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Full Benefit Medicare-Medicaid Enrollees are Coloradans who have both Medicare and regular Colorado Medicaid coverage.
On September 1, 2014, we will start enrolling Full Benefit Medicare-Medicaid Enrollees into the Accountable Care Collaborative (ACC). We will assign you to the Regional Care Collaborative Organization in your area. Your Regional Care Collaborative Organization will help coordinate your care. They will also make sure you are getting the services you need and seeing the right type of provider.
To learn more about the ACC: Medicare-Medicaid Program and your enrollment, please contact your Regional Care Collaborative Organizations.
If you are a Full Benefit Medicare-Medicaid Enrollee, you get all of your Medicare benefits and regular Colorado Medicaid 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 Medicaid, 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 Medicaid. Make sure you ask the doctor if he or she takes Medicare and Medicaid 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.
HealthColorado303-839-2120 (Denver Metro Area)1-888-367-6557 (toll free)www.healthcolorado.org
Call to change your health care provider, change Medicaid plans, or get a copy of this booklet in large print or a different language.
Medicare Quality Improvement Organization1-844-430-9504www.keproqio.comCall if you need information about choosing a nursing home or hospital, or have concerns about the quality of your Medicare services.
Medicaid Customer Contact Center1-800-221-3943
Call if you have questions about services or benefits, need help finding other health care providers, or are 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 Medicaid 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 Medicaid benefits, or need help because you are not getting good health care.
Long-Term Care Ombudsman
Disability Law Colorado303-722-0300 (Denver Metro Area)1-899-288-1376 (toll free)www.thelegalcenter.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 303-837-1313www.coloradolegalservices.org
This organization may be able to give you legal help or information. For example, if you think you should have gotten Medicare or Medicaid services but were told you could not, they may be able to help you with an appeal.
Other Helpful Numbers:
Total Transit 1-855-264-6368 www.medicaidco.com
Call if you need help getting to or from a Medicaid appointment.
Nurse Advice Line (24-hour help) 1-800-283-3221
A nurse will answer your health care questions at any time.
Suicide Hotline (24-hour help) 1-800-273-8255www.suicide.org
Tobacco Free Living 1-800-784-8669www.coquitline.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 Medicaid Customer Customer Contact Center.