Select the category below that is most like yourself or the person youre seeking assistance for and contact us if you need more help. The normal Medicaid renewal process is starting in May. The end of the nation-wide Public Health Emergency (PHE) will present many Jefferson County residents with unique challenges as we navigate the loss of benefits put in place by the federal government to support residents and families amid the COVID-19 Pandemic. If one or more household members do not automatically renew for Health First Colorado, you will need to take action on your Medicaid renewal. You may qualify for more benefits and services. Investigative and experimental treatments are not covered, Specialist visit examples include being seen by a urologist, cardiologist or endocrinologist and others, Home health allows patients to get some care they need at home. Limited to newborns born to mothers onHealth First Colorado. Providers | Health First Have health insurance questions or need an affordable, quality health plan? Non-generic drugs are given only with. The line is staffed by nurses who can answer your health questions. Speech, physical and occupational therapy We will help you find what works best for you. Childrens Health Plan Plus (CHP+) is a low-cost health insurance program for eligible children and pregnant women who do not qualify for Health First Colorado. Please keep in mind that some benefits may need prior authorization. Why Become a Provider? | Colorado Department of Health Care Policy No. If you have questions about property valuation and property tax, visit boco.org/2023Valuation. Yes. Safety assessment Adults limited to rehabilitative therapy only. These services are available at no cost to you. Search | Colorado.gov Health First Colorado | Jefferson County, CO Breast pumps must be prescribed by a physician, physician assistant, or nurse practitioner. Public health programs are where families turn for health care when faced with unemployment or loss of employer-based health coverage. Buildings are closed on Friday, butonline services are available. Home visits until the child turns two years old. Treatment for infertility causes is not covered. Options if you no longer qualify for Medicaid, First-Time Parents (Nurse-Family Partnership), Help for Someone Abusing Drugs or Alcohol, Tobacco Education & Prevention Partnership, Hazardous Materials Management Facility (HMMF), Office of Sustainability, Climate Action, and Resilience (OSCAR), Short-Term Dwelling and Vacation Rental Licensing, https://connectforhealthco.com/we-can-help/, Boulder County Housing and Human Services, Phone: 303-441-1000 or Text: 303-441-1069. Qualifying for Health First Colorado depends on your income and the size of your family. If you have not yet applied for SSI, you should apply at a Social Security Administration (SSA) office. Member must be 21 years or older and mentally able to give informed consent. You dont need a referral. Update your address and phone number. Family planning counseling Hospitalization VIDEO: How to update mailing address and communication preferences online English | Spanish. $10 per covered day or 50% of the averaged allowable daily rate, whichever is less. Members must be part of the telemedicine appointment. 1 comprehensive (or complete) visit and 7-13 prenatal visits that last the whole pregnancy plus 60 days after giving birth, Delivery and inpatient maternity services, Newborn child coverage after a baby is born, Coverage for the whole first year after a baby is born. If you have questions about the services Health First Coloradocovers please contact your doctor or the Member Contact Center. Serving both commercial insurance and Health First Colorado means you can serve families with mixed health insurance coverage (e.g. In Colorado, Medicaid is now known as Health First Colorado (Colorados Medicaid Program). Inpatient medical and surgical care Select the one option that is best for you: Phone: 303-441-1000 Investigative and experimental treatments are not covered. Visit colorado.gov/PEAK to update your details now. As a Health First Colorado provider, you have full control of the number of Health First Colorado patients you see. Caring for you and your health is our top priority. As a Health First Colorado (Colorado's Medicaid program) provider, you have the opportunity to improve the health and well-being of more than a million Coloradans. Call 303-441-1000 or email, Housing & Human Services, 515 Coffman Street, Longmont, CO 80501. Step 1: Health First Colorado will mail the yearly renewal materials to you and/or your family members 60 days before your redetermination date. Yes. PDF PROVIDER MANUAL - coaccess.com Yes. For more information on COVID-19, please visit coaccess.com/covid19. Boulder County, CO. All Rights Reserved. For Our Providers; Provider Services Provider Services. They can help decide if you should be seen right away. Radiation therapy and Chemotherapy services, $4 if performed in an outpatient hospital, Prenatal and postpartum care and provider visits before and after a patients baby is born. From choosing baby's name to helping a teenager choose a college, you'll make . Special Connections Program is for pregnant members who struggle with alcohol and/or drug misuse. For some services, you may have a co-pay. Get more information about your benefits by contacting your primary care provider, regional organization, or the Member Contact Center. Some services, however, may require a prior authorization. Exclusive cloud provider - As OpenAI's exclusive cloud provider, Azure will power all OpenAI workloads across research, products and API services. Department of Health Care Policy and Financing. For brand name or generic medicines, adults pay $3 per prescription or refill. Health First Colorado (Colorado's Medicaid program) - Colorado Access