Accountable Care Collaborative

The Department of Health Care Policy & Financing (Department) is committed to creating a high-performing, cost-effective Medicaid system that delivers quality services and improves the health of Coloradans. The next iteration of the Accountable Care Collaborative (ACC) seeks to leverage the proven successes of Colorado Medicaid's programs to enhance the Health First Colorado (Colorado's Medicaid program) member and provider experience.

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Goals of the Accountable Care Collaborative

  • Improve member health
  • Reduce costs

Objectives of the Accountable Care Collaborative

  • Join physical and behavioral health under one accountable entity
  • Strengthen coordination of services by advancing Team-based Care and Health Neighborhoods
  • Promote Member choice and engagement
  • Pay providers for the increased value they deliver
  • Ensure greater accountability and transparency

Regional Accountable Entities

In November 2017, the Department announced the awards for the seven Regional Accountable Entity (RAE) contracts. The Department is pleased to announce the below entities have been awarded contracts. The following can be found in the drop down below:

  1. Contact Information of each Regional Accountable Entity
  2. Proposal Submitted by each Regional Accountable Entity
  3. Executed Contract for each Regional Accountable Entity
Region Entity, Proposals and Contracts Contact Information for Providers Contact Information for Health First Colorado Members
1

Rocky Mountain Health Plans
Proposal
Contract

Email: RAESupport@rmhp.org
Phone: 1-888-282-8801 
1-888-282-8801
Monday-Friday, 8:00 a.m. to 5:00 p.m.
State Relay: 711 for callers with hearing or speech disabilities
Email: customer_service@rmhp.org
Live chat at: https://www.rmhp.org
2

Northeast Health Partners
Proposal
Contract

Attachments:

9925 Federal Drive, Suite 100
Colorado Springs, CO 80921
Phone: 1-800-804-5040

Email:
COProviderRelations@beaconhealthoptions.com

1-888-502-4189
Care Coordination Line: 1-888-502-4190
Monday-Friday, 8:00 a.m. to 5:00 p.m.
State Relay: 711 for callers with hearing or speech disabilities
Northeast Health Partners Website
3

Colorado Access
Proposal
Contract

Provider Engagement
720-744-5667
1-844-430-6684
Email: ProviderRelations@coaccess.com

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
Colorado Access Website
4

Health Colorado, Inc.
Proposal
Contract

Attachments:

9925 Federal Drive, Suite 100
Colorado Springs, CO 80921
Phone: 1-800-804-5040

Email:
COProviderRelations@beaconhealthoptions.com

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
Health Colorado Website
5

Colorado Access
Proposal
Contract

Provider Engagement
720-744-5667
1-844-430-6684
Email: 
ProviderRelations@coaccess.com
303-368-0038 (Denver County) or 1-855-384-7926 (toll free)
Monday-Friday, 8:00 a.m. to 5:00 p.m.
State Relay: 711 for callers with hearing or speech disabilities
Colorado Access Website
6

Colorado Community Health Alliance
Proposal
Contract

Phone: 303-256-1717 (local)
or 1-855-627-4685 (toll free)
Contact Us
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
Colorado Community Health Alliance Website
7

Colorado Community Health Alliance
Proposal
Contract

Phone: 719-598-1540 (local)
or 1-855-627-4685 (toll free)
Contact Us
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
Colorado Community Health Alliance Website


Regional Accountable Entity Map

Provider and Stakeholder Resource Center

The Department has published and will regularly update information on this Provider and Stakeholder Resource Center. This resource center includes fact sheets, FAQs webinars and other resources for providers and stakeholders the Accountable Care Collaborative.

Member Messaging Resource Center

The Department has developed and will regularly update this Member Messaging Resource Center. This resource center includes messaging for Health First Colorado members that can be used by our partners including sample letters, talking points, frequently asked questions, and more‚ all developed with our Health First Colorado members in mind. We ask our partners to use these resources when communicating with Health First Colorado members about the next iteration of the ACC.

Section 1915(b) Waiver

The Department recently submitted to the Centers for Medicare and Medicaid Services (CMS) the Section 1915(b) Waiver Proposal for ACC Phase II. This waiver provides the federal authority to establish the ACC as a mandatory program and to create single regional managed care entities responsible for promoting physical and behavioral health for members. This waiver replaces the previous Behavioral Health Organization (BHO) waiver. CMS approved the waiver on May 21, 2018.

Section 1915(b) Waiver

Stakeholder and Provider Updates

The Department shares regular updates via email on the Accountable Care CollaborativeSign up for our updates.

