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Notice of Transition for the Full Benefit Medicare-Medicaid Enrollees Program from the Demonstration into the Accountable Care Collaborative
The Department of Health Care Policy and Financing (Department) intends to submit a Transition Plan to the Centers for Medicare and Medicaid Services (CMS) to transition the Full Benefit Medicare-Medicaid Enrollees (FBMME) from the Federal Demonstration Grant to the Accountable Care Collaborative program, effective December 31, 2017. This transition does not affect any Member’s enrollment in the Health First Colorado (Colorado’s Medicaid program) or their attribution to a Regional Care Collaborative Organization (RCCO). No services or supports will be affected from this change.
The Department has drafted a Transition Work Plan. Please submit formal feedback on the Transition and Transition work plan to Van.Wilson@state.co.us.
Full Benefit Medicare-Medicaid Enrollees are Coloradans who have both Medicare and regular Health First Colorado (Colorado's Medicaid Program) coverage.
In September 2014, we started enrolling Full Benefit Medicare-Medicaid Enrollees into the Accountable Care Collaborative (ACC). We assigned you to the Regional Care Collaborative Organization in your area. Your Regional Care Collaborative Organization helped coordinate your care. They will also made sure you receoved getting the services you needed and saw the right type of provider.
To learn more about the ACC: Medicare-Medicaid Program and your enrollment, please contact your Regional Care Collaborative Organization.
Through the ACC: MMP, the Department and our RCCO partners are working together to make a difference in the lives of our members. See what members, caregivers and care coordinators are saying about the program.
If you are a Full Benefit Medicare-Medicaid Enrollee, you get all of your Medicare benefits and regular Health First Colorado benefits with no changes. Additional ACC: Medicare-Medicaid Program benefits include:
If you want to apply for Medicare, visit the Medicare website.
If you want to apply for Health First Colorado, see our How to Apply page.
The below materials will be/have been sent to you as part of your enrollment process:
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.
Below is a list of organizations and contacts that can help you with questions or problems related to the ACC: Medicare-Medicaid Program.
Health First Colorado Enrollment303-839-2120 (Denver Metro Area)1-888-367-6557 (toll free)healthcolorado.org
Call to change your health care provider, change Health First Colorado plans, or get a copy of this booklet in large print or a different language.
Medicare Quality Improvement Organization1-844-430-9504keproqio.comCall if you need information about choosing a nursing home or hospital, or have concerns about the quality of your Medicare services.
Health First Colorado Customer Contact Centercolorado.gov/hcpf/contact-hcpf
For questions about benefits, finding other health care providers, or if you're not sure who to call.
Colorado State Health Insurance and Assistance Program (SHIP) 1-888-696-7213
Call if you have questions about Medicare enrollment or benefits.
Ombudsman for Health First Colorado Managed Care303-830-3560 (Denver Metro Area)1-877-435-7123 (toll free)
Call if you need help filing a complaint or appeal about your Health First Colorado benefits, or need help because you are not getting good health care.
Long-Term Care Ombudsman
Disability Law Colorado
303-722-0300 (Denver Metro Area)
1-899-288-1376 (toll free)disabilitylawco.org
Call if you need help understanding your long-term care choices, need help choosing a long-term care facility, or have a complaint about care at a nursing home or assisted living residence.
Colorado Legal Services
This organization may be able to give you legal help or information. For example, if you think you should have gotten Medicare or Health First Colorado services but were told you could not, they may be able to help you with an appeal.
Other Helpful Numbers:
Nurse Advice Line (24-hour help)
A nurse will answer your health care questions at any time.
Suicide Hotline (24-hour help)1-800-273-8255suicide.org
Tobacco Free Living1-800-784-8669coquitline.org
Colorado Office of Administrative Courts
1525 Sherman Street, 4th Floor
Denver, CO 80203
If you have more questions about this program, please call the Health First Colorado Customer Customer Contact Center.