Medicaid

Behavioral health works a bit differently than medical benefits when it comes to Medicaid. Medical benefits are managed by the state and are often referred to as Health First Colorado. Medicaid benefits for behavioral health are managed by Regional Organizations and are determined by the county in which the client’s primary healthcare provider is currently located.

If a client would like to use Medicaid for behavioral health services, they should call to confirm which Regional Organization supplies their mental health benefits, before scheduling their appointment. The client’s ID# will be a letter and 6 numbers. Please supply that information to the provider when making an appointment. Clients can call the number on the back of their card or one of the numbers listed below associated with the Regional Organization they think may be managing their benefits.

Please note: not all of our providers are contracted with every Regional Organization. As a result, they may not take the client's specific Medicaid. A provider may be listed with Health First Colorado but not contracted with a specific Regional Organization. Clients should confirm which regional organization manages their mental health Medicaid benefits, especially if they have moved since acquiring Medicaid or if there was a break in time between coverage. A client's Medicaid may not necessarily be associated with where the client currently resides. If a Medicaid consumer originally registered their Medicaid in another county from the one they live currently, their Medicaid might not have automatically been transferred if and when they moved primary healthcare providers.

Also, for current clients, if any changes have been made while working with one of our providers, please let the therapist know as soon as possible so claims can be paid out appropriately by the correct Regional Organization. The provider will not automatically have this information; it is up to the client to let them know of the change.

Also, always confirm the service address with the provider, our Office Manager, or on this website, as address updates are not always accurate or updated in a timely fashion with Regional Organizations.

For a complete list of which Regional Organization manages which counties for the behavioral health portion of Medicaid, see https://www.healthfirstcolorado.com/health-first-colorado-regional-organizations/

Client’s can change their primary care provider at any time by calling Health First Colorado Enrollment at 303-839-2120, Monday-Friday, 8:00 a.m. to 5:00 p.m.; or State Relay: 711 for callers with hearing or speech disabilities.

Regional Organizations:

Colorado Access - 303-368-0037
www.coaccess.com

  • Adams, Arapahoe, Denver, Douglas, and Elbert
  • Also the manager of some CHP+ plans, unless it is a state specific plan. Please find out if your CHP+ plan is managed by Colorado Access or if it is a state-run plan.

 

Colorado Community Health Alliance (CCHA) 303-256-1717
www.cchacares.com

  • Boulder, Broomfield, Clear Creek, El Paso, Gilpin, Jefferson, Park, and Teller

 

Health Colorado, Inc. 1-888-502-4185
www.healthcoloradorae.com

  • Alamosa, Baca, Bent, Chaffee, Conejos, Costilla, Crowley, Custer, Fremont, Huerfano, Kiowa, Lake, Las Animas, Mineral, Otero, Prowers, Pueblo, Rio Grande, and Saguache
  • At this time, we do not have any providers who accept Medicaid through this Regional Organization

 

Northeast Health Partners 1-888-502-4189
www.northeasthealthpartners.org

  • Cheyenne, Kit Carson, Lincoln, Logan, Morgan, Phillips, Sedgwick, Washington, Weld, and Yuma
  • At this time, we do not have any providers who accept Medicaid through this Regional Organization

 

Rocky Mountain Health Plans 1-888-282-8801
www.rmhp.org

  • 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
  • At this time, we do not have any providers who accept Medicaid through this Regional Organization
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