Jump to navigation
The Colorado State Innovation Model (SIM) released its request for application (RFA) and invites you to submit an application and start your practice transformation journey. Please review the information below and feel free to contact us with any questions.
View the RFA
Submit an application
Register for a webinar
Cohort 2 frequently asked questions
Cohort 2 flier
Benefits of participating in SIM
SIM clinical quality measures simplification
SIM clinical quality measures alignment
SIM framework and milestones - Adult and Family
SIM framework and milestones - Pediatric
All doors lead to practice transformation
This is an exciting time for Colorado practices that want to start the process of transitioning from volume- to value-based healthcare delivery models.
This February the Colorado State Innovation Model (SIM) released its application for cohort 2 and the SIM team encourages practices that applied for the Comprehensive Primary Care Plus (CPC+) initiative to download a PDF of those applications and submit them as part of their SIM applications this February. These practices can then access an abbreviated set of SIM questions to avoid re-entering information asked on the CPC+ application into the SIM application.
We believe that SIM and CPC+ are complementary, which is why we continue to encourage practices to apply for both initiatives that are funded by the Centers for Medicare & Medicaid Services.
Now that we are six months into implementing practice transformation activities with cohort 1 practices, we have identified areas that can be fine-tuned to ensure long-term success. We want to be responsive to the feedback we have received from practices, practice coaches and payers so we can ensure that the SIM initiative helps primary care practices move along the continuum toward value-based payment that rewards a person-centric approach to healthcare delivery.Next steps
The SIM team, which includes a small group of professionals who work with the Governor’s office and trusted partners at the University of Colorado Department of Family Medicine, is dedicated to helping practices integrate behavioral health and primary care with infrastructure supports to ensure sustained success.
We realize the hard work this entails. We have identified several success stories in the first six months of implementation and a few ways to improve the program for providers as well as payers. The request for application for cohort 2 will include details that will help prepare practices for the program and create an environment for success.
Please stay tuned for the release of the SIM application for cohort 2, follow the SIM team on social media channels (and sign up for the SIM newsletter) to hear more about the successes we are seeing with cohort 1 practices, the benefits of joining this transformation community and the ways in which the SIM initiative prepares practices for success in a value-based world.
Apply for SIM cohort 2
An increasing number of healthcare professionals — and payers — are talking about value-based reimbursement while a group of Colorado practices are receiving support to make it a reality through the Colorado State Innovation Model (SIM) initiative. SIM practices are at the forefront of innovation, reevaluating their processes and taking steps to deliver comprehensive primary care and integrate behavioral health into their patient offerings.
The first group of practices to participate in SIM started their work in February. We will release the application for cohort 2 this February and encourage you to apply. Learn more about the application below.
Answer: The overarching goal of Colorado SIM is to improve the health of Coloradans by providing access to integrated primary care and behavioral health services in coordinated community systems with value-based payment structures for 80 % of state residents by 2019. There is strong evidence that treating physical health, mental health and substance use disorders together will help us address the ever-increasing burden of chronic disease. Our plan, which is called The Colorado Framework, creates a system of supports, both clinic-based and through expanded public health efforts, to spur integration. Colorado received $65 million dollars in the form of a cooperative agreement from the Center for Medicare and Medicaid Innovation (CMMI) to invest in practice transformation efforts from Feb. 1, 2015 through Jan. 31, 2019. Learn more.
Answer: SIM offers a framework of support for practices that are building a comprehensive primary care infrastructure and integrating behavioral health and primary care. SIM support includes a variety of resources, including: hands-on, in-office coaching and technical assistance as well as participation stipends and small grants. The SIM office also works to foster closer relationships with public and private payers – including six insurance companies and Health First Colorado (formerly Colorado Medicaid) - that agreed to support the integration work. SIM also offers resources across other domains, such as population health and health information technology, that are not typically included in other state and federal initiatives. SIM’s focus on behavioral health integration also sets it apart from other federal reform programs. Learn more about the support that is specific to behavioral-health integration.
Answer: You can apply online www.bit.ly/simapplication. We estimate the process will take about an hour once you have compiled all the necessary information.
The SIM Office has aligned SIM and CPC+ operationally so practices can benefit from participation in both programs without duplication of efforts or funds. SIM and CMS agree that the goals and objectives of the two initiatives create natural synergies and, together provider practices with an opportunity to redesign processes and offer comprehensive primary care that integrates behavioral health. Our vision of alignment is one in which practice requirements in certain areas – including practice transformation support, learning collaborative offerings, and quality measure reporting – will be coordinated to reduce provider burden while preserving SIM’s focus on the integration of physical and behavioral health.
The SIM Office has worked with CMS to map out participation in both initiatives at an operational level. The SIM Office anticipates practices that participate in both SIM and CPC+ will receive the following supports that they would not gain access to by participating in CPC+ alone:
The SIM office encourages Colorado practices to apply for SIM cohort 2 and CPC+ to capitalize on transformation funds that are available in the state. Practices that were not accepted into CPC+ may still be accepted to SIM and vice versa. Applying to both opportunities will increase a practice’s chances of receiving transformation support via at least one initiative and will maximize the level of support received for practices that are accepted to both.
The first cohort of SIM practices began their work in February. We will share stories about their progress through social channels and the SIM website. Follow us on Twitter and LinkedIn to learn more about the first SIM cohort and some of the resources that SIM stakeholders have developed for all medical practices in the state of Colorado.