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Information about your Medicaid/ CHP+ coverage - Don't lose benefits
Health First Colorado (Colorado’s Medicaid program) and Child Health Plan Plus (CHP+) are returning to normal renewal processes. To learn about renewals visit healthfirstcolorado.com/renewals
Make sure you do not miss information about your Medicaid/CHP+ coverage. Update your address by going online at Colorado - PEAK Health First Colorado APP, or CHP+ members can call 1-800-359-1991, or contact your local county DHS office.
Colorado, we’ve got you covered.
No-cost or low-cost health coverage from Rocky Mountain Health Plans (A UnitedHealthcare Community Plan). Learn about Rocky Mountain Health Plans offered in Colorado.
Helping people is at the heart of all we do
All Coloradans deserve affordable health care. More people than ever are eligible for free or low-cost health coverage. This includes working disabled, families, people with disabilities, pregnant women and children.
At Rocky Mountain Health Plans (A UnitedHealthcare Community Plan), we’re committed to making a difference in each member’s life. We take great pride in the quality of service we provide to our members. We look forward to serving you.
Rocky Mountain Health Plans is a top-rated Medicaid Health Plan and holds NCQA Accreditation. The National Committee for Quality Assurance (NCQA) is a private, nonprofit organization dedicated to improving health care quality. Rocky Mountain Health Plans has long held NCQA Health Plan Accreditation and is pursuing NCQA Health Equity Accreditation to demonstrate our dedication to advancing health equity and addressing disparities in healthcare. Maintaining NCQA Accreditation means that the Colorado Plan has demonstrated an ongoing commitment to prioritize quality and has made a promise to maintain high quality standards of care.
News and Announcements
Important Information about your Health First Colorado, (Colorado’s Medicaid Program) and Child Health Plan Plus (CHP+) benefits and coverage
Colorado is returning to normal renewal processes for Health First Colorado (Colorado’s Medicaid program) and Child Health Plan Plus (CHP+). Check your email, mail, and PEAK inbox and take action when you get official messages. You can see your renewal date in PEAK at CO.gov/PEAKat any time. If you receive a renewal packet, make sure you fill it out, sign it, and return it by the due date. Learn more about renewals visit hfcgo.com/renewals
Behavioral Health Crisis Services
We can help you find out how and where to get these services in your area. If you’re struggling or someone you love is hurting and you need to get help right away, contact Colorado Crisis Services. Coloradans can get free, confidential, and immediate help 24 hours a day, 7 days a week, 365 days a year from Colorado Crisis Services. Contact Colorado Crisis Services by calling 1-844-493-8255 or text TALK to 38255. You can also get online support at ColoradoCrisisServices.org
Learn about plan types
- Health First Colorado (Colorado's Medicaid program)
- Members are assigned to a Regional Accountable Entity (RAE) in 22 counties on the Western Slope
- Children (newborn to age 18)
- Adults age 19 to 65
- Pregnant women
- PRIME is a Medicaid Managed Care plan
- Adults or those with a disability (adults and children)
- In 9 counties only on the Western Slope of Colorado
CHP+ (Child Health Plan Plus)
- Child Health Plan Plus (CHP+) program
- Children age 0-18
- Pregnant women 19 and older
- Do not qualify for Health First Colorado
CO Dual Special Needs plans (DSNP)
- Those qualifying for Medicare, plus either full or partial Medicaid (depending on the plan)
- Monthly premiums as low as $0 (based on Medicaid eligibility)
- $0 copay on all covered generic and brand-name prescriptions
- Offers benefits beyond traditional Medicaid
Individual & Family ACA Marketplace plans
- Those qualifying for both Medicaid and Medicare
- One person who helps you get the most out of your plan (UnitedHealth Care Navigator)
- $0 copay on all generic and name brand prescriptions
Case Management Agency (CMA) for Long Term Supports and Services (LTSS)
• Home and Community Based Services (HCBS) Waivers: A waiver is an extra set of Health First Colorado (Colorado's Medicaid program) benefits that you could qualify for in certain cases. These benefits can help you remain in your home and community. Waivers have extra program rules and some programs may have waitlists.
