Site Reviews

Reviews are performed on-site at the Managed Care Organization (MCO)/Prepaid Inpatient Health Plan (PIHP) health care delivery system sites to assess the physical resources and operational practices in place to deliver health care. There are various components of a site review such as desk audits, emergency site visits, profiling, compliance reporting requirements, and other quality and program integrity review activities. The final report is reviewed by the Department of Health Care Policy & Financing in order to make recommendations for contract changes and for future audit process improvement.

Physical Health Site Reviews

Denver Health Medicaid Choice

Access KP

PRIME

Rocky Mountain Health Plans

Behavioral Health Site Reviews

Access Behavioral Care Denver & Access Behavioral Care Northeast

Behavioral Healthcare, Inc.

Colorado Health Partnerships

Foothills Behavioral Health Partners

Northeast Behavioral Care Partnership

Child Health Plan Plus Site Reviews

Colorado Access

Friday Health Plans of Colorado

DentaQuest

Delta Dental of Colorado

Denver Health Medical Plan

Kaiser Permanente

Rocky Mountain Health Plans

State Managed Care Network

Regional Accountable Entities (RAEs) Site Reviews

Region 1: Rocky Mountain Health Plans

Region 2: Northeast Health Partners

Region 3: Colorado Access

Region 4: Health Colorado, Inc.

Region 5: Colorado Access

Region 6: CO Community Health Alliance

Region 7: CO Community Health Alliance

Aggregate Report

Regional Care Collaborative Organization (RCCO) Site Reviews

Region 1: Rocky Mountain Health Plans

Region 2: Colorado Access

Region 3: Colorado Access

Region 4: Integrated Community Health Partners

Region 5: Colorado Access

Region 6: CO Community Health Alliance

Region 7: Community Health Partnerships

Aggregate Report