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Rocky Mountain Health Plans - RAE
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.
Members are assigned to a Regional Accountable Entity (RAE) (sometimes called Regional Organization). Rocky Mountain Health Plans (RMHP) serves members in RAE Region 1 (Anyone with a primary care provider in the following counties: Archuleta, Delta, Dolores, Eagle, Garfield, Grand, Gunnison, Hinsdale, Jackson, La Plata, Larimer, Mesa, Moffat, Montezuma, Montrose, Ouray, Pitkin, Rio Blanco, Routt, San Juan, San Miguel, and Summit).
This plan is available in the following counties:
Adams, Alamosa, Arapahoe, Archuleta, Baca, Bent, Boulder, Broomfield, Chaffee, Cheyenne, Clear Creek, Conejos, Costilla, Crowley, Custer, Delta, Denver, Dolores, Douglas, Eagle, El Paso, Elbert, Fremont, Garfield, Gilpin, Grand, Gunnison, Hinsdale, Huerfano, Jackson, Jefferson, Kiowa, Kit Carson, La Plata, Lake, Larimer, Las Animas, Lincoln, Logan, Mesa, Mineral, Moffat, Montezuma, Montrose, Morgan, Otero, Ouray, Park, Phillips, Pitkin, Prowers, Pueblo, Rio Blanco, Rio Grande, Routt, Saguache, San Juan, San Miguel, Sedgwick, Summit, Teller, Washington, Weld, and Yuma.
Rocky Mountain Health Plans - RAE
Get the health care you deserve.
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. Members are assigned to a Regional Accountable Entity (RAE) (sometimes called Regional Organization). Rocky Mountain Health Plans (RMHP) serves members in RAE Region 1.
This plan is available in the following counties: Archuleta, Delta, Dolores, Eagle, Garfield, Grand, Gunnison, Hindsdale, Jackson, La Plata, Larimer, Mesa, Moffat, Montezuma, Montrose, Pitkin, Ouray, Rio Blanco, Routt, San Juan, San Miguel, and Summit.
Visit Colorado PEAK (Colorado.gov/PEAK) to apply online. It is the fastest way to apply. Most people find out right away if they qualify. Check your application status online.
To see if you qualify, you can visit https://www.healthfirstcolorado.com/apply-now/?tab=what-you-need-to-applyor https://www.healthfirstcolorado.com/apply-now/
Apply by phone: Call 1-800-221-3943 / State Relay: 711. Phone applications are available Monday through Friday from 8 a.m. to 4 p.m.
Apply by mail: Download and print a paper application.
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 dentist near you.
Find a pharmacy near you.
Benefits & Features
Individuals with Special Needs
Home-and Community-Based Services (HCBS)
Home-and Community-Based Services help you and your family in your home. You may qualify for home health care and non-skilled home help. You can ask your doctor or an RMHP Care Coordinator for help setting up this service.
If you are new to RMHP and you have special health care needs and are seeing a doctor that is not on our list, you can:
- Keep seeing your previous primary care doctor for 60 calendar days. You can keep getting the same ongoing care you received before you joined RMHP.
- Keep seeing your other doctors for 75 calendar days. You can keep getting the same care you received before you joined RMHP.
- Keep seeing your previous primary care doctor if you are in your fourth through ninth month of pregnancy. You can keep seeing your previous primary care doctor until you finish the care you need following the birth of your child.
If you have a question, need help with your health care, or have a special need, please contact us.
We’re here to help. Call Member Services at 1-800-421-6204. Representatives are available Monday–Friday, 8:00 a.m.–5:00 p.m. If you are deaf, hard of hearing, or have a speech disability, dial 711 for Relay Colorado or use our Live Chat on uhccp.com/CO or myuhc.com/communityplan.
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 cualquier documento de RMHP 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.
Health First Colorado Nurse Advice Line:
The Health First Colorado Nurse Advice Line gives you free medical information and advice 24 hours a day, every day of the year. Call 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.
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.
Rocky Mountain Health Plans RAE
We want to make it as easy as possible for you to get the most from your health plan. As our member, we provide member communication and materials to inform and educate you on your plan’s benefits and the resources available.
You can download from the options below or call Member Services at 1-800-421-6204 to request a copy (in large print, other format, or other language) be mailed to you within 5 business days, at no cost.
Getting Started Guide
As a member, we want to provide you with all the resources and information you need. This useful guide provides a quick resource for getting started, finding help, your benefits, how to connect, getting care and so much more.
RMHP Organizational Documents
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, 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
CirrusMD for RMHP
CirrusMD 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 is available 24/7 for our Regional Organization (RAE), PRIME, CHP+ and DSNP Members at no cost.
Learn more about CirrusMD for RMHP
What Can CirrusMD 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.
