What is SIM?


The Colorado State Innovation Model (SIM) is a governor’s office initiative that is helping practices integrate behavioral and physical health in primary care settings and test alternative payment models. SIM is funded by the Centers for Medicare & Medicaid Services, and was created in December, 2014, when Colorado was awarded up to $65 million in the form of a cooperative agreement to implement and test its proposal.

The overarching goal of Colorado SIM is to improve the health of Coloradans by increasing access to integrated physical & behavioral healthcare services in coordinated community systems, with value-based payment structures, for 80 percent of state residents by 2019. There is strong evidence that treating physical health, mental health and substance use disorders together will help us take aim at the ever-increasing burden of chronic disease. 

The first cohort launched with 100 practices in February 2016 and the application for cohort 2 closed on March 31, 2017. The third cohort will be announced in May 2018. To see an interactive map of all SIM practices please visit our practice transformation page.