Navigator - Provider Newsletter from Colorado Access

This year, we’re celebrating 25 years of caring; as a community partner, a reliable employer, and a trusted resource for both members and providers. Our longevity shows how we’ve been able to adapt to change. Our mission has always been the same: to partner with communities through access to quality, affordable care. Everything we’ve done over the years has been done with the vision to see healthy communities transformed by the care that people want at a cost we can all afford.

Be on the lookout for more about information about our 25th anniversary and how you can join us in celebrating.

Please note: As of January 1, 2020, the Department of Health Care Policy & Financing (HCPF) made changes to the way it contracts with Denver Health (Denver Health Medicaid Choice [DHMC]). Behavioral health claims for members of Denver Health Medicaid Choice should be submitted to Colorado Access for payment. Physical health claims should be submitted to Denver Health for processing.

You can verify if any of your patients are members of Denver Health Medicaid Choice by using the Health First Colorado Provider Web Portal here. More information on this change is attached here. If you have any questions, please contact your provider relations representative or email providerrelations@coaccess.com.

Community Events

In 2020, let's BUILD POWER IN COMMUNITY through thoughtful conversations with
leaders in the field of housing, homelessness, and poverty.

These educational events are part of a ten-part series of topics impacting people experiencing or at risk of homelessness in our communities, guided by audience interest and questions.

Our monthly events are FREE and open for everyone to attend.

Please RSVP by registering for each event below.

Wednesday, March 25
Homelessness 101
6:00 PM – 7:30 PM

Wednesday, April 22
Innovative Solutions to Homelessness
6:00 PM – 7:30 PM

Wednesday, May 13
Homelessness 101
6:00 PM – 7:30 PM

If you have an upcoming community event that you'd like us to share, please email us.

As a RAE, we have been directed by HCPF to work with network providers to develop a strategy to evolve administrative payments toward a more value-based payment model. We have worked closely with the governing councils in Region 3 and Region 5 to design a model that ties a greater proportion of the dollars to value, while also aligning with other HCPF alternative payment methodologies. As a result, we are making changes to the way the administrative per-member-per-month (PMPM) payment is calculated for primary care medical providers (PCMPs) in Region 3 and Region 5, effective July 1, 2020.

This new PMPM model will incentivize you to invest in your practices in ways that best serve Colorado’s Medicaid members. Look for more details about this new model in the April edition of the Navigator.

John Salvino joined Colorado Access in 2018 as a provider relations representative, bringing a dozen years of health care experience with him.
He enjoys supporting the provider community through education and
problem-solving. John’s personal values align with the core values of Colorado Access, and he looks forward to daily collaboration with his provider relations team to support providers throughout the community. John works with a variety of different provider types and welcomes the opportunity to visit them in person to help support their work.