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If you or a loved one need help finding care, please contact RMHP care coordination at: 970-248-8718 or 800-793-1339. You can also e-mail: RMHPCareManagementReferrals@uhc.com.
Medicaid Annual Renewals
Make sure you do not miss information about your Medicaid coverage. Update your address by going online at Colorado - PEAK, the Health First Colorado APP, or CHP+ members can call 1-800-359-1991, or contact your local county DHS office.
Rocky Mountain Health Plans - PRIME
Medicaid
Health First Colorado (Colorado's Medicaid program) is the Medicaid program for Members who live in Colorado and meet income and other requirements. Rocky Mountain Health Plans (RMHP) - PRIME is the Medicaid Physical Health Managed Care plan for adults or those with a disability, who live in one of the following counties: Delta, Garfield, Gunnison, Mesa, Montrose, Ouray, San Miguel, Rio Blanco and Pitkin, and meet income and other requirements. Rocky Mountain Health Plans is the UnitedHealthcare Community Plan for Colorado.
For behavioral health benefits, RMHP is also the regional accountable entity (RAE), (sometimes called regional organization) for Health First Colorado (Colorado's Medicaid Program) Members who are on PRIME.
RMHP helps to coordinate your physical and behavioral health care, to include assessments and referrals, access your benefits, make sure you get the help you need - when you need it, work toward health and wellness goals to live healthier lives. RMHP works together with your primary care provider, behavioral health provider, community care teams, and other local partners to help you get the care you need
- Rocky Mountain Health Plans - PRIME
Find providers and coverage for this plan.
Find doctors, hospitals, behavioral health and other specialists.
Find medications covered by this plan.
Find behavioral health providers and substance use resources.
Find a pharmacy near you.
Find a dentist near you.
Benefits & features
Lab & X-rays
X-rays and diagnostic tests to find out what is wrong are covered. They need to be ordered by your PCP or specialist.
Language Help
If you need help with the information in any RMHP 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 este 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.
Medicines
The most up-to-date list of prescription medications covered under this plan is on RMHP’s website at uhccp.com/CO. A paper copy is available at no cost by calling Member Services. The name of the document that lists covered prescription medications for this plan is RMHP PRIME and CHP+ formulary.
The RMHP PRIME and CHP+ formulary also provides information about
coverage guidelines, quantity limits, which medications that require
pre-authorization, and what to do if you are prescribed a medication
that is not on the list.
This plan covers up to a 90-day supply of a prescription maintenance
medications from an in-network pharmacy. Some medications are limited
to 30-day supplies at one time. Mail order fills up to a 90-day
supply. Prescription contraceptives, including oral contraceptives
(the Pill), contraceptive patches, and vaginal ring contraceptives,
can be covered for up to a 12 month (1 year) supply after filling 3
months of the same contraceptive. Please see Member Handbook for more
information.
Nurse Hotline
The Health First Colorado Nurse Advice Line provides Health First Colorado (Colorado’s Medicaid program) members free medical information and advice, in both English and Spanish, 24 hours a day, every day of the year. Call 1-800-283-3221 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.
- Get advice on the type of doctor that may be right for your medical condition.
- The Nurse Advice Line can’t help with clinic appointments or medication refills. Call your health care provider’s office if you need help with these.
RMHP Care Coordination has nurses that can also help you with many
needs. You can contract the RMHP Care Coordination team through the
Member Services phone number, 1-800-421-6204.
Phone Services
Colorado Lifeline Service is a government assisted wireless service that provides discounted home phone or cell phone services to eligible low income families and individuals. Colorado Lifeline Service discounts are offered to qualified Colorado customers who meet certain eligibility requirements such as, government assistance or a household income that is at or below 135% of the federal poverty level. Customers can check their Eligibility for the Program, apply online and avail the benefits, along with Discounts and Offers.
Select the prepaid plan that best fits your needs. There are several
prepaid plans available under TAG Mobile Colorado Lifeline Services.
You can change your plan every month to fit your lifestyle or you can
add minutes anytime at your convenience.
Free Lifeline Government Cell Phone Service in Colorado (tagmobile.com)
Quit using Tobacco or Vaping Product
Free QuitLine tobacco cessation counselor — Call 800-QUIT-NOW (1-800-784-8669) or visit www.coquitline.org
Therapy Services
Habilitative therapy and devices
Habilitative services and devices include therapy and medical equipment that helps a person retain, learn, or improve skills and functioning for daily living. Habilitative therapy is covered for certain Health First Colorado members ages 19 through 64. Eligible members includes people who qualify for Health First Colorado due to the eligibility expansion through the Affordable Care Act. Coverage includes outpatient physical, occupational, and speech therapy benefits for the purposes of habilitation in addition to rehabilitation. Eligible members may receive habilitative therapy and devices when they are approved in advance by RMHP.
Rehabilitation
Therapy because of an injury or sickness is covered. This includes medically necessary:
- Physical therapy
- Occupational therapy
- Speech therapy
- Pulmonary therapy
- Cardiac rehabilitation