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
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Denver Health Medicaid Choice
Access KP
PRIME
Rocky Mountain Health Plans
- Behavioral Health Site Reviews
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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
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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
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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
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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