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MEMBER LOGIN
Welcome to MyRMHP. Log in or register below. We work with Optum to offer you a secure log in experience, so you will create and use a RMHP One Healthcare ID. If you plan to bookmark a page for logging into MyRMHP, please bookmark this page instead of the following Optum one. Already registered? New to MyRMHP? Questions about your Account?SEP - RMHP
For questions about long-term care programs or to make a referral, please contact our SEP Intake Lines: Mesa County 970-244-7892. Costilla and Conejos Counties 719-982-6025. If you have questions about your care and benefits, please call RMHP Customer Service at888-282-8801.
2021 RMHP DUAL SPECIAL NEEDS PLANS Inpatient Hospital Care. $0 copay per stay for unlimited days. $1,408* deductible; $0 for days 1 to 60; $352 copay each day for days 61 to 90; Lifetime reserve days: $704. $0 copay per day for unlimited days after that**. Skilled Nursing Facility (SNF) $0 THE NEW ACCESS|RMHP PROVIDER PORTAL IS HERE Streamlined. Secure. In mid September, RMHP will begin sending personalized emails to users about the registration process for the new access|RMHP. In an effort to better protect secure information, each portal user will need to set up new login credentials. The first phase of registration will begin with the Main Office Contact account. RMHP PRIME HEALTH PLAN Call us at 888-282-8801 (TTY: 711). Para asistencia en espanol llame al 888-282-8801. Email us. You'll receive a response from a rep within 24 business hours. Live chat with us, Monday - Friday, 8 a.m. - 5 p.m. Visit us at 2775 Crossroads Blvd in Grand Junction, Monday - Friday, 8a.m. - 5 p.m.
SUBSTANCE USE DISORDER (SUD) BENEFIT Rocky Mountain Health Plans is responsible for authorizing inpatient and residential substance use disorder treatment stays as part of administering Health First Colorado’s capitated behavioral health benefit. On January 1, 2021, Health First Colorado, Colorado’s Medicaid program, will expand its substance use disorder (SUD)benefit.
FIND A DOCTOR IN THE RMHP NETWORK Primary Care Providers. Your primary care provider, or PCP, is called your medical home, where you will get most of your healthcare. When you need care from a specialist doctor, your PCP will help you find the right provider to treat you.FIND A PROVIDER
Every year, Medicare evaluates plans based on a 5-star rating system. If you need help finding a network provider, please call 800-346-4643 (TTY 711) or visit www.rmhpMedicare.org to access our online searchable directory. If you would like a provider directory mailed to you, you may call the number above, request one at the website link CONTRACEPTIVE REFERENCE CHART 2020 Contraceptive Reference Chart KEY: EE=Ethinyl Estradiol; EV=Estradiol Valerate; Fe=Ferrous Fumarate; SD=subdermal; TD=transdermal; LNG=levonorgestrel Updated January 2020 Non-Oral Contraceptive Alternatives Generic Name Brand Name EE Progestin Route Cost/30 COLORADO HEALTH INSURANCE PLANS Rocky Mountain Health Plans is Colorado-based and Colorado-focused. We were founded in Grand Junction more than 45 years ago to provide Coloradans access to high-quality healthcare. We continue this commitment and combine the personalized attention, quality care, and comprehensive coverage that our Members deserve and have come toexpect from
MEMBER LOGIN
Welcome to MyRMHP. Log in or register below. We work with Optum to offer you a secure log in experience, so you will create and use a RMHP One Healthcare ID. If you plan to bookmark a page for logging into MyRMHP, please bookmark this page instead of the following Optum one. Already registered? New to MyRMHP? Questions about your Account?SEP - RMHP
For questions about long-term care programs or to make a referral, please contact our SEP Intake Lines: Mesa County 970-244-7892. Costilla and Conejos Counties 719-982-6025. If you have questions about your care and benefits, please call RMHP Customer Service at888-282-8801.
2021 RMHP DUAL SPECIAL NEEDS PLANS Inpatient Hospital Care. $0 copay per stay for unlimited days. $1,408* deductible; $0 for days 1 to 60; $352 copay each day for days 61 to 90; Lifetime reserve days: $704. $0 copay per day for unlimited days after that**. Skilled Nursing Facility (SNF) $0 THE NEW ACCESS|RMHP PROVIDER PORTAL IS HERE Streamlined. Secure. In mid September, RMHP will begin sending personalized emails to users about the registration process for the new access|RMHP. In an effort to better protect secure information, each portal user will need to set up new login credentials. The first phase of registration will begin with the Main Office Contact account. RMHP PRIME HEALTH PLAN Call us at 888-282-8801 (TTY: 711). Para asistencia en espanol llame al 888-282-8801. Email us. You'll receive a response from a rep within 24 business hours. Live chat with us, Monday - Friday, 8 a.m. - 5 p.m. Visit us at 2775 Crossroads Blvd in Grand Junction, Monday - Friday, 8a.m. - 5 p.m.
