Banner Art
Text  Increase Text SizeDecrease Text Size

ACC Provider Information

Information for Primary Care Medical Providers (PCMP)

 

This page is designed to inform providers by answering frequently asked questions and present providers with contract resources. If you have specific questions about your PCMP contract, or are interested in becoming a PCMP, please contact one of the Department's ACC contract managers: Kathryn Jantz (303) 866-5972, or Catania Jones (303) 866-3164. 

 

Primary Care Medical Providers (PCMPs) are a key part of the success of the ACC. The PCMP acts as a medical home and coordinates a client's health needs across specialities and along the continuum of care. In addition to the fee-for-service payments for the medical services supplied, PCMPs receive a per-member-per-month (PMPM) for the medical home services they provide.

 

For updates on all of the Department's programs, please see the Provider Bulletins.

 

Information about the Accountable Care Collaborative Referral Process

 

Letter regarding providing services and submitting claims for Accountable Care Collaborative (ACC) program members

PCMP Provider Rates

Letter to urgent care providers


 

 

Interested in Becoming a PCMP in the ACC?

 

In order to enroll as a PCMP in the ACC Program, you must be an enrolled Medicaid provider that meets any one of these criteria: 

 

  • Certified by the Department as a provider in the Medicaid and CHP+ Medical Homes for Children program; OR 

 

 

  • A Federally Qualified Health Center (FQHC), Rural Health Clinic (RHC) or a clinic or other group practice with a focus on primary care, general practice, internal medicine, pediatrics, geriatrics, or obstetrics and gynecology; OR 

 

  • An individual physician, advanced practice nurse or physician assistant with a focus on primary care, general practice, internal medicine, pediatrics, geriatrics, or obstetrics and gynecology

 

If you meet the any of the above criteria, please read the PCMP Contract Instructions and complete the following documents: 

 

 

Please note all three must be completed for the State to process your contract. You will also need to contact the RCCO in your area to complete a separate contract with the RCCO. 


How are clients enrolled into the ACC?

 

ACC Client Selection Fact Sheet

 

In addition, clients are sent an enrollment letter, and are provided the opportunity to select their own PCMP or to opt-out of the ACC program. Below are some sample enrollment letters:

 

Sample enrollment letter (English) 

Sample enrollment letter (Spanish)

 

 

What is the Statewide Data Analytics Contractor (SDAC)?