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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.
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: Alamosa, Archuleta, Chaffee, Conejos, Costilla, Custer, Delta, Dolores, Eagle, Fremont, Garfield, Grand, Gunnison, Hinsdale, Huerfano, Jackson, La Plata, Lake, Las Animas, Mesa, Mineral, Moffat, Montezuma, Montrose, Ouray, Pitkin, Pueblo, Rio Blanco, Rio Grande, Routt, Saguache, 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.
NHP (Northeast Health Partners) - RAE (Region 2)
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).
Northeast Health Partners (NHP), is the RAE (Region 2) for Health First Colorado (Colorado’s Medicaid Program) members who have a primary care provider located in the following counties: Baca, Bent, Cheyenne, Crowley, Elbert, Kiowa, Kit Carson, Larimer, Lincoln, Logan, Morgan, Otero, Phillips, Prowers, Sedgwick, Washington, Weld, and Yuma.
NHP helps coordinate your physical and behavioral health care. This can include assessments and referrals, help you access your benefits and make sure you get the help you need - when you need it. NHP works 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
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
RAE (Medicaid)
- Health First Colorado (Colorado's Medicaid program)
- Members are assigned to a Regional Accountable Entity (RAE) in 34 counties on the Western Slope
- Children (newborn to age 18)
- Adults age 19 to 65
- Pregnant women
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
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
Individual & Family ACA plans
- One person who helps you get the most out of your plan (UnitedHealth Care Navigator)
- $0 copay on all generic and name brand prescriptions
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
Colorado Mental Health Line
Call or Text 988
Colorado Mental Health Line | 988
Mobile Crisis Services are available 24/7 to any person in a behavioral health crisis – just dial or text 988. When you're connected to 988, you will receive free, immediate and confidential support from a trained specialist who will assess the crisis and when needed, send a crisis professional to your location for support. This can be to your home, school, park, community setting– wherever you designate.
Crisis Stabilization Units are short-term (up to seven days), intensive services for Individuals in crisis meeting specific criteria. They provide a safe and secure environment so Individuals can stabilize and return to their community as quickly as possible. In Region 1, there are CSUs in Montrose and Pueblo.
Walk in Centers provide support for Individuals who need immediate, in-person support. In Region 1, there are Walk In Centers in Montrose and Pueblo.
Crisis Respite Services is a facility-based service allowing Individuals in crisis to be supported in a 24/7 setting. Individuals can be seen for up to 14 calendar days and receive crisis intervention and stabilization, case management, resources and referrals. Respite locations in Region 1 are in Pueblo and Durango.
A Crisis Resolution Team supports a youth and their family post-behavioral health crisis. The time following a crisis can be especially difficult, and the program is designed to provide intensive, short-term (6-8 weeks), in-home services and linkage to ongoing supports. In Region 1, services are available for youth residing in Mesa, Delta, Montrose, La Plata, Montezuma, Fremont, Custer, Lake and Chaffee.
Featured programs and benefits
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.
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 RAE or 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.
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.
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.
Transdev manages non-emergency medical and non-medical transfportation for Health First Colorado in the state of Colorado call 1-855-489-4999 (State Relay 711) or visit transdevhealthsolutions.com/colorado/.
If you need additional help with transportation services, RMHP care coordinators are here to help. Call Member services at 1-800-421-6204, and ask to speak with a care coordinator. You can also email us at: RMHPCareManagementReferrals@uhc.com
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.
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.
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 languages.
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.
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
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.
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
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.
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.
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:
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!
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.
Deaf Advocacy - Bridging Communications Group
Western Slope - Bridging Communications Group meets on a quarterly basis.
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
It's important for us to ensure our Members, partners, and stakeholders have the information needed to learn about our Regional Accountable Entity initiative. Please find the relevant reports and resources.
- Governance Plan
- Annual Quality Report
- Annual Quality Improvement Plan
- Population Management Strategic Plan
- Annual Network Management Strategic Plan (Includes Practice Support Plan and Administrative Payment Report)
- Quarterly Network Report
- Regional Program Improvement Advisory Council Materials/Minutes
- Member Advisory Council Materials/Minutes
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)
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.