• Children’s Home and Community Based Services (CHCBS): The CHCBS Waiver is available for children with significant medical needs and who are at risk for institutional care in an acute hospital or skilled nursing facility.
• Intellectual and Developmental Disability (I/DD) and Developmental Delay: The HCBS I/DD Waiver provides access to 24-hour, seven days a week supervision through Residential Habilitation and Day Habilitation Services and Supports.
• Long Term Home Health: Skilled Home Health services provided to members who require ongoing Home Health services beyond the Acute Home Health period. Prior authorization is required for Long-Term Home Health Services.
• Referrals to Skilled Nursing Facilities:
• Home Care Allowance:
• Hospital Back-Up (HBU) Program: HBU is a program within Health First Colorado (Colorado's Medicaid Program) that supports qualified skilled nursing facilities in providing hospital level care to clients who are ventilator dependent, have complex wounds, or have medically complex needs.
• Program of All-Inclusive Care for the Elderly (PACE): provides comprehensive health care services to their participants. One of the main objectives of the PACE program is to enable older adults to live in the community as long as medically and socially feasible.
• State General Fund Programs:
- o State Supported Living Services Program (State SLS)
- o Omnibus Reconciliation Act of 1987 Specialized Services Program (OBRA-SS)
- o Family Support Services Program (FSSP)
• Case Management Redesign: Changes are being made to the case management system in Colorado. RMHP is committed to supporting you and your loved ones through the process. Case Management Redesign | Colorado Department of Health Care Policy & Financing
Contact us: CMA_RMHP@uhc.co
Administrative Service Organization (ASO)
Colorado Crisis Services Hotline Contact Phone: 1-833-585-3220 or text TALK to 38255.
o Mobile Crisis Response: Mobile Crisis Services include face-to-face behavioral health screening and assessment, triage, crisis stabilization/intervention, support, resource linkage, case management, disposition, and either face-to-face or telephonic follow-up post discharge. Services are provided within one hour in urban areas, and within two hours in rural and frontier areas.
o Crisis Stabilization Unit (CSU): Crisis Stabilization Services to include crisis intervention/stabilization, case management, resource and referral and disposition for admitted individuals. Services are provided for up to five (5) calendar days. Region 1 CSU’s are located in Montrose and Fort Collins, CO.
o Walk-in Center (WIC): Crisis Walk-In Services to include screening, assessment, triage, crisis intervention/ stabilization, support, resource linkage, and disposition for Individuals in a behavioral health crisis. Contact is initiated to individuals within fifteen minutes of arrival. Region 1 WIC is located in Montrose, CO.
Contact us: email@example.com
Contact us information:
• COACT: High-Fidelity Wraparound - An evidenced based process that supports children and youth with high-acute behavioral health needs that could impact the youth’s ability to remain within their community.
• Crisis Resolution Team (CRT) - A Crisis Resolution Team supports families with youth and young adults who are experiencing behavioral health challenges and would benefit from intensive, short-term (6-8 weeks), in-home services and linkage to ongoing supports.
• Children and Youth Mental Health Treatment Act (CYMHTA) - The Children and Youth Mental Health Treatment Act (CYMHTA) allows for families to access mental health treatment services for their child or youth. CYMHTA is an alternative to child welfare involvement when a dependency and neglect action isn't warranted.
• Independent Assessments for QRTP - Family First creates a new facility license type called a Qualified Residential Treatment Program (QRTP). Family First requires the use of an Independent Assessment to determine the level of care a young person may need.
Managed Service Organization (MSO)
Safety net program that manages substance use services for adolescents and adults on the Western Slope.
