Provider Directory
Click here to link to the new RMHP Online Provider Directory.
The directory includes enhanced search capability, additional provider detail, and directions and maps to provider offices.
The directory is updated daily and now includes providers associated with Life Strategies, ASO Solutions plans administered by CNIC Health Solutions, and the Chamber of Commerce Association Plans for Delta, Gunnison, and Montrose.
Colorado Health Care Providers
Welcome to the Rocky Mountain Health Plans Provider Information pages. We know how busy Colorado health insurance companies and providers are, so we have put access to all the important information you need at your fingertips. In just a click or two you can:
- learn more about how to use the plan
- download forms, including medical and pharmacy preauthorization forms
- view RMHP's formulary and learn about other prescription drug programs, such as ePocrates
- find evidence-based care resources and tools on topics such as diabetes, pregnancy and preventive care
Colorado Health Insurance providers seeking case management services, please call the Case Management Referral Line:
Local Phone: 970-248-8718
Toll Free: 800-793-1339
Fax: 800-982-5839
Helpful Information for Colorado Health Insurance Providers & Companies
CMS RBRVS
Colorado Medicaid Fee Schedule
CMS DMERC
CMS Clinical Lab
Colorado Medicaid's Accountable Care Collaborative (ACC) Program.
Clinical Editing Policy: Edits on Payment or Compensation include industry standard claims payment criteria and methodologies, such as Medicare Program Guidelines, Medicare’s Standard Correct Coding Initiatives, Ingenix, DMERC, and Geographic Practice Cost Indicies (GPCI’s). These edits may increase or reduce payments payable to the provider. For more information regarding the effect of clinical editing on payment and compensation, please call your Provider Relations representative.