SUBSTANCE USE DISORDER (SUD) BENEFIT Rocky Mountain Health Plans is responsible for authorizing inpatient and residential substance use disorder treatment stays as part of administering Health First Colorado’s capitated behavioral health benefit. On January 1, 2021, Health First Colorado, Colorado’s Medicaid program, will expand its substance use disorder (SUD)benefit.
FIND A DOCTOR IN THE RMHP NETWORK Primary Care Providers. Your primary care provider, or PCP, is called your medical home, where you will get most of your healthcare. When you need care from a specialist doctor, your PCP will help you find the right provider to treat you.FIND A PROVIDER
Every year, Medicare evaluates plans based on a 5-star rating system. If you need help finding a network provider, please call 800-346-4643 (TTY 711) or visit www.rmhpMedicare.org to access our online searchable directory. If you would like a provider directory mailed to you, you may call the number above, request one at the website link CONTRACEPTIVE REFERENCE CHART 2020 Contraceptive Reference Chart KEY: EE=Ethinyl Estradiol; EV=Estradiol Valerate; Fe=Ferrous Fumarate; SD=subdermal; TD=transdermal; LNG=levonorgestrel Updated January 2020 Non-Oral Contraceptive Alternatives Generic Name Brand Name EE Progestin Route Cost/30 GET STARTED WITH MYRMHP MyRMHP is your secure Member portal that helps you manage your health, 24/7. Get access to your personal health plan information, review benefits, check claims, print your ID card, explore helpful resources, view important updates from RMHP, and much more! FIND A DOCTOR IN THE RMHP NETWORK Primary Care Providers. Your primary care provider, or PCP, is called your medical home, where you will get most of your healthcare. When you need care from a specialist doctor, your PCP will help you find the right provider to treat you. PROVIDER DIRECTORY INFORMATION The information is also reviewed during recredentialing every three years. This data is updated weekly to maintain accuracy. The Directory is current as of Wednesday of each week. However, please contact Customer Service at 1-800-842-0719 if you contact your provider and find that information is out of date.FIND A PROVIDER
Every year, Medicare evaluates plans based on a 5-star rating system. If you need help finding a network provider, please call 800-346-4643 (TTY 711) or visit www.rmhpMedicare.org to access our online searchable directory. If you would like a provider directory mailed to you, you may call the number above, request one at the website link RMHP CARE ADVANTAGE PLANS Take Advantage with RMHP CareAdvantage Plans. Find the RMHP CareAdvantage plan that fits your health and budget needs. These plans offer: Image description: $0 primary care provider visit copays, $0 generic prescription copays, No-cost vision exams with allowance for eye wear, No medical deductible, No-cost fitness memberships through Renew Active TM, Worldwide coverage for urgent CONTRACEPTIVE REFERENCE CHART 2020 Contraceptive Reference Chart KEY: EE=Ethinyl Estradiol; EV=Estradiol Valerate; Fe=Ferrous Fumarate; SD=subdermal; TD=transdermal; LNG=levonorgestrel Updated January 2020 Non-Oral Contraceptive Alternatives Generic Name Brand Name EE Progestin Route Cost/30HOME
This request should be sent to: DMCARegisteredAgent@uhc.com; or, alternatively to: UnitedHealth Group, Attn: DMCA Registered Agent, 9900 Bren Road East, Minnetonka, MN 55343. The notice must include the following information: (a) a physical or electronic signature of a person authorized to act on behalf of the owner of an exclusive rightthat
MEDICARE PLAN DOCUMENTS AND FORMS| RMHP Medicare Plan Documents and Forms. The below forms can help you manage your health care for your Medicare Advantage and Dual Special Needs Plan. If you have questions about a form, we’re here to help. You can also find helpful forms for your plan in MyRMHP, your secureMember portal.