- Promote access to substance use services, help people locate care and fund those services for people who are unable to pay for care
- Contract with providers to offer withdrawal management, residential treatment, medication assisted treatment and outpatient treatment to individuals with substance use conditions
- Fund recovery support services such as recovery living, peer support and community organizations supporting recovery
Contact us: firstname.lastname@example.org
Featured programs and benefits
Behavioral health (RAE, PRIME & CHP+)
You do not need a referral (approval in advance) from your Primary Care Provider (PCP) to get mental or behavioral health services from a specialist, hospital, or other provider that is in RMHP’s network. Your mental health service provider may need to get approval in advance from RMHP for some services.
Example of services include but are not limited to:
- Outpatient Treatment
- Inpatient Services
- Mental Health Emergency Services
- Substance Use Disorder Services
- Medication Management
- Day Treatment
- Residential Treatment Services
- Specialized Mental Health home-based services
Refer to the Member handbooks for more information and exclusions.
Early and Periodic Screening, Diagnostic and Treatment (RAE & PRIME)
The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) is a benefit for children, teens 20 years old and under, and pregnant women that are enrolled in Health First Colorado (Colorado’s Medicaid Program).
Members who are a part of PRIME are eligible for the EPSDT benefit. EPSDT helps make sure that children, adolescents, and expecting mothers receive appropriate preventive, dental, mental health, developmental, and specialty services.
- Early: Assessing and identifying problems early;
- Periodic: Checking children's health at periodic, age-appropriate intervals;
- Screening: Providing physical, mental, developmental, dental, hearing, vision, and other screening tests to detect potential problems;
- Diagnostic: Performing diagnostic tests to follow up when a risk is identified; and
- Treatment: Control, correct or reduce health problems found.
Please refer to your Member handbook for more information.
For more information about what preventive care is recommended for your child at each age and stage, Colorado has adopted the American Academy of Pediatrics Bright Futures schedule.
Maternity (RAE, PRIME & CHP+)
WellHop and Simplifed are programs to provide support for expectant moms during their pregnancy and beyond.
- Get supplies, including breast pumps for nursing moms
- Connect with community resources such as Women, Infants and Children (WIC) services
For RAE plan Members: Please visit Health First Colorado Benefits and Services webpage for more information on Maternity and Newborn care: https://www.healthfirstcolorado.com/benefits-services/ or https://www.healthfirstcolorado.com/benefits-services/#maternity-newborn
Transportation (RAE, PRIME & DSNP)
Remember to find a ride to your doctor’s appointment if you do not drive. You may want to ask a friend or relative for a ride or you may take the bus.
IntelliRide is one of the main non-emergency transportation providers, however, most communities on the Western Slope have programs to help you get to your doctor appointments. Call 1-855-489-4999 or 1-303-398-2155 (State Relay: 711) or visit GoIntelliRide.com/Colorado/
Call your local resource center or county Department of Human Services or contact your local county office.
Ask if there is a transportation program to help you get to the doctor.
Remember that ambulance services are for emergencies only.
Nurse hotline is available 24/7 (RAE & PRIME)
The Health First Colorado Nurse Advice Line gives you free medical information and advice 24 hours a day, every day of the year. Call 1-800-283-3221 (State Relay 711) to:
- Talk to a nurse who will answer medical questions, give care advice, and help you decide if you should see a provider right away.
- Get help with medical conditions such as diabetes or asthma, including advice about what kind of provider may be right for your medical condition.
The Nurse Advice Line cannot help with clinic appointments or medication refills. Call your provider's office if you need help with these.
Translations, large print, Braille and more
You can get information in another language. Just ask. We can connect you with interpreter services which covers more than 170 launguages.
Our provider network includes many doctors who are multilingual. Our provider directory shows which languages doctors speak.
You can also get information in large print, Braille or audio files on a CD or flash drive. We can also assist with interpreter services, including American Sign Language.
If you have trouble hearing over the phone you can use a text telephone. This free service allows persons with hearing or speech disabilities to place and receive telephone calls. You can get help by calling Rocky Mountain Health Plans (RMHP) at 800-421-6204 or State Relay 711 for callers with speech or hearing disabilities.
