2. Agenda Company Overview Lines of Business
Telemedicine Behavioral Health Program
Payer Forum 2019

3. Get to know Colorado Access

4. 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

5. 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

6. 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

7. RAE- 7 Regions
Payer Forum 2019

8. Virtual Care Collaboration and Integration

9. INTEGRATED BEHAVIORAL HEALTH IN PRIMARY CARE
Compelling need and opportunity
SOURCE: State of Colorado 2014

10. COLORADO ACCESS SOLUTION:
Virtually Integrated Behavioral Health Care
Colorado Access launched the Virtual Care Collaboration and Integration (VCCI) Program in July
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

11. 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
Insurance-blind means the consults can be for any payer type, including all commercial insurances, Medicare, and patients with no insurance

12. 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)
Care Collaboration and Coordination with Colorado Access Care Management- Can work with COA CM to connect members with long term care if needed and also refer to CM to connect patients with resources like food, clothing, shelter, etc

13. How VCCI works

14. 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
Workforce multiplier against shortage of behavioral health professionals—scalable across the region
Greater access for all communities: urban, rural
Overcomes barriers such as stigma, convenience
Reduces transportation costs
Drives integrated care uptake and advanced patient centered medical home transformation
Tool to reduce health care costs: prevents unnecessary medical care and escalation of BH problems

15. QUESTIONS?