Emergency contraceptives, including over the counter with a prescription. Home Health Therapies (Physical therapy/ Occupational therapy/ Speech therapy), 60 days of treatment per acute (serious) condition, Only available to children 20 years old and younger, Speech therapies provided in the office, clinic, or outpatient hospital setting. Pregnant members can be in the program for their whole pregnancy plus 60 days after giving birth. Yes. A care coordinator can assist you in coordinating physical and behavioral health services, and other related services, such as transportation for medical appointments. So when emergencies happen, your kids need world-class medical care. Some pregnant people might also be able to get these services. For members long term home health needs, you must get prior authorization or approval. A care coordinator works with you to help you get the care you need. Health First Colorado coverage gives you 3 kinds of basic benefits: 1. Members can get longer home health if you develop a new issue or a current problem gets worse. Specialist visits Can I change my appointments and refill my medication through this service? The Health First Colorado website and public messaging are made possible through grants from the Colorado Health Foundation and Caring for Colorado Foundation. Claims are paid weekly and deposited directly into your business account. For some services, you may have a co-pay. $2 per visit if not part of an emergency room. Should I use the Nurse Advice Line if I have a question about my condition or medications? Prenatal Plus Program for at risk pregnant members and babies. Learn more about your benefits with these videos, For information on our quality initiatives click here, See the Health First Colorado Provider Directory, See the Colorado Access Provider Directory. Providers also receive additional payments for enrolled members and for supporting important quality and health outcomes. Benefits & Services - Health First Colorado Procedure may be provided 30 days after informed consent, but within 180 days. You should get a wellness visit each year. Your benefits include any type of care for your body. We help healthcare providers advance safety and operational efficiency through smart automation. Here are some of the behavioral health benefits you have: Alcohol/drug screening counseling You will never be asked to leave a voicemail. Prior authorization is not required for emergency ambulance services. Copyright 2023. Health First Colorado is more than health insurance - it is a vital public service, helping almost one in five Colorado citizens stay healthy or move towards better health. John Lewis submits plans to build first of 10,000 homes The retailer might be best known for its homeware and fashion products, but it has just submitted plans to build almost 1,000 homes in . Available only to clients 21 years of age and older regardless of gender. Members are protected under the Federal Mental Health Parity and Addiction Equity Act (MHPAEA). Dental benefits, 3. Contact Us | Health Colorado Replacements expected every 3-5 years. School-based mental health services. Member Contact Center1-800-221-3943/State Relay: 711. Additional family planning follow-up visits and services are covered when medically necessary. Gainwell Technologies will be open. Outpatient surgery that takes place at an Ambulatory Surgery Center, Outpatient hospital services that do not require you to be admitted to the hospital, Inpatient Medical or Surgical Care that requires you to be admitted to the hospital. However, if you know you are experiencing a medical emergency, call 911. Visit colorado.gov/PEAK to update your details now. See the current Authorization List to determine if prior authorization is required for general categories of services. Providers: Authorizations | Health First Find Doctors & Other Providers Member Benefits & Services Electronic Health Records (EHR) Provider Incentive Program provides financial support for practices wanting to move to or upgrade their electronic health record systems. You do everything to protect your children. Dont worry if you need help to figure out what you need or how to get it. Covers Cochlear implants for only ages 20 and under, replacement when current unit is broken/non-functional. Eligible adults enrolled in Health First Colorado in Colorado now have access to up to $1,000 per year in preventive dental care. Call your health care providers office for an appointment or to refill your medications. Case management Immediate postpartum LARC insertion is covered. Well Care for Children and Youth (EPSDT Services). Hospice If you have your Health First Colorado ID number with you, please provide it to the nurse when you call. This means both primary care providers and behavioral health providers. Colorado's Accountable Care Collaborative (ACC) Program - Primary care practices that enroll as Primary Care Medical Providers (PCMPs) in the ACC receive practice support, member-level health data, and help coordinating both medical and non-medical care for their members. Radiology If you have Health First Colorado (Colorado's Medicaid Program) or Child Health Plan Plus (CHP+), make sure they have the right contact details for you. They can also connect you to resources you may need. Cost of living - latest updates: Huge drop in UK house - Sky News The nurses know about hospitals all over Colorado, as well as other resources you might need. Microsoft and OpenAI extend partnership Breast pumps must be provided by an approved supplier, which are often pharmacies. Are you having a technical or payment issue? Calls are answered in the order they are received. Audiology benefit includes hearing aids for ages 20 and under. Adult vision care benefit includes medically necessary eye exams, glasses and contact lenses only after surgery. Pregnant members and children do not have to pay co-pays for prescription drugs. 