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Colorado, we’ve got you covered.

No-cost or low-cost health coverage from Rocky Mountain Health Plans (A UnitedHealthcare Community Plan). Learn about Rocky Mountain Health Plans offered in Colorado.

Helping people is at the heart of all we do

All Coloradans deserve affordable health care. More people than ever are eligible for no-cost or low-cost health coverage. This includes working disabled, families, people with disabilities, pregnant women and children.

At Rocky Mountain Health Plans (A UnitedHealthcare Community Plan), we’re committed to making a difference in each member’s life. We take great pride in the quality of service we provide to our members. We look forward to serving you.

NCQA Health Plan Accredited Seal

Rocky Mountain Health Plans is a top-rated Medicaid Health Plan and holds NCQA Accreditation. The National Committee for Quality Assurance (NCQA) is a private, nonprofit organization dedicated to improving health care quality. Rocky Mountain Health Plans has long held NCQA Health Plan Accreditation and is pursuing NCQA Health Equity Accreditation to demonstrate our dedication to advancing health equity and addressing disparities in healthcare. Maintaining NCQA Accreditation means that the Colorado Plan has demonstrated an ongoing commitment to prioritize quality and has made a promise to maintain high quality standards of care.  

Medicaid

Rocky Mountain Health Plans - RAE

Health First Colorado (Colorado's Medicaid program) is the Medicaid plan for children (newborn to age 18), adults aged 19 to 65 and pregnant Members who live in Colorado and meet income and other requirements. Every Health First Colorado (Colorado's Medicaid Program) Member belongs to a regional accountable entity (RAE), (sometimes called regional organization). 

Rocky Mountain Health Plans (RMHP) ), A UnitedHealthcare Company, is the RAE (Region 1) for Health First Colorado (Colorado's Medicaid Program) Members who have a primary care provider that is located 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. Rocky Mountain Health Plans is the UnitedHealthcare Community Plan for Colorado.

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

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.

Dual Special Needs plans

Dual Special Needs plans (also called Dual Health plans or D-SNPs for short) are for people who have both Medicaid and Medicare. Dual plans cover most doctor visits, hospital stays and prescription drugs. They offer many extra benefits beyond those you get with either Original Medicare or Medicaid.

Child Health Plan Plus (CHP+)

Rocky Mountain Health Plans (RMHP) - Child Health Plan Plus (CHP+)

Through the Child Health Plan Plus (CHP+) program, Rocky Mountain Health Plans (RMHP) provides low-cost health insurance benefits to children and pregnant Members 19 and older who do not qualify for Health First Colorado but do not earn enough to pay for private health insurance. 

RMHP is the CHP+ physical and behavioral health Managed Care plan for Members who live in one of the following counties: Archuleta, Delta, Dolores, Eagle, Garfield, Grand, Gunnison, Hinsdale, Jackson, Lake, La Plata, Mesa, Moffat, Montezuma, Montrose, Ouray, Pitkin, Rio Blanco, Routt, San Juan, San Miguel, and Summit. Rocky Mountain Health Plans is the UnitedHealthcare Community Plan for Colorado.

RMHP helps to coordinate you or your child’s 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 or your child’s primary care provider, behavioral health provider, care teams, and other local partners to help you or your child get the care needed.

Individual & Family ACA plans

UnitedHealthcare offers Individual & Family ACA plans in Colorado. They’re designed to give you the coverage you need without breaking the bank.

Choose from plans in the Bronze, Silver and Gold metal levels. They each come with a variety of benefits, including reliable support from our customer service experts.

News and Announcements

COMMITTED TO COLORADANS SINCE 1974

PROUDLY CELEBRATING 50 YEARS OF CONNECTING COLORADANS TO CARE

We were founded on the fundamental idea that Coloradans deserve access to high-quality care, and today, we deliver innovative solutions that transform and simplify health care — all in support of our goal to help people live healthier lives.

Behavioral Health Crisis Services

We can help you find out how and where to get these services in your area. If you’re struggling or someone you love is hurting and you need to get help right away, contact Colorado Crisis Services. Coloradans can get free, confidential, and immediate help 24 hours a day, 7 days a week, 365 days a year from Colorado Crisis Services. Contact Colorado Crisis Services by calling 1-844-493-8255 or text TALK to 38255. You can also get online support at ColoradoCrisisServices.org

Learn about plan types

man with child

RAE (Medicaid)

  • Health First Colorado (Colorado's Medicaid program)
  • Members are assigned to a Regional Accountable Entity (RAE) in 22 counties on the Western Slope
  • Children (newborn to age 18)
  • Adults age 19 to 65 
  • Pregnant women
man in wheelchair with dog

PRIME (Medicaid)

