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What's New--Latest Resources on the Accountable Care Collaborative
The Department of Health Care Policy and Financing (Department) is committed to creating a high-performing, cost-effective Medicaid system that delivers quality services and improves the health of Coloradans. The next iteration of the Accountable Care Collaborative (ACC) seeks to leverage the proven successes of Colorado Medicaid’s programs to enhance the Health First Colorado (Colorado’s Medicaid program) member and provider experience.
Goals of the Accountable Care Collaborative
Objectives of the Accountable Care Collaborative
In November 2017, the Department announced the awards for the seven Regional Accountable Entity (RAE) contracts. The Department is pleased to announce the below entities have been awarded contracts. The following can be found in the drop down below:
Rocky Mountain Health PlansProposalContract
Northeast Health PartnersProposalContract
Health Colorado, Inc.ProposalContract
Colorado Community Health AllianceProposalContract
The Department has published and will regularly update information on this Provider & Stakeholder Resource Center. This resource center includes fact sheets, FAQs webinars and other resources for providers and stakeholders the Accountable Care Collaborative.
The Department has developed and will regularly update this Member Messaging Resource Center. This resource center includes messaging for Health First Colorado members that can be used by our partners including sample letters, talking points, frequently asked questions, and more—all developed with our Health First Colorado members in mind. We ask our partners to use these resources when communicating with Health First Colorado members about the next iteration of the ACC.
The Department recently submitted to the Centers for Medicare and Medicaid Services (CMS) the Section 1915(b) Waiver Proposal for ACC Phase II. This waiver provides the federal authority to establish the ACC as a mandatory program and to create single regional managed care entities responsible for promoting physical and behavioral health for members. This waiver replaces the previous Behavioral Health Organization (BHO) waiver. CMS approved the waiver on May 21, 2018.
Section 1915(b) Waiver
The Department shares regular updates via email on the Accountable Care Collaborative. Sign up for our updates.
Regional Accountable Entity for the Accountable Care Collaborative RFP BodyAppendix A Administrative InformationAppendix AA Denver Health Medicaid Choice ContractAppendix B Draft Personal Services ContractAppendix BB Draft Behavioral Health Capitation RatesAppendix C W-9Appendix CC Health Maintenance Organization Rate DevelopmentAppendix D Map of RegionsAppendix DD Rocky Mountain PRIME Capitation Rate DevelopmentAppendix E Assignment EstimatesAppendix EE Provider Type CodesAppendix F Enrollment and AttributionAppendix FF Behavioral Health Penetration RatesAppendix G Health Needs Survey QuestionsAppendix GG Behavioral Health Organization Network of ProvidersAppendix H Primary Care - Specialist Physician CollaborativeAppendix HH Data SetsAppendix I Population Health Management PlanAppendix II Deliverable ListAppendix J Stratification ReportAppendix JJ HIPAA BAAAppendix K Practice Support Tools and ResourcesAppendix KK Regional Accountable Entity for the Accountable Care Collaborative – Data Access RequestAppendix L Colorado Client Assessment RecordAppendix LL Data Use AgreementAppendix M Primary Care Alternative Payment MethodologyAppendix MM Ownership Controlling Interest & Conviction Disclosure Completion InstructionsAppendix N Development Disability and Traumatic Brain Injury GuidanceAppendix O Capitated Behavioral Health Benefit Covered ServicesAppendix P Short-term Behavioral Health Services in a Primary Care SettingAppendix Q Peer Specialist Core CompetenciesAppendix R 1915(b)(3) Services ReportAppendix S Non-State Plan 1915(b)(3) Waiver Services PlanAppendix T Medical Loss Ratio Calculation TemplateAppendix U Performance MeasuresAppendix V Community Behavioral Health Services Program Performance Incentive ProgramAppendix W Disproportionate Share & Graduate Medical Education Hospital ReportingAppendix X Memorandum of Understanding between CMS and the State of ColoradoAppendix Y Final Demonstration AgreementAppendix Z Rocky Mountain Health Maintenance Organization Amendment 5Draft Request for Proposals and Stakeholder Comments
The Department would like to thank the more than 255 providers, advocates, potential vendors and other stakeholders who provided comments on the draft Accountable Care Collaborative Phase II draft request for proposals (RFP) and corresponding appendices. The Department sought targeted comments on the draft RFP from stakeholders to help refine the content for the formal release of the RFP in the spring 2017.
Since April 2014, the Department has been in ongoing conversations with stakeholders across the state regarding the next iteration of the Accountable Care Collaborative. The Department sought targeted comments between November 4, 2016 and January 13, 2017 on the draft RFP from stakeholders to help refine the content for the formal release of the RFP in the spring 2017. The snapshot below shows the Department’s outreach efforts on the draft RFP.
The Department has worked diligently to distill, and where possible, incorporate comments received on the draft RFP.
Respondents expressed in their comments overall support for increasing integration of the behavioral and physical health systems, increased focus on member responsiveness, and increased steps to build the health neighborhood.
The Department was able to make some updates to the RFP and encourages stakeholders to review the final scope of work in the RFP for additional details. Some reoccurring comments, however, were unable to be incorporated in to the RFP by the Department including:
Key Concepts and Fact Sheets
Accountable Care Collaborative Phase II Key Concepts
Fact Sheets & Policy Decisions
Stakeholder Engagement Webinar Slides
Recorded Stakeholder Engagement Webinar
2014 Request for Information
The release of the ACC Request for Information (RFI) is one of the first steps to determine what the ACC will look like in the future.
RFIs are used to solicit advice and expertise from the public in advance of the creation of an RFP or a contract. Anyone is welcome to respond to an RFI, though oftentimes certain sections of an RFI are tailored to specific groups or entities – like providers, clients, or potential vendors. Alongside Colorado Health Institute (CHI), the Department has attended numerous public meetings across the state to hear stakeholders' concerns and aspirations. These conversations have helped to inform the RFI process.
The RCCO RFI was a "question-only" request for information. This means the RFI contained a series of targeted questions, rather than extensive draft contract language. This process has two advantages. First, it allows respondents greater latitude to focus on the areas they think are most important. Second, the information and perspectives shared by respondents are able to frame the conversation before specific contract requirements are formulated.
The RFI was released in late October 2014 and formal responses were due on November 24, 2014.
The RFI questions are available on Colorado BIDS and below.