Hmm … it looks like your browser is out of date.
Let’s update your browser so you can enjoy a faster, more secure site experience.
Rocky Mountain Health Plans - PRIME
Medicaid
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
- Rocky Mountain Health Plans - PRIME
Find providers and coverage for this plan.
Find doctors, hospitals, behavioral health and other specialists.
Find medications covered by this plan.
Find behavioral health providers and substance use resources.
Find a pharmacy near you.
Find a dentist near you.
Benefits & features
The Health First Colorado Nurse Advice Line provides Health First Colorado (Colorado’s Medicaid program) members free medical information and advice, in both English and Spanish, 24 hours a day, every day of the year. Call 1-800-283-3221 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.
• Get advice on the type of doctor that may be right for your medical condition.
• The Nurse Advice Line can’t help with clinic appointments or medication refills. Call your health care provider’s office if you need help with these.
RMHP Care Coordination has nurses that can also help you with many needs. You can contact the RMHP Care Coordination team through the Member Services phone number, 1-800-421-6204
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 844-493-TALK (8255) or text TALK to 38255. You can also get online support at ColoradoCrisisServices.org.
Colorado Lifeline Service is a government assisted wireless service that provides discounted home phone or cell phone services to eligible low income families and individuals. Colorado Lifeline Service discounts are offered to qualified Colorado customers who meet certain eligibility requirements such as, government assistance or a household income that is at or below 135% of the federal poverty level. Customers can check their Eligibility for the Program, apply online and avail the benefits, along with Discounts and Offers.
Select the prepaid plan that best fits your needs. There are several prepaid plans available under TAG Mobile Colorado Lifeline Services. You can change your plan every month to fit your lifestyle or you can add minutes anytime at your convenience.
Free Lifeline Government Cell Phone Service in Colorado (tagmobile.com)
CirrusMD 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 is available 24/7 for our Regional Organization (RAE), PRIME, CHP+ and DSNP Members at no cost.
Learn more about CirrusMD for RMHP
What Can CirrusMD Help With?
• General Health Questions: Do you have questions about medication side effects, lab orders/results, recommended health screens, or follow up questions after recent in-person care?
• Questions About Where to Receive Care: Before you schedule an in-person appointment or go to the ER, chat with a doctor instantly on CirrusMD.
• Urgent Care: coughs, fevers, sore throat, stomach pain, rashes, allergic reactions, animal/insect bites, and pediatric care such as common viral infections
• Mental Health: anxiety, depression, stress, insomnia
• Chronic Care and Prevention: Is your asthma under good control? Questions about weight loss, smoking cessation, managing diabetes, hypertension, or acne?
• Women’s Health: birth control, irregular bleeding, urinary tract infections, wellness
Habilitative therapy and devices
Habilitative services and devices include therapy and medical equipment that helps a person retain, learn, or improve skills and functioning for daily living. Habilitative therapy is covered for certain Health First Colorado members ages 19 through 64. Eligible members includes people who qualify for Health First Colorado due to the eligibility expansion through the Affordable Care Act. Coverage includes outpatient physical, occupational, and speech therapy benefits for the purposes of habilitation in addition to rehabilitation. Eligible members may receive habilitative therapy and devices when they are approved in advance by RMHP.
Rehabilitation
Therapy because of an injury or sickness is covered. This includes medically necessary:
Physical therapy
Occupational therapy
Speech therapy
Pulmonary therapy
Cardiac rehabilitation
Language help
If you need help with the information in any RMHP document, including written/ oral translation; or in a different format like large print or as an audio file, we can help you at no cost. You can get help by calling Rocky Mountain Health Plans (RMHP) at 800-421-6204 or State Relay 711 for callers with speech or hearing disabilities.
Si necesita ayuda con la información en este documento incluida la traducción oral/escrita, un formato diferente (como letra grande), o un archivo de audio, podemos ayudarlo sin costo. Puede obtener ayuda llamando Rocky Mountain Health Plans (RMHP) al 800-421-6204 o State Retransmisión 711 para personas con discapacidad auditiva o del habla.