Regional Accountable Entities Request for Proposal Development

Regional Accountable Entity for the Accountable Care Collaborative RFP Body
Appendix A Administrative Information
Appendix AA Denver Health Medicaid Choice Contract
Appendix B Draft Personal Services Contract
Appendix BB Draft Behavioral Health Capitation Rates

Appendix C W-9
Appendix CC Health Maintenance Organization Rate Development
Appendix D Map of Regions
Appendix DD Rocky Mountain PRIME Capitation Rate Development
Appendix E Assignment Estimates
Appendix EE Provider Type Codes
Appendix F Enrollment and Attribution
Appendix FF Behavioral Health Penetration Rates
Appendix G Health Needs Survey Questions
Appendix GG Behavioral Health Organization Network of Providers
Appendix H Primary Care - Specialist Physician Collaborative
Appendix HH Data Sets

Appendix I Population Health Management Plan
Appendix II Deliverable List
Appendix J Stratification Report
Appendix JJ HIPAA BAA
Appendix K Practice Support Tools and Resources
Appendix KK Regional Accountable Entity for the Accountable Care Collaborative - Data Access Request
Appendix L Colorado Client Assessment Record
Appendix LL Data Use Agreement
Appendix M Primary Care Alternative Payment Methodology
Appendix MM Ownership Controlling Interest and Conviction Disclosure Completion Instructions
Appendix N Development Disability and Traumatic Brain Injury Guidance
Appendix O Capitated Behavioral Health Benefit Covered Services
Appendix P Short-term Behavioral Health Services in a Primary Care Setting
Appendix Q Peer Specialist Core Competencies
Appendix R 1915(b)(3) Services Report
Appendix S Non-State Plan 1915(b)(3) Waiver Services Plan
Appendix T Medical Loss Ratio Calculation Template
Appendix U Performance Measures
Appendix V Community Behavioral Health Services Program Performance Incentive Program
Appendix W Disproportionate Share and Graduate Medical Education Hospital Reporting
Appendix X Memorandum of Understanding between CMS and the State of Colorado
Appendix Y Final Demonstration Agreement
Appendix Z Rocky Mountain Health Maintenance Organization Amendment 5

Draft Request for Proposals and Stakeholder Comments

The Department would like to thank the more than 255 providers, advocates, potential vendors and other stakeholders who provided comments on the draft Accountable Care Collaborative Phase II draft request for proposals (RFP) and corresponding appendices. The Department sought targeted comments on the draft RFP from stakeholders to help refine the content for the formal release of the RFP in the spring 2017.

Since April 2014, the Department has been in ongoing conversations with stakeholders across the state regarding the next iteration of the Accountable Care Collaborative. The Department sought targeted comments between November 4, 2016 and January 13, 2017 on the draft RFP from stakeholders to help refine the content for the formal release of the RFP in the spring 2017. The snapshot below shows the Department's outreach efforts on the draft RFP.

The Department has worked diligently to distill, and where possible, incorporate comments received on the draft RFP.

Respondents expressed in their comments overall support for increasing integration of the behavioral and physical health systems, increased focus on member responsiveness, and increased steps to build the health neighborhood.

The Department was able to make some updates to the RFP and encourages stakeholders to review the final scope of work in the RFP for additional details. Some reoccurring comments, however, were unable to be incorporated in to the RFP by the Department including:

  • Requests for expanding Health First Colorado benefits
  • Requests for alterations to federal managed care regulation language and requirements, including number of deliverables
  • Requests for prescriptive requirements impacting specific target populations
  • Recommendations that are more appropriate for implementation rather than contracting
Key Concepts and Fact Sheets

Accountable Care Collaborative Phase II Key Concepts

In mid-October 2015, the Department published the ACC Phase II Concept Paper. The Concept Paper provided a venue to share some of the Department's proposed plans for reforming Medicaid and initiate conversations with federal, state, and local partners. From the onset, the Department planned to adjust some proposed policies based on further research and stakeholder feedback. Current policy and program decisions can be found below under the heading ACC Model Details, Policy and Program Decisions, Whitepapers and Fact Sheets.
ACC Phase II Overview Presentation (updated April 2016)

ACC Phase II Overview of Key Concepts (updated February 2016): This fact sheet provides a brief overview of the Phase II key concepts. For additional information please refer to the Concept Paper.

ACC Phase II Overview of Stakeholder Engagement: This fact sheet provides a brief overview of the various phases of stakeholder engagement related to the ACC Phase II.

