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COORDINATING CARE IN OUR COMMUNITY

COORDINATING CARE IN OUR COMMUNITY

Rocky Mountain Health Plans was recently named the Single Entry Point (SEP) agency in Mesa County. This means RMHP will be the point of contact to coordinate and adjust care to meet the individual long-term care needs of our members.


Coordinating Care as the Single Entry Point (SEP)

At RMHP, we’re here to help our members get the quality care that’s right for them. To do this, we work with our members, providers, and a variety of community resource programs. RMHP was recently named the Single Entry Point (SEP) agency in Mesa County. Our goal as the SEP is to help our members find the care that’s right for their individual needs while helping them maintain their independence as much as possible. As the SEP, we will determine if a member is eligible for long-term care services, like home- and community-based services, long-term home health, nursing home care, and home care allowance. We will then serve as the point of contact between programs and members in need of this care.

Who Can Qualify for SEP Services?

SEP services are offered to members of Health First Colorado (Colorado’s Medicaid Program). Members who receive care are typically adults over the age of 18, but children in need of long-term care may also benefit from SEP services.

To receive these services and to have the cost of care paid by Health First Colorado, Members must:

  • qualify financially for Health First Colorado, which is determined by a county eligibility specialist
  • have an assessment of their functional capabilities

How RMHP Can Help

We can provide case management, care planning, and referrals to local community resources for members who qualify. The member will be placed with a case manager, free of charge, who will provide an assessment, service planning, and follow-up for those receiving long-term care. We can offer:

  • Personal care provider
  • Homemaker
  • PERS units (lifeline)
  • Medication reminders
  • Respite care (nursing facility, assisted living, or in-home)
  • Home modification
  • In-home support services
  • Consumer directed attendant support services
  • Non-medical transportation
  • Adult day care
  • Assisted living facility

Questions?

For questions about long-term care programs or to make a referral, please contact our SEP Intake Line at 970-244-7892.

If you have questions about your care and benefits, please call RMHP Customer Service at 888-282-8801.