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.

Want the latest on the Accountable Care Collaborative? Sign up for our regular updates today!

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 & 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 & Provider Updates

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

      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
      Providing Behavioral Health Services During the Transition to Regional Accountable Entities 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

      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 & 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 & 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 & 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