If you need help with the information in any document, including written/oral translation; or in a different format like large print or as an audio file, we can help you at no cost. You can get help by calling Rocky Mountain Health Plans (RMHP) at 800-421-6204 or State Relay 711 for callers with speech or hearing disabilities.
Si necesita ayuda con la información en cualquier documento incluida la traducción oral/escrita, un formato diferente (como letra grande), o un archivo de audio, podemos ayudarlo sin costo. Puede obtener ayuda llamando Rocky Mountain Health Plans (RMHP) al 800-421-6204 o State Retransmisión 711 para personas con discapacidad auditiva o del habla.
Get help to stop using tobacco or vaping products
Quitting is hard, but we can help. Did you know that 20 minutes after you quit, your heart rate drops to a normal level? And within 24 hours after quitting the carbon monoxide level in your blood drops to normal.
Virtual/ Telehealth care (RAE, PRIME & CHP+)
CirrusMD for RMHP provides the fastest connection to a board-certified doctor - answers to your healthcare questions are a text message away. Securely text, send photos, or video chat with a provider in the app right from your smartphone or computer. CirrusMD for RMHP is available 24/7 for our Regional Organization (RAE), PRIME, and CHP+ Members at no cost.
What Can CirrusMD for RMHP Help With?
General Health Questions: Do you have questions about medication side effects, lab orders/results, recommended health screens, or follow up questions after recent in-person care?
Questions About Where to Receive Care: Before you schedule an in-person appointment or go to the ER, chat with a doctor instantly on CirrusMD for RMHP.
Urgent Care: coughs, fevers, sore throat, stomach pain, rashes, allergic reactions, animal/insect bites, and pediatric care such as common viral infections
Mental Health: anxiety, depression, stress, insomnia
Chronic Care and Prevention: Is your asthma under good control? Questions about weight loss, smoking cessation, managing diabetes, hypertension, or acne?
Women’s Health: birth control, irregular bleeding, urinary tract infections, wellness
To visit CirrusMD for RMHP, visit the CirrusMD site.
Health education and advance directives
At RMHP, we know planning for the future is important – especially when it comes to your health care. Advance directives can help you prepare for times when you might need care, but you’re unable to make treatment decisions.
You can ask your provider or RMHP for more information or for forms.
What is an Advance Directive?
An advance directive is written instruction for the health care and medical treatment you want if you become unable to make those decisions when they are needed. It is written when you are able to make these decisions and before care is needed. Then, if there is a time when you are unable to make decisions about your medical treatment, the instructions will be followed. Even if you have an advance directive, you still have the right to decide what treatment you want at the time care is needed, if you are able to do so.
What are the Types of Advance Directives?
There are three types:
A CPR Directive, sometimes called a DNR or Do Not Resuscitate order, tells emergency health care personnel and others not to perform CPR on you. CPR means cardiopulmonary resuscitation.
A Medical Durable Power of Attorney (MDPOA) allows you to name a person who can make health decisions for you.
A Living Will applies only in cases of terminal illness, or a disease or injury that leads to death.
It’s important to talk to your doctor, family, and other people about your choices, or if you make changes. You should always give copies of your advance directive(s) to those who might be involved in your medical care, like your doctor and family members.
Healthy weight. Getting exercise.
Obesity and being overweight is common can also lead to other health problems. To help our members be their best, we can:
- Provide information on a healthy diet and exercise
- Connect you to support in the community
If you do play video games, play interactive ones where you have to move. You don’t even have to leave the house to move – try exercises like jumping jacks, marching in place, going up and down stairs, push-ups or sit-ups at home.
Walk! Take a walk with a friend outside. Walk your dog or your neighbor’s dog, or walk your cat! Instead of driving, walk or bike to school or a friend’s house.
Clean! Vacuum your room. Wash the car. Mow the lawn. Your parents will be happy, and it’s another chance for you to get more exercise, and maybe even have some fun.