Quit using tobacco or vaping product
Free QuitLine tobacco cessation counselor — Call 800-QUIT-NOW (1-800-784-8669) or visit www.coquitline.org
Care coordination
RMHP offers care coordination resources to help you manage serious illnesses, injuries, or complex health needs. Care coordination is designed to make sure you get the right care, at the right time, in the right place. Your healthcare provider may recommend a care coordinator who can help you access care, understand your care plan, and get connected with resources in your community.
If you want to reach a care coordinator, 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
If you are Deaf, hard of hearing, DeafBlind, or have a speech disability you can access Relay Colorado services by dialing 711.
Our Care Coordination team is available Monday through Friday, 8:00 a.m. to 5:00 p.m.
If you call after hours, leave a message—we’ll return your call the next business day.
Pregnancy care
You can receive covered pregnancy-related services from any doctor listed in our provider directory. This includes providers such as obstetricians, gynecologists, and certified nurse midwives. As soon as you know you're pregnant, it’s important to begin prenatal care - ideally within the first 8 to 12 weeks - and continue receiving care throughout your pregnancy.
If you need help finding a prenatal provider, please contact Member Services. We're here to support you and your growing family.
If you’re worried about the possibility of delivering early, or have other concerns, care coordinators are available to talk with you. They can also assist with special situations like:
• Expecting twins
• Breastfeeding support
• Premature labor
• Diabetes during pregnancy
• Bed rest
• Quitting smoking
Care coordinators can also connect you with additional programs like WellHop, SimpliFed, or the Colorado QuitLine that help support you during pregnancy and beyond.
NOTE: SUD is covered for pregnant women through Special Connections. See Important Community Phone Numbers in the Member handbook to contact Special Connections. Being pregnant can add additional SUD benefits that include a wider range of residential coverage (4 levels of care) including inpatient withdrawal management and residential treatment.
For more information and exclusions refer to your Member Handbook.
Lab & x-rays
X-rays and diagnostic tests to find out what is wrong are covered. They need to be ordered by your PCP or specialist.
Individuals with special needs
If you're new to RMHP, have special health care needs and are seeing a health care provider that is not in our network, you may have options:
Primary Care Provider (PCP): You can keep seeing your current PCP for up to 60 days after joining RMHP.
Specialists and other providers: You can keep seeing specialists and other providers for up to 75 days.
Pregnancy Care: If you're in your 4th to 9th month of pregnancy, you can keep seeing your current provider until you finish the care you need following the birth of your child.
Need help or have questions?
Call Member Services at 1-800-421-6204, Monday - Friday, 8:00 a.m. - 5:00 p.m.
If you are Deaf, hard of hearing, DeafBlind, or have a speech disability you can access Relay Colorado services by dialing 711.
If you want to reach a care coordinator, 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
Medicines
The most up-to-date list of prescription medications covered under this plan is on RMHP PRIME's find a provider or pharmacy page. A paper copy is available at no cost by calling Member Services. The name of the document that lists covered prescription medications for this plan is RMHP PRIME and CHP+ formulary.
The RMHP PRIME and CHP+ formulary also provides information about coverage guidelines, quantity limits, which medications that require pre-authorization, and what to do if you are prescribed a medication that is not on the list.
This plan covers up to a 90-day supply of a prescription maintenance medications from an in-network pharmacy. Some medications are limited to 30-day supplies at one time. Mail order fills up to a 90-day supply. Prescription contraceptives, including oral contraceptives (the Pill), contraceptive patches, and vaginal ring contraceptives, can be covered for up to a 12 month (1 year) supply after filling 3 months of the same contraceptive. Please see Member Handbook for more information.
Member services
Have questions? Visit myUHC.com, email us at rmhp_member_services@uhc.com, or call Member Services at 1-800-421-6204, TTY 711, 8 am –5 pm, MST, Monday–Friday.
You understand that any email you send to us outside of the myUHC portal may have your protected health information in it. That email will be sent unencrypted. When an email is sent unencrypted there might be a risk that someone else could read it. The contents of the unencrypted email could be disclosed.
