Providers
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Contact Information for Health First Colorado Members
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1
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Rocky Mountain Health Plans
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2
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Northeast Health Partners
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9925 Federal Drive, Suite 100
Colorado Springs, CO 80921
Phone: 1-800-804-5040
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3
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303-368-0037 or 1-855-267-2095 (toll free)
Monday-Friday, 8:00 a.m. to 5:00 p.m.
State Relay: 711 for callers with hearing or speech disabilities
http://www.coaccess.com/
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4
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Health Colorado, Inc.
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9925 Federal Drive, Suite 100
Colorado Springs, CO 80921
Phone: 1-800-804-5040
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1-888-502-4185
Care Coordination Line: 1-888-502-4186
Monday-Friday, 8:00 a.m. to 5:00 p.m.
State Relay: 711 for callers with hearing or speech disabilities
https://www.healthcoloradorae.com/
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5
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Colorado Access
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303-368-0038 (Denver County) or 1-855-384-7926 (toll free) (Denver County)
Monday-Friday, 8:00 a.m. to 5:00 p.m.
State Relay: 711 for callers with hearing or speech disabilities
http://www.coaccess.com/
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6
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Colorado Community Health Alliance
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Phone: 303-256-1717 (Local) or 1-855-627-4685
Contact Us
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303-256-1717 or 1-855-627-4685 (toll free)
Monday-Friday, 8:00 a.m. to 5:00 p.m.
State Relay: 711 for callers with hearing or speech disabilities
http://www.cchacares.com/
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7
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Colorado Community Health Alliance
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Phone: 719-598-1540 (Local) or 1-855-627-4685
Contact Us
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719-598-1540, or 1-855-627-4685 (toll free)
Monday-Friday, 8:00 a.m. to 5:00 p.m.
State Relay: 711 for callers with hearing or speech disabilities
http://www.cchacares.com/
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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
.
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The Colorado Department of Health Care Policy and Financing complies with applicable federal and state civil rights laws and does not discriminate on the basis of race, color, ethnic or national origin, ancestry, age, sex, gender, sexual orientation, gender identity and expression, religion, creed, political beliefs, or disability. Learn more about our Nondiscrimination Policy.
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-221-3943 (State Relay: 711).
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1-800-221-3943 (State Relay: 711).
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