Accountable Care Collaborative (ACC): Medicare-Medicaid Program

Full Benefit Medicare-Medicaid Enrollees are Coloradans who have both Medicare and regular Health First Colorado (Colorado's Medicaid Program) 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 Organization.

ACC: MMP Videos

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.

ACC: MMP Program Overview

ACC: MMP - Thomas Scott

ACC: MMP - The Nelson Brothers

 

Who Qualifies?

  • You have Medicare Parts A and B and qualify for Part D,
  • You qualify for Health First Colorado (Colorado's Medicaid Program),
  • You get or qualify for Health First Colorado waiver services, and
  • You do not have other private or public health insurance.

Benefits and Services

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:

  • Being a part of your health care team: care coordinators from your Regional Care Collaborative Organization will work directly with you to determine your needs and personal goals.
  • A service coordination plan: A personalized plan that you can create with your care coordinator to make sure you receive all the services you need and that you are reaching your personal health goals.
  • Coordination of all your benefits, services and providers. The care coordinator works to improve communication between all of your providers.
  • Care that is provided in a way that meets your needs, is easily accessible and makes sense for you.

How to Apply

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.

Your Enrollment Materials

The below materials will be/have been sent to you as part of your enrollment process:

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 Medicaid Customer Customer Contact Center.