What's New: Latest Resources on the Accountable Care Collaborative
- Preparing for Accountable Care Collaborative: Phase III
- Ensuring a Full Continuum SUD Benefits
- Provider and Stakeholder Resources Center
- Health First Colorado Member Messaging Resource Center
- Behavioral Health Services Fact Sheet and Frequently Asked Questions
- Identifying Denver Health Member Enrollment in the Provider Web Portal
- Transition of Care Policy (Updated February 26, 2020)
- ACC Phase II Frequently Asked Questions for Counties (Updated July 10, 2018)
- Short-term Behavioral Health Services in Primary Care Fact Sheet (Updated January 2019)
- ACC Deliverables
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.
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:
- Contact Information of each Regional Accountable Entity
- Proposal Submitted by each Regional Accountable Entity
- Executed Contract for each Regional Accountable Entity
| Region | Entity, Proposals and Contracts | Contact Information for Providers | Contact Information for Health First Colorado Members |
|---|---|---|---|
| 1 | Email: raesupport@uhc.com Phone: 1-800-421-6204 |
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: rmhp_member_services@uhc.com Live chat at: https://www.rmhp.org |
|
| 2 |
Northeast Health Partners Attachments: |
9925 Federal Drive, Suite 100 Colorado Springs, CO 80921 Phone: 1-888-502-4191 |
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 |
Provider Engagement |
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. Attachments: |
9925 Federal Drive, Suite 100 Colorado Springs, CO 80921 Phone: 1-800-804-5040 |
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 | 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 |
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| 6 | 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 | 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 |
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.
- Stakeholder and Provider Updates
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The Department shares regular updates via email on the Accountable Care Collaborative. Sign up for our updates.
- Accountable Care Collaborative Program Newsletter October 2021
- Accountable Care Collaborative Program Newsletter May 2021
- New Medicaid Substance Use Disorder Services Now Available January 8, 2021
- Guidance for Residential and Inpatient Substance Use Disorder (SUD) Treatment: Provider Reimbursement for Medicaid effective on Jan.1, 2021
- Accountable Care Collaborative Program Newsletter October 16, 2020
- Accountable Care Collaborative Program Newsletter August 26, 2020
- Accountable Care Collaborative Program Newsletter June 9, 2020
- Accountable Care Collaborative Program Newsletter April 16, 2020
- Accountable Care Collaborative Program Newsletter March 19, 2020
- ACC Phase II September 28, 2018 Update ACC Phase II August 2, 2018 Update
- ACC Phase II July 18, 2018 Update
- Accountable Care Collaborative Phase II Information for Case Managers July 17, 2018
- Accountable Care Collaborative Phase II Information for HCBS Providers July 17, 2018
- Accountable Care Collaborative Phase II Launches July 1: What Providers Need to Know July 29, 2018
- ACC Phase II June 29, 2018 Update
- ACC Phase II June 25, 2018 Update
- ACC Phase II June 6, 2018 Update
- ACC Phase II May 18, 2018 Update
- ACC Phase II May 2, 2018 Update
- Contracting Guidance for Health First Colorado Mental Health and Substance Use Disorder Providers April 20, 2018
- ACC Phase II April 11, 2018 Update
- ACC Phase II March 16, 2018 Update
- ACC Phase II March 2, 2018 Update
- ACC Phase II February 14, 2018 Update
- ACC Phase II January 17, 2018 Update
- ACC Phase II November 27, 2017 Update
- ACC Phase II November 2, 2017 Update
- ACC Phase II May 11, 2017 Update
- ACC Phase II February 2017 Update
- ACC Phase II January 11, 2017 Update
- ACC Phase II January 3, 2017 Update
- ACC Phase II December 23, 2016 Update
- ACC Phase II December 12, 2016 Update
- ACC Phase II December 5, 2016 Update
- ACC Phase II November 28, 2016 Update
- ACC Phase II November 18, 2016 Update
- ACC Phase II November 2016 Update
- ACC Phase II Draft RFP Available Online
- ACC Phase II October 2016 Update
- ACC Phase II August 2016 Update
- ACC Phase II July 2016 Update
- ACC Phase II May 2016 Update
- ACC Phase II April 2016 Update
- ACC Phase II March 2016 Update
- ACC Phase II February 2016 Update
- ACC Phase II January 2016 Update
- ACC Phase II November 2015Update
- Regional Accountable Entities Request for Proposal Development
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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
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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 Decisions: This 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 Document: This document responds to the questions we've received related to the April 2015 Model Details and Policy Decisions document.
- Stakeholder Meeting Summaries
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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 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 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 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
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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