Unplug! Limit your time watching TV or using your smartphone, computer or other device. Keep screen time to less than two hours a day. When you do watch TV or use your phone – try marching in place or exercising while you watch/play.
Not a morning workout person? These four reasons could change your mind
With busy schedules, fitting in a morning workout is often the last thing on our minds. But working out in the morning is a great way to start your day! Here are some reasons.
1. Morning workouts set the tone for a productive day
There’s a good chance a morning workout will leave you feeling accomplished and ready to take on the rest of your day.
That’s because exercise increases blood flow to the brain. You’ll feel more alert.
2. You’re more likely to eat breakfast
Chances are, you’ll feel hungry after working out. You’re off to a great start so it makes sense to eat a healthy breakfast too. Eating breakfast has been proven to boost your metabolism. Good choices for most adults include whole wheat toast, eggs, fruit, low sugar cereal with reduced fat milk.
3. Exercise gives you more energy
After a good night’s sleep, a morning workout can give you more energy. That extra energy boost will help start your day off right.
4. A morning workout can help you sleep better
Working out can give you extra energy. That’s great to have during your busy day. If you work out in the evenings, you might have trouble falling asleep.
What fruits and vegetables are in season?
Do you want to eat more in-season produce into your recipes? You’re in luck, because now that summer is here, you have plenty of options. Here are some fruits and vegetables that are in season right now.
Cherries and Berries
Fun fact: cherries are a fruit, but botanically, they aren’t berries. They’re technically ‘drupes’. Any fruit that has one seed surrounded by a hard shell (called a stone) is a drupe. Regardless, they’re delicious, and their season is in full swing by late June.
On the berry side you can also expect to enjoy juicy strawberries and blueberries.
Did you know that Colorado is well-known for it’s sweet and tangy peaches? The prime season for peaches is mid-July through mid-September, but the peach party begins in June.
So, stock up early, especially if you want to get your taste buds prepped for the Palisade Peach Fest in August. And if you’re wondering whether a peach is also a drupe, they sure are!
If you didn’t have a chance to get your own tomato plants going by the end of May, there’s no need to worry. June also welcomes the beginning of tomato season in Colorado, so you’ll be able to stock up easily.
If you’re trying to figure out some new ways to enjoy tomatoes this list from Health.com is a great resource.
Colorado veggies that are in season
Summertime is a fruit lover’s dream, but it’s also the season to fill your diet with tons of fresh vegetables.
Peaches aren’t the only produce with their own festival — the city of Pine Grove, Colorado hosts an annual Rhubarb Festival. You’ll get to sample some delicious fare and the proceeds support the Pine Elk Creek Improvement Association and the North Fork Fire Department.
If you’re feeling confident, you can even enter your own rhubarb-based dish into the baking competition. Raw rhubarb is quite tart, but it is often simmered and used in various deserts. Give it a try!
Now that winter is over, it’s salad time. Leaf lettuce, head lettuce, and other greens also begin their harvest season during June.
It's also an excellent time to load up on broccoli. If you’re looking for a new way to get your veggies in try this delicious broccoli and feta pesto sauce.
Summer squashes come in a variety of different flavors, shapes, and colors, but they all have soft, thin, and edible skin. You can eat them raw or cooked, too. Try grilling them up, adding them to your salads, or even turning them into a delightful pasta alternative: zoodles.
What you can do to lower blood pressure
Nearly half of American adults have high blood pressure, and one in three may not even know it. Having your blood pressure checked regularly is important. According to the CDC, readings for adults should be under 130/80.
These six lifestyle changes can help improve the quality of your life and lower the risk of high blood pressure (hypertension) developing:
- Eat a healthy diet rich in fruits, vegetables, and whole grains and lower how much salt, saturated fat, and trans fats you eat.
- Maintain a healthy weight and body fat percentage.
- Get moving. Make regular physical activity part of your routine.
- Manage your stress. Take time to stretch. Exhale and take deep breaths.
- Limit alcohol or quit completely.
- Quit smoking and/or using tobacco products. Resources like the Colorado QuitLine are available to support you.