- 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
Find a Provider
There are many ways to find a Primary Care Provider (PCP) or other providers, such as specialists. A specialist is a provider who works in one area of medicine, like a surgeon.
- Search for all types of providers in the Health First Colorado app or go to https://www.healthfirstcolorado.com/find-doctors/. Or contact your regional organization. The number is on your Health First Colorado card.
- To find a PCP, go to https://enroll.healthfirstcolorado.com/en or call 844-671-1266 or 833-962-2312 (State Relay 711).
- You can also download the RAE Provider Directory in English or Español.
- To find dental providers, call DentaQuest’s Member Services at 855-995-1218 (State Relay 711).
Clinical Practice Guidelines
These Clinical Practice Guidelines (“Guidelines”) are not meant to replace the clinical judgment of a Member’s physician or other professional health care provider (collectively, “Providers”). As such, these Guidelines do not establish a standard of care or practice or replace appropriate clinical decision-making. These Guidelines must always be used in the context of a health care Provider's clinical judgment in the care of a particular patient.
For that reason, Guidelines may be viewed as an educational tool to provide information and assist Members and Providers in choosing appropriate health care for specific clinical conditions and diagnoses. Deviations from the Guidelines may be necessary and appropriate in certain individual circumstances.
Publication of these guidelines is not a promise or guarantee of coverage. Individuals should review their coverage documents or contact RMHP Member Services at 800-421-6204 to determine what health care services are covered benefits and if other conditions or limits of coverage apply.
For more information around clinical guidelines, please visit: Clinical Practice Guidelines for RMHP
Notice of Privacy Practices
RMHP is committed to protecting the confidentiality of your medical information to the fullest extent of the law. In addition to the laws that govern your privacy, RMHP has its own privacy policies and procedures to help protect your information. If you would like a copy of RMHP’s privacy policies and notices, visit https://www.uhccommunityplan.com/privacy-policy, refer to Notice of Privacy Practices in the Member handbook, or call Member Services.
Your Rights and Responsibilities
From the Health First Colorado Handbook:
You have the right to:
- Get the information in this handbook and about your coverage, plans, benefits and services
- Be treated with respect and consideration for your privacy and dignity
- Get information in a way you can easily understand
- Get information from your provider about treatment choices for your health condition
- Be involved in all decisions about your health care and say "no" to any treatment offered
- Not be secluded or restrained as a punishment or to make things easier for your provider
- Ask for and get a copy of your medical records and ask that they be changed or corrected
- Get quality health care services in a timely and coordinated way
- Use your rights without fear of being treated poorly
- Any other rights guaranteed by law, for example HIPAA, ADA
- Be free from discrimination based on race, color, ethnic or national origin, ancestry, age, sex, gender, sexual orientation, gender identity and expression, religion, creed, political beliefs, disability or health status
- Ask your health plan for help if your provider does not offer a service you need because of moral or religious reasons
You have the responsibility to:
- Understand your rights
- Follow the Health First Colorado handbook
- Treat other members, your providers and their staff with respect
- Choose a primary care provider and go to Enroll. HealthFirstColorado.com. Or call 303-839-2120 or 888-367-6557 (State Relay 711) if you want to see a different provider.
- Pay for services you get that are not covered by Health First Colorado
- Tell your provider and Health First Colorado if you have any changes to your family, income, jobs, other insurance or address. Tell us within 10 days of the change.
- Ask questions when you do not understand or want to learn more
- Tell your provider information they need to care for you, such as your symptoms
- Take medications as prescribed and tell your provider about side effects or if your medications are not helping
- Invite people who will be helpful and supportive to you to be included in your treatment
- Report suspected member or provider fraud or abuse to Member Fraud at 844-475-0444 or Provider Fraud at 855-375-2500. Or go to CO.gov/hcpf/how-reportsuspected-fraud.
Filing a Grievance or Appeal
You have many rights as an RMHP Colorado RAE member. You have the right to complain about RMHP. You have the right to complain about your care. You, your provider or a Designated Client Representative may complain about anything you are unhappy about or have a problem with. To get more information about appeals and grievances call Member Services.
If you need help with the information in this 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.
Quit 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.
Talk to your doctor about quitting. Or call 1-800-QUIT-NOW (1-800-784-8669) to get free coaching, counseling and supplies to help you quit.
Being healthy is not always about your urgent medical needs. Sometimes you may need help connecting to resources out in the community.
- These are things like housing, getting food every day or feeling safe. Visit findhelp.org for a list of community resources in your area.
- Call 211 to get help for mental health, housing, food programs and more. 211 is a confidential and multilingual service connecting people to important resources.
Release of information form
This form is used to give another person permission to receive or give information about you and your health.
Revocation of release form
This form takes away permission for someone to receive or give information about you and your health.
Rocky Mountain Health Plans RAE