ACC Program Improvement Advisory Committee (PIAC) Structure: This fact sheet provides an overview of the PIAC structure. This committee and subcommittees have been an integral part of the development of ACC Phase II.

ACC Budget and Legislative Authority Timeline: This fact sheet provides a brief timeline of the budget and legislative action related to the ACC.

ACC Phase I Request for Proposals (RFP) from 2010: This is the full text of the RCCO RFP (ACC I Request for Proposals) released in 2010. It contains the foundation on which the ACC Program is based.

Fact Sheets and Policy Decisions

Framework for Behavioral Health Reimbursement: This document outlines the Department's framework for behavioral health reimbursement under Phase II.

Behavioral Health Reimbursement Program Decision: This documents updates the stakeholder on a change to the Department's proposal for reimbursing behavioral health services.

ACC Phase II Program Decision Reimbursement for Behavioral Health Services Presentation: Recorded presentation that provides an overview of ACC Phase II, behavioral health key concepts, the procurement timeline and how to stay informed.

April 2015 ACC Model Details and Policy DecisionsThis document explains three key structural decisions that have been made for the ACC Model in the future: RCCO-BHO Administrative Structure, Regional Maps, and Payment.

Q and A from the ACC Model Details and Policy Decisions DocumentThis document responds to the questions we've received related to the April 2015 Model Details and Policy Decisions document.

Stakeholder Meeting Summaries
The list below includes meetings the ACC Phase II Team either hosted or presented at regarding the Phase II development.
 
December 2016    
Stakeholder Engagement Webinar

Stakeholder Engagement Webinar Slides

Recorded Stakeholder Engagement Webinar

December 15, 2016
CDPHE Medical Home Forum Slide Presentation December 13, 2016
Medical Services Board Slide Presentation December 9, 2016
Durango Slide Presentation December 3, 2016
Colorado Springs Slide Presentation December 1, 2016
Alamosa Slide Presentation December 1, 2016
November 2016    
Fort Collins Slide Presentation November 30, 2016
State Medical Assistance and Services Advisory Council (NiteMAC) Meeting Slide Presentation November 30, 2016
Pueblo Slide Presentation November 30, 2016
Grand Junction Slide Presentation November 30, 2016
Stakeholder Engagement Webinar

Stakeholder Engagement Webinar Slides

Recorded Stakeholder Engagement Webinar

November 29, 2016
Glenwood Springs Slide Presentation November 29, 2016
Burlington Slide Presentation November 29, 2016
Aurora Slide Presentation November 29, 2016
Stakeholder Engagement Webinar