Behavioral/Mental health and substance use disorder care
Mental health care
RMHP covers the following Health First Colorado mental health services:
Behavioral health assessments
Electroconvulsive therapy
Inpatient psychiatric hospital services
Medication management
Outpatient day treatment
Outpatient hospital services
Psychological or neuropsychological testing including administering tests, interpreting results and preparing reports (does not include educational testing, vocational testing or testing for medical conditions)
Psychotherapy: family, individual, individual brief, and group counseling and therapeutic contact
Targeted case management services
RMHP also works closely with the Community Mental Health Centers in your area. They may also have additional services available, such as:
Vocational services
Intensive case management
Prevention/early intervention activities
Clubhouse and drop-in centers
Residential
Assertive community treatment (ACT)
Recovery services
Respite services
Some of these behavioral health care services require prior authorization. Your provider will know which services must be approved by RMHP before you can receive them.
Substance Use Disorder (SUD) treatment
RMHP covers the following SUD services:
Level 4 withdrawal management (WM)
Medically managed withdrawal management (WM) services — Level 3.7 WM
Medically monitored intensive inpatient services — Level 3.7
Clinically managed high intensity residential services — Level 3.5
Clinically managed population-specific high intensity residential services — Level 3.3
Clinically managed low intensity residential services — Level 3.1
Alcohol/drug screening and counseling
Detoxification in an inpatient hospital setting for medical stabilization is covered
Detoxification for drug or alcohol use is also covered as an outpatient service or in an emergency setting
Medication-assisted treatment
Outpatient counseling, intensive outpatient treatment, and partial hospitalization
Programming
Social ambulatory detoxification is covered. These services relate to detoxification and can include the following:
Physical assessment of detox progression, including vital signs monitoring
Assessment of motivation for treatment
Provide for daily living needs (can include hydration, nutrition, cleanliness and toiletry)
Safety assessment
SUD assessment is an evaluation that is covered to determine the most appropriate level of care, the extent of drug/alcohol use, abuse or dependence related problems, and the comprehensive treatment needs of a member with a drug or alcohol diagnosis
SUD is covered for pregnant members through Special Connections. See the Important phone numbers at the beginning of this handbook to contact Special Connections.
Transplant Patients with SUD
If you need an organ transplant and have a substance use disorder (SUD), you can get treatment for your SUD if you agree to it as part of your transplant plan. This can happen before or within six months after your transplant.
Once you agree to both the transplant and SUD treatment, your transplant team will tell the Managed Care Entity (MCE). The MCE will make a care plan for you.
A specialist will check you to decide the right level of care within 72 hours before you start SUD treatment. The MCE will approve this level of care.
The MCE will find a place that can give you the SUD services you need and make sure you get ongoing medical care at the transplant center. They’ll inform the place of any necessary pre-approvals within 48 hours of starting your SUD treatment.
The MCE will check in with the SUD treatment place every 14 days to monitor your progress and adjust the treatment plan if needed.
The MCE will approve 90 days of Residential and High Intensity Outpatient services, including various levels of care, based on ongoing assessments. They’ll also coordinate with other organizations if additional services like Recovery Living are needed.
This plan ensures you get the support you need throughout your care journey.
Some SUD services do require a prior authorization.
SUD Treatment and services is managed by RMHP Behavioral Health Utilization Team. Prior authorization for treatment and services may be required. Please talk to your provider about contacting RMHP before you receive SUD services.
After all Medicaid appeals processes have been exhausted, Members/Providers may request an external medical review when there is a denial or reduction for residential or inpatient substance use disorder treatment.
Dental care
As a Health First Colorado Member you have access to dental services through DentaQuest. Services include cleanings, fillings, root canals, crowns and partial dentures. There are no co-pays for these services and the benefit limit for adults (21 years and older) is up to $1500 per state fiscal year (July 1 – June 30). Dental emergencies and dentures are not subject to this limit and kids (21 years and younger), do not have a limit. Some services may require approval first, check here to see if you need approval.
Questions? Call DentaQuest at 1-855-225-1729 (TTY: 711) or visit https://DentaQuest.com/Colorado
Learn more at: https://hcpf.colorado.gov/dental-benefits
Preventive and routine care
• Even if you are not sick, it is very important to get routine care and preventive screenings.
• Annual routine physicals for adults are covered.
• Preventive visits to your PCP and your obstetrician/gynecologist (OB/GYN) are covered. This includes physical exams and well-child care.
• Routine health screenings are covered, such as colorectal cancer screening, depression screening, diabetes testing, high blood pressure screening, cholesterol screening, HIV/STD screenings, breast cancer screening, cervical cancer screening, osteoporosis screening, prostate cancer screening and more!
