13 hours ago As of November 2021, Colorado has enrolled 1,660,006 individuals in Medicaid and CHIP — a net increase of 111.89% since the first Marketplace Open Enrollment Period and related Medicaid program changes in October 2013. Colorado has adopted one or more of the targeted enrollment strategies outlined in guidance CMS issued on May 17, 2013 ... >> Go To The Portal
As of November 2021, Colorado has enrolled 1,660,006 individuals in Medicaid and CHIP — a net increase of 111.89% since the first Marketplace Open Enrollment Period and related Medicaid program changes in October 2013. Colorado has adopted one or more of the targeted enrollment strategies outlined in guidance CMS issued on May 17, 2013 ...
The State Plan is up to date with permanent plan amendments approved by the federal government as of August 31, 2021. HCPF does not include temporary, emergency amendments in this document. Colorado Medicaid State Plan Amendments, including temporary emergency authorities, are posted by the federal government as they are approved by date with a ...
What's new: Bulletins, updates & emails. CBMS: CO Benefits Management System. Care and Case Management. Web portal. Revalidation. Provider contacts: Who to call for help. Provider resources: Quick guides, known issues, EDI, & training. COVID-19 Provider Information Resources for HCBS Providers. SAVE System ColoradoPAR DDDWeb.
After you request a connection to the Colorado Mountain Medical please allow one to two business days for your connection to be reviewed and established. If you experience any problems please contact our Patient Portal Support team. This team is available Monday through Friday 6am-6pm MST (excluding federal holidays) by phone (888) 670-9775.
Family Size | Approximate Monthly Family Income to Qualify for Health First Colorado | |
---|---|---|
Adults 19 – 64 | Children 0 – 18 | |
1 | Up to $1,428 | Up to $1,525 |
2 | Up to $1,931 | Up to $2,062 |
3 | Up to $2,434 | Up to $2,599 |
Household Size* | Maximum Income Level (Per Year) |
---|---|
1 | $18,075 |
2 | $24,353 |
3 | $30,630 |
4 | $36,908 |
Colorado Mountain Medical uses the FollowMyHealth® Patient Portal to provide an internet-accessible application that offers patients secure access to pieces of their electronic medical record.
The CMM Clinical Center’s FollowMyHealth® Patient Portal is an internet-accessible application that offers patients secure access to pieces of their Colorado Mountain Medical electronic medical record.
Prior Authorization Requests (PARs): Providers request authorization for services before providing certain services. The ColoradoPAR vendor reviews the request to determine if services are medically necessary according to established criteria and guidelines. The ColoradoPAR Program reviews PARs for the following categories of services and supplies:
The Inpatient Hospital Review Program (IHRP) is Health First Colorado's program to review all Inpatient Hospital Admissions to ensure appropriate care is provided in compliance with federal/state rules and regulations. The IHRP will assist in ensuring that care is provided at the appropriate setting, duration and time as well as ensure there aren't other additional appropriate alternative services available. The program will also assist with providing improved care coordination between the Colorado Hospitals and the Regional Accountable Entities (RAEs). For additional information on IHRP, please visit the IHRP Provider page. As part of this program, Hospitals will be following the processes below and submit PAR's directly to eQHealth Solutions, via eQSuite: 1 Prior Authorization Requests (PARs) or Admission Reviews - Hospitals will be submitting based on established timelines before or shortly after admission for all services excluding the following,#N#Maternity and maternity#N#Members with Medicaid as a secondary payer#N#Admissions to long term rehabilitation facilities#N#Capitated behavioral health services 2 Concurrent Review (or Continued Stay Review) - If a Health First Colorado member is still admitted as an inpatient on Day 4 and has one or more of the following conditions, Sepsis, Pneumonia, NICU and Acute Respiratory Failure, they will receive Complex Case Management to help to facilitate additional care coordination when appropriate.