  • PRIME is a Medicaid Managed Care plan 
  • Adults or those with a disability (adults and children)
  • In 9 counties only on the Western Slope of Colorado

CHP+ (Child Health Plan Plus)

  • Child Health Plan Plus (CHP+) program 
  • Children age 0-18 
  • Pregnant women 19 and older 
  • Do not qualify for Health First Colorado 
middle aged woman hugging older woman

CO Dual Special Needs plans (DSNP)

  • Those qualifying for Medicare, plus either full or partial Medicaid (depending on the plan)
  • Monthly premiums as low as $0 (based on Medicaid eligibility)
  • $0 copay on all covered generic and brand-name prescriptions
  • Offers benefits beyond traditional Medicaid
provider discussing rx with patient

Individual & Family ACA plans

  • Those qualifying for both Medicaid and Medicare
  • One person who helps you get the most out of your plan (UnitedHealth Care Navigator)
  • $0 copay on all generic and name brand prescriptions
mom holding child

Additional programs

  • Home and Community Based Services (HCBS) Waivers:  A waiver is an extra set of Health First Colorado (Colorado's Medicaid program) benefits that you could qualify for in certain cases. These benefits can help you remain in your home and community. Waivers have extra program rules and some programs may have waitlists.
  • Children’s Home and Community Based Services (CHCBS): The CHCBS Waiver is available for children with significant medical needs and who are at risk for institutional care in an acute hospital or skilled nursing facility.
  • Intellectual and Developmental Disability (I/DD) and Developmental Delay:  The HCBS I/DD Waiver provides access to 24-hour, seven days a week supervision through Residential Habilitation and Day Habilitation Services and Supports.
  • Long Term Home Health:  Skilled Home Health services provided to members who require ongoing Home Health services beyond the Acute Home Health period. Prior authorization is required for Long-Term Home Health Services.
  • Referrals to Skilled Nursing Facilities:
  • Home Care Allowance:
  • Hospital Back-Up (HBU) Program:  HBU is a program within Health First Colorado (Colorado's Medicaid Program) that supports qualified skilled nursing facilities in providing hospital level care to clients who are ventilator dependent, have complex wounds, or have medically complex needs.
  • Program of All-Inclusive Care for the Elderly (PACE):  provides comprehensive health care services to their participants. One of the main objectives of the PACE program is to enable older adults to live in the community as long as medically and socially feasible. 
  • State General Fund Programs: 
    • State Supported Living Services Program (State SLS) 
    • Omnibus Reconciliation Act of 1987 Specialized Services Program (OBRA-SS)
    • Family Support Services Program (FSSP)
  • Case Management Redesign:  Changes are being made to the case management system in Colorado. RMHP is committed to supporting you and your loved ones through the process. Case Management Redesign | Colorado Department of Health Care Policy & Financing

Contact us:  CMA_RMHP@uhc.com

Crisis Services

Colorado Crisis Services Hotline Contact Phone: 1-833-585-3220 or text TALK to 38255.  

  • Mobile Crisis Response: Mobile Crisis Services include face-to-face behavioral health screening and assessment, triage, crisis stabilization/intervention, support, resource linkage, case management, disposition, and either face-to-face or telephonic follow-up post discharge. Services are provided within one hour in urban areas, and within two hours in rural and frontier areas.
  • Crisis Stabilization Unit (CSU): Crisis Stabilization Services to include crisis intervention/stabilization, case management, resource and referral and disposition for admitted individuals. Services are provided for up to five (5) calendar days. Region 1 CSU’s are located in Montrose and Fort Collins, CO.
  • Walk-in Center (WIC): Crisis Walk-In Services to include screening, assessment, triage, crisis intervention/ stabilization, support, resource linkage, and disposition for Individuals in a behavioral health crisis. Contact is initiated to individuals within fifteen minutes of arrival.  Region 1 WIC is located in Montrose, CO.

Contact us: rmhpcrisis.support@uhc.com 

Contact us information:

  • COACT: High-Fidelity Wraparound - An evidenced based process that supports children and youth with high-acute behavioral health needs that could impact the youth’s ability to remain within their community. 
  • Crisis Resolution Team (CRT) - A Crisis Resolution Team supports families with youth and young adults who are experiencing behavioral health challenges and would benefit from intensive, short-term (6-8 weeks), in-home services and linkage to ongoing supports.
  • Children and Youth Mental Health Treatment Act (CYMHTA) - The Children and Youth Mental Health Treatment Act (CYMHTA) allows for families to access mental health treatment services for their child or youth. CYMHTA is an alternative to child welfare involvement when a dependency and neglect action isn't warranted. 
  • Independent Assessments for QRTP - Family First creates a new facility license type called a Qualified Residential Treatment Program (QRTP). Family First requires the use of an Independent Assessment to determine the level of care a young person may need.

