Colorado Medicaid Coverage

RMHP has served Medicaid-eligible persons in Western Colorado since 1974. We work closely with the State of Colorado and with local private and government organizations to provide or coordinate the delivery of publicly funded Colorado State Medicaid benefits.

Rocky Mountain Health Plans serves Medicaid clients living in these counties under its RMHP Medicaid Prime plan:

  • Garfield
  • Gunnison
  • Mesa
  • Montrose
  • Pitkin
  • Rio Blanco

RMHP arranges for Medicaid clients to receive benefits covered by the Colorado State Medicaid program. Providers in the RMHP network are available to Colorado State Medicaid clients. RMHP also provides customer service, care coordination, population health management, and quality monitoring and improvement services.

RMHP doctors give special check-ups and follow-up services to children under age 21 who are covered by the Medicaid EPSDT program. RMHP nurses work closely with Members who are pregnant or have diabetes, heart disease, and other chronic illnesses to help them manage their health status.

Colorado State Medicaid offers some additional services that are not covered through Rocky Mountain Health Plans. RMHP Customer Service representatives will direct you to the right places to get dental care, mental health care, and substance abuse treatment.

Getting Your Care Covered  English | Español

How to Enroll in RMHP Medicaid

You must be eligible for Medicaid before you can be enrolled in RMHP Medicaid Prime. If you  want to find out about your Colorado Medicaid eligibility, contact:

How to Apply for Colorado Medicaid and Child Health Plan Plus

Apply Online through Colorado Peak

Most people who qualify for Medicaid and live in Western Colorado or Larimer County will enroll with RMHP.  Call RMHP's Customer Service or call HealthColorado toll-free at 888-367-6557 if you have any questions about your Medicaid plan enrollment.

You may call RMHP at 970-244-7860 or 888-282-8801 Monday through Friday from 8:00 a.m. to 5:00 p.m. with questions about RMHP Medicaid or how to apply for Medicaid.

If you are already a Member, click here to learn more about how to use your RMHP Medicaid plan.

Medicaid Accountable Care Collaborative

The Accountable Care Collaborative (ACC) is a new Medicaid program designed to improve health and reduce costs.  Medicaid Members in the ACC will receive the regular Medicaid benefit package, and will also belong to a "Regional Care Collaborative Organization" (RCCO).  RMHP is the RCCO for Western Colorado.

RMHP connects Medicaid Members to Medicaid providers and also helps Medicaid Members find community and social services in their area. RMHP can also help Medicaid Members get the right care when they are returning home from the hospital or a nursing facility.  Medicaid Members can choose a Primary Care Medical Provider (PCMP).  A PCMP is your main health care provider, serving as a “medical home,” where you will get most of your health care. When you need specialist care, the PCMP will help you find the right specialist. 

Rocky Mountain Health Plans serves as the RCCO for Region 1. Learn more on the RMHP Community website.

 Rocky Mountain Health Plan Medicaid Regional Care Collaborative Organization counties:

RCCO County Map