• For children from birth to 3 years old: well-child visits are covered as needed for their age.
• For members over 3 years old: 1 routine physical exam is covered each year.
- Even if you are not sick, it is very important to get routine care and preventive screenings.
- Annual routine physicals for adults are covered.
- Preventive visits to your PCP and your obstetrician/gynecologist (OB/GYN) are covered. This includes physical exams and well-child care.
- Routine health screenings are covered, such as colorectal cancer screening, depression screening, diabetes testing, high blood pressure screening, cholesterol screening, HIV/STD screenings, breast cancer screening, cervical cancer screening, osteoporosis screening, prostate cancer screening and more!
- For children from birth to 3 years old: well-child visits are covered as needed for their age.
- For members over 3 years old: 1 routine physical exam is covered each year.
Mental health care
RMHP covers the following Health First Colorado mental health services:
- Behavioral health assessments
- Electroconvulsive therapy
- Inpatient psychiatric hospital services
- Qualified Residential Treatment Program (QRTP)
- Psychiatric Residential Treatment Facilities (PRTF)
- Multisystemic Therapy (MST)
- Functional Family Therapy (FFT)
- Medication management
- Outpatient hospital services
- Outpatient psychiatric services
- Outpatient substance use disorder treatment (including testing for medical conditions)
- Psychological or neuropsychological testing including administering tests, interpreting results and preparing reports (for example, diagnostic interview examination, vocational testing or testing for therapeutic purposes)
- Psychotherapy: family, individual, individual brief, and group counseling therapeutic contact
- Targeted case management services.
RMHP also works closely with the Comprehensive Safety Net Providers (CSNP) in your area. They may also have additional services available, such as:
- Vocational services
- Intensive case management
- Prevention/early intervention activities
- Clubhouse and drop-in centers
- Residential
- Assertive community treatment (ACT)
- Recovery services
- Respite services
Some behavioral health services require prior authorization. Your provider will know which services must be approved by RMHP before you can receive them.
Substance Use Disorder (SUD) treatment
RMHP covers the following SUD services:
- Level 4 withdrawal management (WM)
- Medically managed withdrawal management (WM) services — Level 3.7 WM
- Medically monitored intensive inpatient services — Level 3.7
- Clinically managed high intensity residential services — Level 3.5
- Clinically managed population-specific high intensity residential services — Level 3.3
- Clinically managed low intensity residential services — Level 3.1
- Alcohol/drug screening and counseling
- Detoxification in an inpatient hospital setting for medical stabilization is covered
- Detoxification for drug or alcohol use is also covered as an outpatient service or in an emergency setting
- Medication-assisted treatment
- Outpatient counseling, intensive outpatient treatment, and partial hospitalization Programming
- Social ambulatory detoxification is covered. These services relate to detoxification and can include the following:
- Physical assessment of detox progression, including vital signs monitoring
- Assessment of motivation for treatment
- Provide daily living needs (can include hydration, nutrition, cleanliness and toiletry)
- Safety assessment
- SUD assessment is an evaluation that is covered to determine the most appropriate level of care, the extent of drug/alcohol use, abuse or dependence related problems, and the comprehensive treatment needs of a member with a drug or alcohol diagnosis
- SUD is covered for pregnant members through Special Connections. See the important phone numbers at the beginning of this handbook to contact Special Connections.
Transplant Patients with SUD
If you need an organ transplant and have a substance use disorder (SUD), you can get treatment for your SUD if you agree to it as part of your transplant plan. This can happen before or within six months after your transplant.
Once you agree to both the transplant and SUD treatment, your transplant team will tell the Managed Care Entity (MCE). The MCE will make a care plan for you.
A specialist will check you to decide the right level of care within 72 hours before you start SUD treatment. The MCE will approve this level of care.
The MCE will find a place that can give you the SUD services you need and make sure you get ongoing medical care at the transplant center. They’ll inform the place of any necessary pre-approvals within 48 hours of starting your SUD treatment.
The MCE will check in with the SUD treatment place every 14 days to monitor your progress and adjust the treatment plan if needed.