900 Jefferson County ParkwayGolden, CO 80401Phone: 303-271-1388Toll Free: 888-256-0321Email Us. They can answer your questions or help direct you to a hospital in your area. Postpartum members may receive a pump at any time. All FDA approved contraceptive methods are covered. Copyright 2023 Carelon. For resources, see the Community Resources Page. Our preparedness, prevention and compliance solutions offer cloud-based monitoring, reporting, and on-time replenishment for added peace of mind. Billing Manuals. Private Duty Nurse who provides one-on-one care to patients. Get help with medical conditions such as diabetes or asthma. We also offer comprehensive mental health and substance use care services. Learn how to apply for Health First Colorado. Health First Colorado (Colorados Medicaid Program), Now that youve applied for Health First Colorado (Colorados Medicaid Program) and the Child Health Plan Plus (CHP+) you probably have questions. No limits for children. The generic equivalent will be given without prior authorization. Rates and fee schedules. Habilitative therapies may be available. Private duty nursing is limited to 16 hours a day for adults. Health First Healthcare Home | Health First Physical assessment of detoxification progression including vital signs monitoring, Behavioral health counseling and therapy, individual, Alcohol and/or drug services, group counseling by a clinician, Alcohol and/or drug services, targeted case management, Safety assessment including suicide ideation and other behavioral issues, Level of motivation assessment for treatment evaluation, Pharmacologic Management of a patients medications, Outpatient Day Treatment, non-residential, Biologically-based mental illnesses and disorders, Mental Health and Substance Use Disorder Outpatient hospital and physician, Mental Health and Substance Use Disorder Inpatient hospital, Residential Treatment for Substance Use Disorder, Withdrawal Management (Detox Services) for Substance Use Disorder, Only available to children with Individual Education Programs, For a list of covered prescription drugs, please see the. Most people who apply online will find out if they are eligible and can begin receiving benefits that same day.*. Covers supplies. Ambulance services and other non-emergent transportation. Boulder County offices will be closed Monday, July 3, and Tuesday, July 4, in observance of Independence Day. children on Health First Colorado and parents on private coverage). Supplemental Nutrition Assistance Program, Learn how to apply for Health First Colorado. CBMS: CO Benefits Management System . All ages: Replacement for current cochlear implant if broken/lost. Preventive and wellness services and chronic disease management such as aspirin use, blood pressure screening, breast cancer screening, cholesterol screening, depression screening, healthy diet counseling, sexually transmitted disease prevention counseling, tobacco use screening and counseling and others. You can choose whether your practice is published in our online Provider Directory. Map & Directions Some categories will consider resources. It is important that your current contact information is up to date so you can receive these materials. If you no longer qualify because you missed the deadline to respond, you can re-apply for Health First Colorado. Doctor visits Yes. People who are eligible for Supplemental Security Income (SSI). Can they still help me? Once you apply, we will contact you for a required interview. Physical health benefits, 2. When I call, do I need to provide any information? Hours: 8:00 AM - 4:30 PM - Monday/Wednesday/Friday, 515 Coffman Street We have a network of providers to make sure you can get care in a coordinated way. Behavioral health (mental health and substance use benefits). Health First Colorado Member Handbook, Spanish Version Basic fertility assessments and counseling to evaluate a members ability to become pregnant, Services to identify potential causes or reasons an individual is unable to become pregnant. Providers Providers: Authorizations Share Certain items and services require prior authorization (pre-certification) to evaluate medical necessity and eligibility for coverage. 303-866-2993 303-866-4411 1570 Grant Street Denver, CO 80203 Learn more about finding a primary care provider and how they can help keep you healthy. Call your health care providers office if you need help with these. Program is only available to first-time pregnant members. Call us and we can tell you more. Provider Services | Colorado Department of Health Care Policy & Financing If you receive SSI, then you will automatically receive Health First Colorado. Family planning office visits and counseling services focused on preventing, delaying or planning for a pregnancy. Training. Get advice on the type of doctor that may be right for your medical condition. TTY: 1-800-659-3656 Pregnant and parenting members can be in the program for their whole pregnancy and until their child turns one year old. All rights reserved. We need more providers now to help treat the influx of new Health First Colorado members. People Age 65 and Over: People age 65 or older who are eligible for Supplemental Security Income (SSI) and/or Old Age Pension (OAP) state supplemental payments are eligible for Health First Colorado. Get access to helpful resources including patient portals, financial assistance, charge masters . There are several ways to apply for benefits. Talk to your provider for more information. Emergency and crisis services Provider Services Provider and Care and Case Manager Contacts Provider and Care and Case Manager Contacts 2023 Holiday Schedule Governor's Holiday - Monday, July 3, 2023 - State Offices, the ColoradoPAR Program and DentaQuest will be closed.