Safety net program that manages substance use services for adolescents and adults on the Western Slope. 

  • Promote access to substance use services, help people locate care and fund those services for people who are unable to pay for care
  • Contract with providers to offer withdrawal management, residential treatment, medication assisted treatment and outpatient treatment to individuals with substance use conditions 
  • Fund recovery support services such as recovery living, peer support and community organizations supporting recovery

Contact us: rmhpmsosupport@uhc.com

Featured programs and benefits

Therapy session

Behavioral health (RAE, PRIME & CHP+)

You do not need a referral (approval in advance) from your Primary Care Provider (PCP) to get mental or behavioral health services from a specialist, hospital, or other provider that is in RMHP’s network. Your mental health service provider may need to get approval in advance from RMHP for some services.

Example of services include but are not limited to:

  • Outpatient Treatment
  • Inpatient Services
  • Mental Health Emergency Services
  • Substance Use Disorder Services
  • Medication Management
  • Day Treatment
  • Residential Treatment Services
  • Specialized Mental Health home-based services

Refer to the Member handbooks for more information and exclusions.

Mom and son

Early and Periodic Screening, Diagnostic and Treatment (RAE & PRIME)

The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) is a benefit for children, teens 20 years old and under, and pregnant women that are enrolled in Health First Colorado (Colorado’s Medicaid Program).

Members who are a part of PRIME are eligible for the EPSDT benefit. EPSDT helps make sure that children, adolescents, and expecting mothers receive appropriate preventive, dental, mental health, developmental, and specialty services.  

  • Early: Assessing and identifying problems early;  
  • Periodic: Checking children's health at periodic, age-appropriate intervals;  
  • Screening: Providing physical, mental, developmental, dental, hearing, vision, and other screening tests to detect potential problems;  
  • Diagnostic: Performing diagnostic tests to follow up when a risk is identified; and  
  • Treatment: Control, correct or reduce health problems found. 

Please refer to your Member handbook for more information.  

For more information about what preventive care is recommended for your child at each age and stage, Colorado has adopted the American Academy of Pediatrics Bright Futures schedule

mom and daughter with doctor

Maternity (RAE, PRIME & CHP+)

WellHop and Simplifed are programs to provide support for expectant moms during their pregnancy and beyond. 

  • Get supplies, including breast pumps for nursing moms
  • Connect with community resources such as Women, Infants and Children (WIC) services

More information on these programs can be found on their websites: WellHop & SimpliFed

For RAE plan Members: Please visit Health First Colorado Benefits and Services webpage for more information on Maternity and Newborn care: https://www.healthfirstcolorado.com/benefits-services/ or https://www.healthfirstcolorado.com/benefits-services/#maternity-newborn

mom and daughter in car

Transportation (RAE, PRIME & DSNP)

Remember to find a ride to your doctor’s appointment if you do not drive. You may want to ask a friend or relative for a ride or you may take the bus. 

IntelliRide is one of the main non-emergency transportation providers, however, most communities on the Western Slope have programs to help you get to your doctor appointments. Call 1-855-489-4999 or 1-303-398-2155 (State Relay: 711) or visit GoIntelliRide.com/Colorado/

Call your local resource center or county Department of Human Services or contact your local county office.

Ask if there is a transportation program to help you get to the doctor.

Remember that ambulance services are for emergencies only. 

mom with infant

Nurse hotline is available 24/7 (RAE & PRIME)

The Health First Colorado Nurse Advice Line gives you free medical information and advice 24 hours a day, every day of the year. Call 1-800-283-3221 (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.

woman smiling

Translations, large print, Braille and more

You can get information in another language. Just ask. We can connect you with interpreter services which covers more than 170 launguages. 

Our provider network includes many doctors who are multilingual. Our provider directory shows which languages doctors speak. 

You can also get information in large print, Braille or audio files on a CD or flash drive. We can also assist with interpreter services, including American Sign Language.

quit smoking

Get help to stop 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. Visit www.coquitline.org

virtual doctor chat

Virtual/ Telehealth care (RAE, PRIME & CHP+)

CirrusMD for RMHP 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 for RMHP is available 24/7 for our Regional Organization (RAE), PRIME, and CHP+ Members at no cost.

woman on ipad

HealthTalk member newsletter

Our HealthTalk newsletter is now online. The newsletters are a great way to learn about our health plan and important health topics.

You can read it whenever, wherever you want. Check back quarterly for a new edition.

