Fact Sheet Archives - Colorado Association of Health Plans

How Legislation Increases Your Health Insurance Premiums

Kevin McFatridge — Wed, 21 Sep 2022 19:41:32 +0000

Your health insurance premium is based on the prices for medical, hospital, and pharmaceutical services. For the fully insured market (individual, small group and large group), federal and state rules govern the benefits that must be covered for every health plan sold in Colorado. When the government mandates new coverages, those benefits have costs that... Read more »

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Ensuring evidence-based, effective treatment for Coloradans

Kevin McFatridge — Fri, 02 Sep 2022 16:21:38 +0000

All Coloradans should receive the most appropriate, effective, and safest medical treatments available. To achieve this goal, prior authorization (PA) is one tool used by health plans and government-sponsored programs including Medicaid, Medicare, and Tricare, to get advance approval of coverage for a medical service or prescription drug.

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Fiction vs Fact – Medicaid and RAEs

Kevin McFatridge — Fri, 04 Mar 2022 19:03:55 +0000

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Health First Colorado Substance Use Disorder Benefit Changes

Kevin McFatridge — Wed, 28 Apr 2021 20:24:09 +0000

Beginning January 1st, 2021, Substance Use Disorder (SUD) inpatient, residential, and withdrawal management services will be fully available under Health First Colorado’s Medicaid Plan in accordance with House Bill 18-1136. These services will be reimbursed by the Regional Accountable Provider Participation Colorado’s health plans are committed partners in helping facilitate a smooth transition to the... Read more »

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Colorado’s Medicaid Program and Behavioral Health

Kevin McFatridge — Tue, 01 Dec 2020 17:03:36 +0000

Every Health First Colorado Member is assigned to a RAE that manages their physical and behavioral health care. Members have access to comprehensive mental health and substance use disorder services through their RAE. There are no-copays for Health First Colorado behavioral health services.

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Mental Health Parity in Medicaid

Kevin McFatridge — Tue, 01 Dec 2020 17:02:00 +0000

The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) and related federal laws and regulations require State Medicaid agencies to ensure that Medicaid managed care organizations and Medicaid alternative benefit plans provide mental health or substance use disorder benefits that are no more stringent than those imposed upon... Read more »

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Colorado’s Medicaid Program and Physical Health

Kevin McFatridge — Tue, 01 Dec 2020 17:00:04 +0000

Health First, Colorado’s Medicaid program, is a public health insurance program for eligible Coloradans funded jointly by a federal-state partnership. In 2018, Health First Colorado launched the development of the Regional Accountable Entities (RAEs) to help administer Medicaid. The RAE contracts were awarded through a competitive bidding process by the Department of Health Care Policy... Read more »

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Ensuring Access to Telehealth Services for Coloradans During the COVID-19 Emergency

Kevin McFatridge — Tue, 31 Mar 2020 17:09:30 +0000

CAHP members are committed to the health and well-being of Coloradans and to helping the health care system meet the challenges posed by the Coronavirus strain COVID-19. Colorado’s health plans are working closely with our provider partners and health experts to ensure that Coloradans have access to timely, clinically appropriate testing and treatment.

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Colorado Health Plans’ COVID-19 Resources for Members

Kevin McFatridge — Mon, 16 Mar 2020 21:12:17 +0000

Colorado’s health plans are committed to our members’ health and well-being and we want to make sure Colorado’s health care system can meet the challenges posed by the Coronavirus strain COVID-19. Colorado’s health plans are working closely with our provider partners and health experts to ensure that our members have access to timely, clinically appropriate... Read more »

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