The MCE will approve 90 days of Residential and High Intensity Outpatient services, including various levels of care, based on ongoing assessments. They’ll also coordinate with other organizations if additional services like Recovery Living are needed.
This plan ensures you get the support you need throughout your care journey.
Some SUD services do require a prior authorization.
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 844-493-TALK (8255) or text TALK to 38255. You can also get online support at ColoradoCrisisServices.org.
CirrusMD 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 is available 24/7 for our Regional Organization (RAE), PRIME, CHP+ and DSNP Members at no cost.
Learn more about CirrusMD for RMHP
What Can CirrusMD Help With?
- General Health Questions: Do you have questions about medication side effects, lab orders/results, recommended health screens, or follow up questions after recent in-person care?
- Questions About Where to Receive Care: Before you schedule an in-person appointment or go to the ER, chat with a doctor instantly on CirrusMD.
- Urgent Care: coughs, fevers, sore throat, stomach pain, rashes, allergic reactions, animal/insect bites, and pediatric care such as common viral infections
- Mental Health: anxiety, depression, stress, insomnia
- Chronic Care and Prevention: Is your asthma under good control? Questions about weight loss, smoking cessation, managing diabetes, hypertension, or acne?
- Women’s Health: birth control, irregular bleeding, urinary tract infections, wellness
You can receive covered pregnancy-related services from any doctor listed in our provider directory. This includes providers such as obstetricians, gynecologists, and certified nurse midwives. As soon as you know you're pregnant, it’s important to begin prenatal care - ideally within the first 8 to 12 weeks - and continue receiving care throughout your pregnancy.
If you need help finding a prenatal provider, please contact Member Services. We're here to support you and your growing family.
If you’re worried about the possibility of delivering early, or have other concerns, care coordinators are available to talk with you. They can also assist with special situations like:
- Expecting twins
- Breastfeeding support
- Premature labor
- Diabetes during pregnancy
- Bed rest
- Quitting smoking
Care coordinators can also connect you with additional programs like WellHop, SimpliFed, or the Colorado QuitLine that help support you during pregnancy and beyond.
NOTE: SUD is covered for pregnant women through Special Connections. See Important Community Phone Numbers in the Member handbook to contact Special Connections. Being pregnant can add additional SUD benefits that include a wider range of residential coverage (4 levels of care) including inpatient withdrawal management and residential treatment.
For more information and exclusions refer to your Member Handbook.
RMHP offers care coordination resources to help you manage serious illnesses, injuries, or complex health needs. Care coordination is designed to make sure you get the right care, at the right time, in the right place. Your healthcare provider may recommend a care coordinator who can help you access care, understand your care plan, and get connected with resources in your community.
If you want to reach a care coordinator, 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
If you are Deaf, hard of hearing, DeafBlind, or have a speech disability you can access Relay Colorado services by dialing 711.
Our Care Coordination team is available Monday through Friday, 8:00 a.m. to 5:00 p.m.
If you call after hours, leave a message—we’ll return your call the next business day.
As a Health First Colorado Member you have access to dental services through DentaQuest. Services include cleanings, fillings, root canals, crowns and partial dentures. There are no co-pays for these services and the benefit limit for adults (21 years and older) is up to $1500 per state fiscal year (July 1 – June 30). Dental emergencies and dentures are not subject to this limit and kids (21 years and younger), do not have a limit. Some services may require approval first, check here to see if you need approval.
Questions? Call DentaQuest at 1-855-225-1729 (TTY: 711) or visit https://DentaQuest.com/Colorado
Learn more at: https://hcpf.colorado.gov/dental-benefits
Have questions? Visit myUHC.com, email us at rmhp_member_services@uhc.com, or call Member Services at 1-800-421-6204, TTY 711, 8 am –5 pm, MST, Monday–Friday.
You understand that any email you send to us outside of the myUHC portal may have your protected health information in it. That email will be sent unencrypted. When an email is sent unencrypted there might be a risk that someone else could read it. The contents of the unencrypted email could be disclosed.
If you're new to RMHP, have special health care needs and are seeing a health care provider that is not in our network, you may have options:
- Primary Care Provider (PCP): You can keep seeing your current PCP for up to 60 days after joining RMHP.
- Specialists and other providers: You can keep seeing specialists and other providers for up to 75 days.