- Medications are also frequently used to help manage high blood pressure and can be very effective.
Always talk to your provider if you have concerns about your blood pressure. Together, you can develop a plan just for you.
Stress, anxiety and your body
When you're stressed or feeling anxious, your body knows it. Your heart starts pounding and your muscles tense. Everyone gets stressed and feels anxious now and then. But chronic stress or anxiety can be hard on your physical and your mental health.
Digestion. Stress slows the release of stomach acid and causes the colon to work faster. This can result in stomach aches or diarrhea.
Heart rate and blood vessels. Your heart rate, blood pressure and cholesterol may increase. This raises your risk for heart attacks and strokes.
Immune system. Stress makes wounds heal slower. You’re also more likely to get colds and infections.
Weight. Stress makes you crave fats and carbohydrates. If you gain weight in your abdominal area, you’re at greater
risk for heart disease and diabetes.
Mental health. Stress makes you tense and anxious. This can lead to depression, headaches or other problems such as trouble sleeping.
Regain your balance. If stress has taken over your life, here are some ideas to regain control:
Make time for regular exercise. Check with your doctor to see what types of exercise are right for you.
- Do things you enjoy.
- Learn how to relax.
- Treat yourself well.
If your stress is still an issue, talk with your doctor. He or she can recommend someone who can help you find other ways to manage your stress.
Member engagement - Get involved!
Join our Member Advisory Councils
RMHP believes that Members and their families have important thoughts about how to improve Health First Colorado (Colorado's Medicaid Program) and Child Health Plan Plus (CHP+). For that reason, we have Member Advisory Councils and Program Improvement Advisory Committee in the communities we serve.
One of the goals of the Member Advisory Councils is to facilitate real and meaningful Member engagement. The Member Advisory Councils have involvement in higher level program and policy work and act as the eyes and ears for RMHP regarding Member perspective.
RMHP has three Member Advisory Councils:
- A Member Advisory Council representing the Western Slope meets on a quarterly basis in Grand Junction.
- A Member Advisory Council representing Larimer County meets on a bi-monthly basis in Fort Collins.
- Spanish Member Advisory Council
Western Slope - Meeting Dates and Minutes
- September 12, 2022
- December 5, 2022
- March 13, 2023
- June 12, 2023
- September 11, 2023
- December 11, 2023
Larimer County - Meeting Dates and Minutes
- September 8, 2022
- November 10, 2022
- January 12, 2023
- March 2, 2023
- May 4, 2023
- July 6, 2023
- September - coming soon
- November - coming soon
We are actively looking for individuals interested in helping to improve Medicaid and CHP+. RMHP is committed to ensuring that a diverse group of individuals are welcomed to the table, and that recommendations from the councils are representative of the populations they are intended to serve. In-person attendance at meetings is strongly preferred; however, Members are able to join remotely via conference line and webinar. Direct travel expenses are reimbursed.
If you are interested in participating, please contact ReNae Anderson by phone at 1-970-393-0170.
Spanish Member Advisory Council
Deaf Advocacy - Bridging Communications Group
Western Slope - Meeting Dates and Materials
- September 11, 2022
- December 4, 2022
- March 12, 2023
- June 11, 2023 – materials coming soon
- September 10, 2023
- December 10, 2023
Larimer County - Meeting Dates and Materials
- September 11, 2022
- Future dates and materials - coming soon
Regional Program Improvement Advisory Committee
RMHP facilitates an important committee called the Regional Program Improvement Advisory Committee (PIAC). This committee provides a structure for diverse community involvement and a place where Members and their family or caregivers can provide feedback in a safe environment. This will help us to continually improve the services that we provide as the Regional Accountable Entity (RAE) and RMHP PRIME.
The committee has a formal, documented membership and governance structure. Meetings are held
on a quarterly basis with both an in-person location and the ability to participate remotely via a web-conferencing platform. All meetings are open to the public.
If you would like to receive communications regarding these meetings or have any questions, please contact RMHP at email@example.com.
