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.
- Child Health Plan Plus Site Reviews
Friday Health Plans of Colorado
Delta Dental of Colorado
Denver Health Medical Plan
Rocky Mountain Health Plans
- 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: Colorado Community Health Alliance
Region 7: Colorado Community Health Alliance