Accountable Care Collaborative (ACC): Medicare-Medicaid Program

Notice for Members

In 2014, Health First Colorado began a special Federal Demonstration program for members who have Medicare and Medicaid, the Accountable Care Collaborative: Medicare-Medicaid Program (ACC: MMP). The goal of this program was to make it easier for members who are enrolled in both Medicare and Health First Colorado (Colorado’s Medicaid program) get the services they need and help their doctors work better together. The term of the three-year Demonstration ends on December 31, 2017.  Members will continue to be supported through their Primary Care Medical Provider (PCMP), their Regional Care Collaborative Organization (RCCO) and their care coordinators. No official enrollment or disenrollment notice will be mailed out to Members as they will retain enrollment with their assigned RCCO and PCMP.

How will this affect my benefits & services?

  • There will be no effect on any benefits or services that you are currently receiving.
  • You can keep all of your current providers and RCCO.

If I am enrolled in a RCCO or am an ACC member, can I still disenroll anytime?

  • Effective January 1, 2018, the Accountable Care Collaborative (ACC) disenrollment policy will provide general guidelines for MMP members who were transitioned to the ACC January 1, 2018. This means members will be allowed to disenroll for up to 90 days after ACC enrollment. After March 31, 2018, ACC members who had been enrolled in the ACC: MMP will not be able to disenroll at any time, but we are maintaining flexibility and exceptions will be made. 
  • Members can request to disenroll by calling an Enrollment Counselor at: 303-839-2120 or 888-367-6557. For TDD/TTY, call 888-876-8864. Call Monday to Friday, 8 a.m. to 5 p.m. The call is free.  

Information for Providers

  • The Service Coordination Plan (SCP) is still required through December 31, 2017.
  • Primary Care Medical Providers will continue to receive the $3 PMPM payments for members assigned to them.

Information for Stakeholders, Advocates and Members

Medicare-Medicaid Members are still a priority population for the Department. The ACC: MMP Subcommittee had its last meeting on Wednesday November 1st 2017. The Department is integrating all MMP stakeholder feedback and participation into the ACC Program Improvement Advisory Committee (PIAC) meetings. Members, providers and other partners who wish to participate in ongoing stakeholder meetings, should attend the PIAC or PIAC Subcommittee meetings. More information can be found here: https://www.colorado.gov/hcpf/accountable-care-collaborative-program-improvement-advisory-committee

Thank You

The Medicare-Medicaid Program team members would like to thank all stakeholders, members, advocates and RCCO colleagues who worked tirelessly toward the success of the Demonstration and for the needs of the members. For questions or concerns, please contact Kathleen Homan at Kathleen.Homan@state.co.us
 

New Toolkit for Providers Who Serve Medicare-Medicaid Enrollees

We’ve created a tool kit to help you spread the word about the Medicare-Medicaid Advocate, which can help you and your members solve problems with Medicare and Medicaid covered care, supplies, and equipment. The tool kit includes Twitter and Facebook posts you can share with your members on social media, brief descriptive articles for your newsletters and web pages, talking points, FAQs, and a glossary.

ACC: MMP Videos

Through the ACC: MMP, the Department and our RCCO partners worked together to make a difference in the lives of our members. See what members, caregivers and care coordinators said about the program.

ACC: MMP Program Overview

 

ACC: MMP - Thomas Scott

 

ACC: MMP - The Nelson Brothers

Where Do I Get These Services?

You can get services from any Colorado provider who accepts both Medicare and Health First Colorado (Colorado's Medicaid Program). Make sure you ask the doctor if he or she takes Medicare and Health First Colorado when you make an appointment.

  • To search for Health First Colorado providers, see our Find a Doctor page. Doctors you find through our site may or may not accept Medicare.
  • To search for Medicare providers, visit the Medicare website.

Where Can I Get Assistance?

Below is a list of organizations and contacts that can help you with questions or problems related to the ACC: Medicare-Medicaid Program.

How do I provide feedback?

  • If you would like to provide feedback about the Program to the Department, please fill out this form.

What to do if you have a complaint

  • Talk to your primary care provider or Regional Care Collaborative Organization
  • For Health First Colorado issues reach out to: Health First Colorado Customer Contact Center.
  • For Medicare issues reach out to: Medicare Customer Contact Center, 1-800-MEDICARE.
  • If you are still having trouble, call the Medicare-Medicaid Ombudsman, Julie Bansch-Wickert, at 303-722-0300 or email her at jbanschwickert@disabilitylawco.org
     
  • If you believe you were denied services without cause, you can appeal and ask for a State Fair Hearing. Call the Colorado Office of Administrative Courts at 303-866-2000. Or, write to:

Colorado Office of Administrative Courts
1525 Sherman Street, 4th Floor
Denver, CO 80203

Other Organizations that may be able to help with problems:

If you have more questions about this program, please call the Health First Colorado Customer Customer Contact Center.