Healthy Communities combines aspects of the Early Periodic Screening Diagnostic and Treatment (EPSDT) outreach and administrative case management program and Child Health Plan Plus (CHP+) outreach into one model that better meets the needs of clients. This outreach and case management model takes into account that many families have one child enrolled in Medicaid while another is enrolled in CHP+. The distinction between Medicaid and CHP+ benefits and services isn't always clear. Family Health Coordinators are available statewide to help Colorado Medicaid and CHP+ families through the Healthy Communities program.
All Colorado citizens wanting to access public programs or those who are already eligible for public programs and are under the age of 21 or pregnant.
Benefits and Services
Healthy Communities focuses on the "life cycle of a client." That life cycle may involve all of the activities necessary for you or your children to obtain coverage and access to coordinated health care services in appropriate settings called Medical Homes. Family Health Coordinators do the following:
- Generate awareness on the Colorado Medicaid and CHP+ programs;
- Offer information about how to apply for Colorado Medicaid and CHP+ and the availability of face-to-face application assistance;
- Inform families about where to submit applications for processing and eligibility determination;
- Educate families on the value of preventive health care services and how to access benefits at the right settings;
- Link clients to Colorado Medicaid and CHP+ providers who will serve as the client's Medical Home;
- Provide clients with information and referrals to other community programs and resources; and
- Explain the re-enrollment process to families who continue to be eligible for Colorado Medicaid and CHP+ to eliminate gaps in coverage.
How to Apply
Find a Family Health Coordinator in your area.
Healthy Communities 2015 Evaluation
In April 2015, the Department contracted with Upleaf, LLC. to conduct an evaluation of the Healthy Communities program. The purpose of the evaluation was to help the Department identify high-value activities for the program with an emphasis on health outcomes as opposed to a focus on the activities themselves which had been the traditional program model. Upleaf was also asked to examine examples of Pay-For-Performance incentive models and make recommendations about how such models may be incorporated into the Healthy Communities program.
One of the Department's objectives is that these recommendations would help boost Early and Periodic Screening, Diagnostic and Testing (EPSDT) outcomes among children receiving Medicaid benefits. Finally, Upleaf was also asked to identify areas of duplication between the Healthy Communities program and the Regional Care Collaborative Organizations (RCCOs), and make recommendations to help eliminate duplication.
The evaluation conducted by Upleaf included surveys with Healthy Communities clients and staff, interviews with program stakeholders, background research, review of program documents, and mapping of EPSDT-related indicators. Throughout the process we received feedback from Healthy Communities clients, contractors, partners, RCCO managers, national EPSDT experts, and other stakeholders. This report presents a summary of key evaluation findings and recommendations. Please refer to the report annexes for detailed results of the surveys, research and mapping conducted by Upleaf.
- Healthy Communities 2015 Evaluation Report
For more information about this program please contact Jeff.Helm@state.co.us, 303-866-2267.