Stakeholder Engagement Webinar Slides

Recorded Stakeholder Engagement Webinar

November 21, 2016
Golden Slide Presentation November 18, 2016
Greeley Slide Presentation November 18, 2016
Longmont Slide Presentation November 17, 2016
ACC Program Improvement Advisory Committee (PIAC) Meeting Slide Presentation November 16, 2016
June 2016    
ACC Client Perspective, COMMIT Presentation   June 15, 2016
Provider and Community Issues Subcommittee Meeting   June 9, 2016
May 2016    
EPCM Review Findings, MMP Recommendations for Phase II RFP   May 18, 2016
Provider and Community Issues Subcommittee Meeting   May 12, 2016
April 2016    
ACC Program Improvement Committee *   April 20, 2016
March 2016    
March 2016 Behavioral Heath Transformation Council *   March 14, 2016
ACC Program Improvement Committee *   March 16, 2016
ACC Provider and Community Issues - ACC Program Improvement Committee Subcommittee Meeting   March 10, 2016
ACC: Medicare-Medicaid Program Subcommittee   March 3, 2016
February 2016    
ACC Program Improvement Advisory Committee   February 17, 2016
January 2016    
ACC Program Improvement Advisory Committee   January 20, 2016
December 2015    
Presentation at All Kids Covered Meeting*   December 4, 2015
ACC Phase II Behavioral Health Community Meeting   December 7, 2015
Presentation at Disability Community Representatives / Department Meeting*   December 8, 2015
Colorado Medical Home Forum*   December 8, 2015
Presentation at Colorado Community Health Network Board Meeting*   December 9, 2015
ACC Provider and Community Issues - ACC Program Improvement Committee Subcommittee Meeting*   December 10, 2015
Presentation at Medical Services Board*   December 11, 2015
ACC Program Improvement Advisory Committee   December 16, 2015
November 2015    
ACC: Medicare-Medicaid Program Subcommittee*   November 5, 2015
ACC Phase II Open Forum   November 10, 2015
ACC Provider and Community Issues - ACC Program Improvement Committee Subcommittee Meeting*   November 12, 2015
ACC Program Improvement Advisory Committee   November 18, 2015
Presentation at State Medical Assistance and Services Advisory Council Meeting*   November 18, 2015
Presentation at Alliance/State Forum Meeting*   November 19, 2015
Presentation at Colorado Health Institute's Safety Net Advisory Committee (SNAC) Lab*   November 19, 2015
October 2015    
ACC Provider and Community Issues - ACC Program Improvement Committee Subcommittee Meeting*   October 8, 2015
ACC Program Improvement Advisory Committee   October 21, 2015
ACC Health Impact on Lives: Health Improvement - ACC Program Improvement Committee Subcommittee Meeting*   October 28, 2015
ACC: Medicare-Medicaid Program Learning Symposium*   October 29-30, 2015
September 2015    
ACC Provider and Community Issues - ACC Program Improvement Committee Subcommittee Meeting*   September 10, 2015
ACC Program Improvement Advisory Committee   September 16, 2015
ACC Health Impact on Lives: Health Improvement - ACC Program Improvement Committee Subcommittee Meeting*   September 23, 2015
August 2015    
ACC Program Improvement Advisory Committee   August 19, 2015
July 2015    
Larimer County Meeting   July 8, 2015
Larimer County Meeting   July 9, 2015
Weld County Meeting   July 13, 2015
ACC Program Improvement Advisory Committee   July 15, 2015
Elbert County Meeting - Kiowa   July 15, 2015
June 2015    
ACC Program Improvement Advisory Committee   June 17, 2015
May 2015    
ACC Program Improvement Advisory Committee   May 20, 2015
April 2015    
ACC Program Improvement Advisory Committee to discuss ACC Regional map and care coordination *   April 15, 2015
ACC Provider and Community Issues Subcommittee Meeting to discuss regional map *   April 16, 2015
March 2015    
ACC Program Improvement Advisory Committee   March 18, 2015
January 2015    
Preliminary findings from ACC Request for Information presented to ACC Program Improvement Committee   January 21, 2015
December 2015    
ACC Program Improvement Advisory Committee   December 17, 2014
November 2014    
ACC Program Improvement Advisory Committee   November 19, 2014
October 2014    
Ongoing Stakeholder Engagement Strategy - Discussion at ACC Program Improvement Committee   October 15, 2014
September 2014    
RFI Question Review - Discussion at ACC Program Improvement Committee   September 17, 2014
August 2014    
Practice Support Requirements - Discussion at ACC Program Improvement Committee   August 20, 2014
July 2014    
Care Coordination Requirements - Discussion at ACC Program Improvement Committee   July 16, 2014
June 2014    
Meeting at RCCO 1 (Durango)   June 19, 2014
May 2014    
Meeting at RCCO 3 and 5 (Denver)   May 6, 2014
Meeting at RCCO 1 (Fort Collins)   May 9, 2014
Meeting at RCCO 7 (Colorado Springs)   May 27, 2014
April 2014    
Meeting at RCCO 1 (Glenwood Springs)   April 14, 2014
Meeting at RCCO 6 (St. Anthony's Hospital, Lakewood)   April 15, 2014
Strategy Session at ACC Program Improvement Committee   April 16, 2014
Meeting at RCCO 4 (Pueblo)   April 22, 2014
Meeting at RCCO 2 (Evans)   April 23, 2014
2014 Request for Information

The release of the ACC Request for Information (RFI) is one of the first steps to determine what the ACC will look like in the future.

RFIs are used to solicit advice and expertise from the public in advance of the creation of an RFP or a contract. Anyone is welcome to respond to an RFI, though oftentimes certain sections of an RFI are tailored to specific groups or entities - like providers, clients, or potential vendors. Alongside Colorado Health Institute (CHI), the Department has attended numerous public meetings across the state to hear stakeholders' concerns and aspirations. These conversations have helped to inform the RFI process.

The RCCO RFI was a "question-only" request for information. This means the RFI contained a series of targeted questions, rather than extensive draft contract language. This process has two advantages. First, it allows respondents greater latitude to focus on the areas they think are most important. Second, the information and perspectives shared by respondents are able to frame the conversation before specific contract requirements are formulated.

The RFI was released in late October 2014 and formal responses were due on November 24, 2014.

The RFI questions are available on Colorado BIDS and below.

Executive Summary of ACC RFI
Text of Responses to ACC RFI
Download the ACC Request for Information
Download a printable version of the ACC Request for Information