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Why Become a Medicaid Provider?

Why open your practice to Medicaid clients?

Because you care for your community.

Public health insurance programs help more than seven hundred thousand low income Coloradans. By participating in the Medicaid program, you will help ensure low income Coloradans have access to the health care they need.

Medical providers consistently cite the lack of care continuity among their top frustrations. Covered members can switch health care plans due to unemployment or their employer has changed carriers. Increasingly, public medical assistance programs are where families turn for health care needs when faced with unemployment and unaffordable COBRA payments.

Many of today's Medicaid clients were covered by an employer-based health care plan. Enrolling as a Medicaid provider allows you to continue to serve your existing patients while they weather these tough economic times. You can be there for your patients now so they can continue to be a part of your practice in the future.

To find out more about becoming a Medicaid provider go to colorado.gov/HCPF/ProviderServices and watch the Department of Health Care Policy and Finacning's brief 10 minute webinar hosted by the Department's Chief Medical Office, Dr. Judy Zerzan.


Assistance and Incentive Programs

Primary care practices can receive additional incentives and assistance by networking with one of the seven Regional Care Collaborative Organizations as part of the state's Accountable Care Collaborative designed to provide medical homes and coordinated care for their Medicaid patients.

To facilitate more providers moving to Electronic Health Records (EHR), the federal government has offered an incentive program that will pay eligible Medicaid providers up to $63,750 over six years ($21,250 in the first year and $8,500 for each of the next five years) to implement a new EHR system, or upgrade or demonstrate meaningful use of an existing EHR system. More information can be found on the Department's website (colorado.gov/hcpf) > Partners & Researchers > Electronic Health Records Provider Incentive Program and at colorado.gov/hcpf > Clients & Applicants > Medicaid Programs > Accountable Care Collaborative.

What are the benefits of being a Primary Care Medical Provider (PCMP) in the Accountable Care Collaborative (ACC)?

The Accountable Care Collaborative (ACC) program is Colorado Medicaid’s premier reform effort and the predominant services delivery system for physical health care services.
Regional Care Collaborative Organizations (RCCOs) are responsible for provider support, care coordination, and accountability of care in each region. Click here for more information.

Timely Process

Colorado Medicaid processes completed provider applications in about eight days. Last year, Colorado Medicaid paid 87% of the more than 3.8 million claims per month in fewer than eight calendar days­ faster than most private payers and among the fastest of any state!

 

Colorado Health Benefit Exchange

Primary care practices  enrolled as Colorado Medical Assistance Providers will enable families  with mixed health insurance coverage (e.g. children on Medicaid or CHP+ and parents  on private insurance) to find practices that can serve their  entire family.

 
 
 

"Predictability is huge! In a practice, efficiency is all about scheduling time. Medicaid is quite clear about what is covered and what is not so we actually spend less time supporting claims and more time with our patients."

- Tamaan Osbourne-Roberts M.D. Colorado Family Physician