Medicaid Newsletter English | Español

CHP+ Newsletter English | Español

Health education and advance directives

Advanced directives

At RMHP, we know planning for the future is important – especially when it comes to your health care. Advance directives can help you prepare for times when you might need care, but you’re unable to make treatment decisions. 

You can ask your provider or RMHP for more information or for forms. 

exercise

Healthy weight. Getting exercise

Obesity and being overweight is common can also lead to other health problems. To help our members be their best, we can:

  • Provide information on a healthy diet and exercise
  • Connect you to support in the community
woman exercising

Not a morning workout person? These four reasons could change your mind

With busy schedules, fitting in a morning workout is often the last thing on our minds. But working out in the morning is a great way to start your day! Here are some reasons.

1. Morning workouts set the tone for a productive day

There’s a good chance a morning workout will leave you feeling accomplished and ready to take on the rest of your day. 

healthy vegetables

What fruits and vegetables are in season?

Do you want to eat more in-season produce into your recipes? You’re in luck, because now that summer is here, you have plenty of options. Here are some fruits and vegetables that are in season right now.

Cherries and Berries

Fun fact: cherries are a fruit, but botanically, they aren’t berries. They’re technically ‘drupes’.  Any fruit that has one seed surrounded by a hard shell (called a stone) is a drupe. Regardless, they’re delicious, and their season is in full swing by late June.

woman with nurse

What you can do to lower blood pressure

Nearly half of American adults have high blood pressure, and one in three may not even know it. Having your blood pressure checked regularly is important. According to the CDC, readings for adults should be under 130/80.

These six lifestyle changes can help improve the quality of your life and lower the risk of high blood pressure (hypertension) developing:

woman smiling

Stress, anxiety and your body

When you're stressed or feeling anxious, your body knows it. Your heart starts pounding and your muscles tense. Everyone gets stressed and feels anxious now and then. But chronic stress or anxiety can be hard on your physical and your mental health. 

Digestion. Stress slows the release of stomach acid and causes the colon to work faster. This can result in stomach aches or diarrhea.

Member engagement - Get involved!

mom and daughter talking

Join our Member Advisory Councils

RMHP believes that Members and their families have important thoughts about how to improve Health First Colorado (Colorado's Medicaid Program) and Child Health Plan Plus (CHP+).  For that reason, we have Member Advisory Councils and Program Improvement Advisory Committee in the communities we serve.

One of the goals of the Member Advisory Councils is to facilitate real and meaningful Member engagement.  The Member Advisory Councils have involvement in higher level program and policy work and act as the eyes and ears for RMHP regarding Member perspective.

grandma and daughter with apple

Deaf Advocacy - Bridging Communications Group

Western Slope - Meeting Dates and Materials

  • TBD

Larimer County - Meeting Dates and Materials

  • TBD

Regional Program Improvement Advisory Committee

RMHP facilitates an important committee called the Regional Program Improvement Advisory Committee (PIAC). This committee provides a structure for diverse community involvement and a place where Members and their family or caregivers can provide feedback in a safe environment. This will help us to continually improve the services that we provide as the Regional Accountable Entity (RAE) and RMHP PRIME.

The committee has a formal, documented membership and governance structure. Meetings are held 

Organizational documents and Quality Improvement program

Organizational documents

Quality program

The Rocky Mountain Health Plans (RMHP) Quality Improvement (QI) program is designed to objectively and systematically monitor and evaluate the quality, safety and effectiveness of the services provided to the membership. This comprehensive program ensures that the necessary resources, infrastructure, and authority are in place to meet the QI Program’s goals and objectives.

The QI program continually strives to improve operational processes and health outcomes, while ensuring culturally and linguistically appropriate services and attainment of the highest level of Member, practitioner, and provider satisfaction. The Quality Improvement program promotes and incorporates quality into the organization’s structure

Learn about Rocky Mountain Health Plans

Medicaid and Child Health Plan Plus

RAE (Medicaid)

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.

PRIME (Medicaid)

PRIME is a Medicaid Managed Care plan for adults or those with a disability who live in certain counties on the Western Slope of Colorado and meet income and other requirements.

CHP+ (Child Health Plan Plus)

Through the Child Health Plan Plus (CHP+) program, Rocky Mountain Health Plans (RMHP) provides low-cost health insurance benefits to children and pregnant women 19 and older who do not qualify for Health First Colorado but do not earn enough to pay for private health insurance.

Dual Special Needs plans (D-SNP)

Exchange Card

Dual Special Needs plans (also called dual health plans or D-SNPs for short) are for people who get both Rocky Mountain Health Plans (Medicaid) and Medicare. Dual plans cover doctor visits, hospital stays and prescription drugs. They offer more benefits and extras than Original Medicare. You’ll keep all of your Medicaid benefits too.