PRIME

What is PRIME?

PRIME (Payment Reform Initiative for Medicaid Enrollees) is a well-established, primary care-driven program that provides better support for people, providers, and community organizations in rural Colorado. It builds upon community strengths to deliver high-quality care at lower total costs.

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Ambulance paramedic standing beside Delta County ambulance vehicle, holding medical kit in driveway.

Improving Member Experience

PRIME’S commitment to connecting members to high-quality, coordinated care results in an improved experience.

RMHP PRIME Care Experience for Adults, 2024-2025

73.5%

of members like their provider.

*68.1% for Colorado RAE Aggregate

60.8%

of members enjoy their health plan.

*58.1% for Colorado RAE Aggregate

94.3%

of members are pleased with their provider’s communication.

*93.3% for Colorado RAE Aggregate

84.4%

of members get the kind of care they need.

*79.8% for Colorado RAE Aggregate

84.3%

of members get care when they need it.

*80.3% for Colorado RAE Aggregate

*The Colorado RAE Aggregate results were weighted based on the eligible population for each RAE.

PRIME’s Proven Impact

Through community reinvestments, enhanced provider payments, and substantial savings, PRIME delivers meaningful impact both in local communities and across the state.

$0.7M/year

savings for Colorado taxpayers

$0.8M/year

in community reinvestments

0.8% total

state and community savings

Primary care APM

~0% higher

than Medicaid FFS

PRIME & RAE: Collaborative Efforts for Coordinated, Cost-Effective Care

Every Health First Colorado (Colorado’s Medicaid Program) member is assigned to a regional accountable entity (RAE), sometimes called a regional organization. Rocky Mountain Health Plans is the RAE for Region 1.

PRIME operates within the scope of the Region 1 RAE to advance Medicaid reform.

RAEs administer behavioral health care while partnering with providers of physical health care.

Eligible Health First Colorado members who live in counties where PRIME is available may be part of the program.

This map shows Colorado counties divided into two service areas:
light blue indicates the PRIME Service Area; dark blue indicates the Region 1 RAE Service Area.

PRIME is available to eligible Health First Colorado members in Delta, Garfield, Gunnison, Mesa, Montrose, Ouray, Pitkin, Rio Blanco, and San Miguel counties.

Get Started with PRIME

Your enrollment in PRIME is based on your application for Health First Colorado coverage.

After you apply for Health First Colorado coverage and your eligibility is confirmed, you will be automatically enrolled in PRIME if:

you live in a county where PRIME is available and

you have not opted out of the program.

Learn More About PRIME

If you have questions or want to learn more about the program, please contact us.

Call Us

1-800-421-6204 (TTY 711)

Email Us Through Your Secure Member Portal:

member.uhc.com/myuhc

Live Chat

Monday-Friday, 8:00 a.m.-5:00 p.m.
member.uhc.com/myuhc

Learn More About Our Commitment to Colorado

Discover more about Rocky Mountain Health Plans and how we’re working to improve health care for all Coloradans.

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