- Pregnancy Care: If you're in your 4th to 9th month of pregnancy, you can keep seeing your current provider until you finish the care you need following the birth of your child.
Need help or have questions?
Call Member Services at 1-800-421-6204, Monday - Friday, 8:00 a.m. - 5:00 p.m.
If you are Deaf, hard of hearing, DeafBlind, or have a speech disability you can access Relay Colorado services by dialing 711.
If you want to reach a care coordinator, 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
Lab & x-rays
X-rays and diagnostic tests to find out what is wrong are covered. They need to be ordered by your PCP or specialist.
Language help
If you need help with the information in any RMHP document, including written/ oral translation; or in a different format like large print or as an audio file, we can help you at no cost. You can get help by calling Rocky Mountain Health Plans (RMHP) at 800-421-6204 or State Relay 711 for callers with speech or hearing disabilities.
Si necesita ayuda con la información en este documento incluida la traducción oral/escrita, un formato diferente (como letra grande), o un archivo de audio, podemos ayudarlo sin costo. Puede obtener ayuda llamando Rocky Mountain Health Plans (RMHP) al 800-421-6204 o State Retransmisión 711 para personas con discapacidad auditiva o del habla.
Medicines
The most up-to-date list of prescription medications covered under this plan is on RMHP PRIME's find a provider or pharmacy page. A paper copy is available at no cost by calling Member Services. The name of the document that lists covered prescription medications for this plan is RMHP PRIME and CHP+ formulary.
The RMHP PRIME and CHP+ formulary also provides information about coverage guidelines, quantity limits, which medications that require pre-authorization, and what to do if you are prescribed a medication that is not on the list.
This plan covers up to a 90-day supply of a prescription maintenance medications from an in-network pharmacy. Some medications are limited to 30-day supplies at one time. Mail order fills up to a 90-day supply. Prescription contraceptives, including oral contraceptives (the Pill), contraceptive patches, and vaginal ring contraceptives, can be covered for up to a 12 month (1 year) supply after filling 3 months of the same contraceptive. Please see Member Handbook for more information.
Nurse hotline
The Health First Colorado Nurse Advice Line provides Health First Colorado (Colorado’s Medicaid program) members free medical information and advice, in both English and Spanish, 24 hours a day, every day of the year. Call 1-800-283-3221 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.
- Get advice on the type of doctor that may be right for your medical condition.
- The Nurse Advice Line can’t help with clinic appointments or medication refills. Call your health care provider’s office if you need help with these.
RMHP Care Coordination has nurses that can also help you with many needs. You can contact the RMHP Care Coordination team through the Member Services phone number, 1-800-421-6204.
Phone services
Colorado Lifeline Service is a government assisted wireless service that provides discounted home phone or cell phone services to eligible low income families and individuals. Colorado Lifeline Service discounts are offered to qualified Colorado customers who meet certain eligibility requirements such as, government assistance or a household income that is at or below 135% of the federal poverty level. Customers can check their Eligibility for the Program, apply online and avail the benefits, along with Discounts and Offers.
Select the prepaid plan that best fits your needs. There are several prepaid plans available under TAG Mobile Colorado Lifeline Services. You can change your plan every month to fit your lifestyle or you can add minutes anytime at your convenience.
Free Lifeline Government Cell Phone Service in Colorado (tagmobile.com)
Quit using tobacco or vaping product
Free QuitLine tobacco cessation counselor — Call 800-QUIT-NOW (1-800-784-8669) or visit www.coquitline.org
Therapy services
Habilitative therapy and devices
Habilitative services and devices include therapy and medical equipment that helps a person retain, learn, or improve skills and functioning for daily living. Habilitative therapy is covered for certain Health First Colorado members ages 19 through 64. Eligible members includes people who qualify for Health First Colorado due to the eligibility expansion through the Affordable Care Act. Coverage includes outpatient physical, occupational, and speech therapy benefits for the purposes of habilitation in addition to rehabilitation. Eligible members may receive habilitative therapy and devices when they are approved in advance by RMHP.
Rehabilitation
Therapy because of an injury or sickness is covered. This includes medically necessary:
- Physical therapy
- Occupational therapy
- Speech therapy
- Pulmonary therapy
- Cardiac rehabilitation