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

Get to know Colorado Access

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

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

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

RAE- 7 Regions Payer Forum 2019

Virtual Care Collaboration and Integration

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

COLORADO ACCESS SOLUTION: Virtually Integrated Behavioral Health Care Colorado Access launched the Virtual Care Collaboration and Integration (VCCI) Program in July 2017 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

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

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

How VCCI works

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

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