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Learn about Colorado Access, a local nonprofit Managed Care Health Plan offering integrated virtual care for behavioral health in primary care settings. Attend the Payer Forum 2019 to discover the benefits of their Telemedicine Behavioral Health Program.
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Agenda • Company Overview • Lines of Business • Telemedicine Behavioral Health Program Payer Forum 2019
Company’s Vision and Mission Our Vision • Healthy communities transformed by the care that people want at a cost we can all afford. Our Mission • Partner with communities and empower people through access to quality, affordable care. Payer Forum 2019
Who we serve • Local, nonprofit Managed Care Health Plan formed in 1994 • Provide access for behavioral and physical health care services for people with Medicaid and Child Health Plan Plus (CHP+) • Currently serving over 500K eligible Colorado members Payer Forum 2019
Our Lines of Business • Child Health Plan Plus (CHP+) HMO offered by Colorado Access • Child Health Plan Plus (CHP+) State Managed Care Network (Administrator) • Regional Accountable Entity (RAE) Payer Forum 2019
RAE- 7 Regions Payer Forum 2019
INTEGRATED BEHAVIORAL HEALTH IN PRIMARY CARE Compelling need and opportunity SOURCE: State of Colorado 2014
COLORADO ACCESS SOLUTION: Virtually Integrated Behavioral Health Care • Colorado Access launched the Virtual Care Collaboration and Integration (VCCI) Program in July 2017 • Launched through AccessCare Services, the Telehealth and virtual care delivery arm of Colorado Access • Virtual, integrated, team-based care to meet behavioral health care needs in primary care setting • VCCI is available at no cost to all Colorado Access RAE PCMPs in Regions 3 & 5
COLORADO ACCESS SOLUTION: Virtually Integrated Behavioral Health Care Direct access to Psychiatrists and Behavioral Health Clinicians (BHC’s) via: • Collaborative Consultations • As On-demand as possible phone consultation from anyone involved with patient’s care in PCMP office to a psychiatrist or BHC • Not limited to Medicaid, these consults are insurance-blind, funded by Colorado Access • No limit, can call for consults as often as needed • Direct Encounters (Telehealth) • Psychiatrists and BHC’s provide direct care to members in the primary care setting using Telehealth • Brief Intervention- typically 6 sessions or less
COLORADO ACCESS SOLUTION: Virtually Integrated Behavioral Health Care • VCCI Services include: • Psychiatric evaluations • Diagnostic assessments • Medication Management • Short-term counseling • Bridging, and prescribing when necessary • Workflow design and Telehealth implementation support • Care Collaboration and Coordination with Colorado Access Care Management • Provider education and training (Virtual Lunch and Learns with topics chosen by the practices)
BENEFITS OF TELEHEALTH AND PRIMARY CARE INTEGRATION • Address shortage of behavioral health professionals • Greater access for all communities • Overcomes barriers • Reduces transportation costs • Drives integrated care uptake and transformation • Tool to reduce health care costs