The next iteration of the Accountable Care Collaborative (ACC) is scheduled to begin July 1, 2018. The goals of the next phase are to improve member health and reduce costs.
In November 2017, the Department announced the awards for the seven Regional Accountable Entity (RAE) contracts.
The Department has made available the proposals from each of the awarded entities on
In this issue, you'll find:
- Update on Our Progress
- Upcoming Webinars
- Attribution-Common Terms Defined
- Provider Contracting
- Resources Available on CO.gov/HCPF/ACCPhase2
- Phase II Questions
- Contacting Your Regional Accountable Entity
Update on Our Progress
Contracting & Attribution
The RAEs are currently working to execute their initial round of Primary Care Medicaid Provider (PCMP) contracts with eligible primary care providers before April 15, 2018. While the program will not begin until July 1, the Department requires this information in advance to process member attribution and enrollment by May 15, 2018. This will enable the Department to start notifying members of their RAE assignment by June 1, 2018. Get more information
Primary Care Medical Provider
Behavioral Health Provider
The Department is currently working with
the fiscal agent, DXC Technology, to test the attribution processes and other enrollment functions. This new functionality will allow the RAEs and providers to review and monitor their member panels. To learn more about attribution, check out our
frequently asked questions
The Department is working with its vendors to finalize the performance measure specifications. The Department's data analytics vendor, IBM Watson Health, will incorporate these measures in to the Data Analytics Portal so PCMPs and RAEs can view their performance monthly. Want to learn more about performance measurement in Phase II?
Sign up for our webinar on April 24
Centers for Medicare and Medicaid Services
The Department is in the process of responding to specific questions from the Centers for Medicare and Medicaid Services (CMS) regarding the Waiver and RAE contracts to ensure approval by July 1, 2018. Read Section 1915(b) Waiver Proposal Narrative here.
ACC Phase II Performance Measurement
The purpose of this webinar is to describe performance measurement under ACC Phase II, including key performance indicators and behavioral health incentive program.
ACC Phase II Operational Guidance
The purpose of this webinar is to provide operational guidance on ACC Phase II.
Date: May 1, 2018
Time: 3:30-4:30 p.m.
Participation is capped at 200. The webinar will be recorded and posted online. Participants will be provided with a Q&A opportunity through the webinar chat function.
Attribution-Common Terms Defined
Enrollment is the term the Department uses for registering members into the ACC.
Assignment is the method used to connect a Health First Colorado member to their RAE. For Phase II, the PCMP attribution will also determine a member's RAE assignment. Members will be assigned to the RAE region in which their PCMP is located.
Attribution is the method used to link Health First Colorado members to their medical home, or PCMP.
Auto-attribution occurs when a Health First Colorado member is systematically assigned to a PCMP.
In ACC Phase II, the RAEs are responsible for developing and managing a network of primary care physical health providers and behavioral health providers to ensure access to appropriate care for Health First Colorado members.
All primary care providers who want to serve as a PCMP must contract directly with the RAE(s). The Department will no longer have a unique PCMP contract with providers.
Behavioral Health providers will need to contract with and be credentialed by the RAE to receive reimbursement for providing capitated behavioral health services as of July 1, 2018. Behavioral Health providers must be enrolled as a Health First Colorado provider before they can be credentialed by a RAE.
Note: Provider contracting with the RAE is separate from revalidation through Colorado interChange. Health First Colorado providers with a current enrollment (successfully completed revalidation through the Colorado interChange) with the fiscal agent, DXC Technology DXC, do not need to make changes to their enrollment to contract with the RAE(s).
ACC Phase II Implementation Process Overview
ACC Phase II Key Concepts
ACC Phase II Attribution
ACC Phase II: Provider Contracting (What Providers Need to Know)
ACC Phase II: Short-term Behavioral Health Services in the Primary Care Setting
Phase II Questions
Contacting Your Regional Accountable Entity
Providers are strongly encouraged to contact their RAE directly regarding contracting.
We encourage all interested parties to check out our
Accountable Care Collaborative
Phase II site for the latest information:
The Colorado Department of Health Care Policy and Financing complies with applicable federal and state civil rights laws and does not discriminate on the basis of race, color, ethnic or national origin, ancestry, age, sex, gender, sexual orientation, gender identity and expression, religion, creed, political beliefs, or disability. Learn more about our Nondiscrimination Policy.
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1-800-221-3943 (State Relay: 711).