RPIAC Charter: RAE 1 Regional PIAC Charter
Meeting dates are below. Please note that all are from 10 am - 1 pm MST.
PIAC Frequently Asked Questions
What will this committee do?
Responsibilities of the committee include, but are not limited to:
- Discussing program policy changes and providing feedback
- Providing representatives for the statewide PIAC
- Reviewing RMHP data about how well we are doing and where we need to improve
- Reviewing materials before they are sent to members and providing feedback
- Receiving reports on member issues from the member council representatives and engaging in solution oriented discussions between member and provider communities as desired
- Reviewing the reports that RMHP submits to the State regarding our contractual responsibilities as the RAE and RMHP PRIME.
Who should attend?
RMHP Medicaid RAE and PRIME Members, providers, and other stakeholders, such as advocates and community human service agencies.
How often does the committee meet?
Meetings will be held on a quarterly basis, with an in-person location and a remote attendance option.
Organizational documents and Quality Improvement program
It's important for us to ensure our Members, partners, and stakeholders have the information needed to learn about our Regional Accountable Entity initiative. Please find the relevant reports and resources.
- Governance Plan
- Annual Quality Report
- Annual Quality Improvement Plan
- Population Management Strategic Plan
- Annual Network Management Strategic Plan (Includes Practice Support Plan and Administrative Payment Report)
- Quarterly Network Report
- Regional Program Improvement Advisory Council Materials/Minutes
- Member Advisory Council Materials/Minutes
The Rocky Mountain Health Plans (RMHP) Quality Improvement (QI) program is designed to objectively and systematically monitor and evaluate the quality, safety and effectiveness of the services provided to the membership. This comprehensive program ensures that the necessary resources, infrastructure, and authority are in place to meet the QI Program’s goals and objectives.
The QI program continually strives to improve operational processes and health outcomes, while ensuring culturally and linguistically appropriate services and attainment of the highest level of Member, practitioner, and provider satisfaction. The Quality Improvement program promotes and incorporates quality into the organization’s structure
and processes and maintains compliance with all state and federal regulatory requirements and accreditation standards.
The RMHP QI program goals and objectives are as follows:
- Maintain a cross-functional Quality Improvement program structure
- Maintain a comprehensive Quality Improvement program that addresses quality of clinical care
- Maintain a comprehensive Quality Improvement program that addresses safety of clinical care
- Maintain a comprehensive Quality Improvement program that addresses quality of service
- Maintain a comprehensive Quality Improvement program that addresses Members’ experience
- Support Members living healthier lives by promoting Population Health Management programs and activities
- Adhere to accreditation and regulatory requirements
- Reduce health disparities, improve health equity, and improve culturally and linguistically services (CLAS) through the RMHP Health Equity Program.
Additional information about our Quality Improvement program is available upon request. Please call the Quality Improvement team at 855-830-1565 if you need more information.
Learn about Rocky Mountain Health Plans
Medicaid and Child Health Plan Plus
Health First Colorado, Colorado's Medicaid program, is the Medicaid plan for children (newborn to age 18), adults age 19 to 65 and pregnant women who live in Colorado and meet income and other requirements.
PRIME is a Medicaid Managed Care plan for adults or those with a disability who live in certain counties on the Western Slope of Colorado and meet income and other requirements.
CHP+ (Child Health Plan Plus)
Through the Child Health Plan Plus (CHP+) program, Rocky Mountain Health Plans (RMHP) provides low-cost health insurance benefits to children and pregnant women 19 and older who do not qualify for Health First Colorado but do not earn enough to pay for private health insurance.
Dual Special Needs plans (D-SNP)
Dual Special Needs plans (also called dual health plans or D-SNPs for short) are for people who get both Rocky Mountain Health Plans (Medicaid) and Medicare. Dual plans cover doctor visits, hospital stays and prescription drugs. They offer more benefits and extras than Original Medicare. You’ll keep all of your Medicaid benefits too.