COLORADO DOCTORS PLAN INDIVIDUAL AND FAMILY PLANS Colorado Doctors Plan . Individual and Family Plans. Rocky Mountain Health . Maintenance Organization, Inc. Effective Jan. 1, 2021. Colorado Doctors PlanPARTNERSHIP UPDATE
As we noted previously, this partnership will enable RMHP to bring significant enhancements to our partners and members, including state-of-the-art technology and other nationally recognized innovations that can help improve health outcomes, enhance the member-patient-doctor experience, and make health care more affordableand accessible.
COLORADO HEALTH INSURANCE PLANS Rocky Mountain Health Plans is Colorado-based and Colorado-focused. We were founded in Grand Junction more than 45 years ago to provide Coloradans access to high-quality healthcare. We continue this commitment and combine the personalized attention, quality care, and comprehensive coverage that our Members deserve and have come toexpect from
MEMBER LOGIN
Welcome to MyRMHP. Log in or register below. We work with Optum to offer you a secure log in experience, so you will create and use a RMHP One Healthcare ID. If you plan to bookmark a page for logging into MyRMHP, please bookmark this page instead of the following Optum one. Already registered? New to MyRMHP? Questions about your Account?SEP - RMHP
For questions about long-term care programs or to make a referral, please contact our SEP Intake Lines: Mesa County 970-244-7892. Costilla and Conejos Counties 719-982-6025. If you have questions about your care and benefits, please call RMHP Customer Service at888-282-8801.
2021 RMHP DUAL SPECIAL NEEDS PLANS Inpatient Hospital Care. $0 copay per stay for unlimited days. $1,408* deductible; $0 for days 1 to 60; $352 copay each day for days 61 to 90; Lifetime reserve days: $704. $0 copay per day for unlimited days after that**. Skilled Nursing Facility (SNF) $0 THE NEW ACCESS|RMHP PROVIDER PORTAL IS HERE Streamlined. Secure. In mid September, RMHP will begin sending personalized emails to users about the registration process for the new access|RMHP. In an effort to better protect secure information, each portal user will need to set up new login credentials. The first phase of registration will begin with the Main Office Contact account. RMHP PRIME HEALTH PLAN Call us at 888-282-8801 (TTY: 711). Para asistencia en espanol llame al 888-282-8801. Email us. You'll receive a response from a rep within 24 business hours. Live chat with us, Monday - Friday, 8 a.m. - 5 p.m. Visit us at 2775 Crossroads Blvd in Grand Junction, Monday - Friday, 8a.m. - 5 p.m.
SUBSTANCE USE DISORDER (SUD) BENEFIT Rocky Mountain Health Plans is responsible for authorizing inpatient and residential substance use disorder treatment stays as part of administering Health First Colorado’s capitated behavioral health benefit. On January 1, 2021, Health First Colorado, Colorado’s Medicaid program, will expand its substance use disorder (SUD)benefit.
FIND A DOCTOR IN THE RMHP NETWORK Primary Care Providers. Your primary care provider, or PCP, is called your medical home, where you will get most of your healthcare. When you need care from a specialist doctor, your PCP will help you find the right provider to treat you.FIND A PROVIDER
Every year, Medicare evaluates plans based on a 5-star rating system. If you need help finding a network provider, please call 800-346-4643 (TTY 711) or visit www.rmhpMedicare.org to access our online searchable directory. If you would like a provider directory mailed to you, you may call the number above, request one at the website link CONTRACEPTIVE REFERENCE CHART 2020 Contraceptive Reference Chart KEY: EE=Ethinyl Estradiol; EV=Estradiol Valerate; Fe=Ferrous Fumarate; SD=subdermal; TD=transdermal; LNG=levonorgestrel Updated January 2020 Non-Oral Contraceptive Alternatives Generic Name Brand Name EE Progestin Route Cost/30 COLORADO HEALTH INSURANCE PLANS Rocky Mountain Health Plans is Colorado-based and Colorado-focused. We were founded in Grand Junction more than 45 years ago to provide Coloradans access to high-quality healthcare. We continue this commitment and combine the personalized attention, quality care, and comprehensive coverage that our Members deserve and have come toexpect from
MEMBER LOGIN
Welcome to MyRMHP. Log in or register below. We work with Optum to offer you a secure log in experience, so you will create and use a RMHP One Healthcare ID. If you plan to bookmark a page for logging into MyRMHP, please bookmark this page instead of the following Optum one. Already registered? New to MyRMHP? Questions about your Account?SEP - RMHP
For questions about long-term care programs or to make a referral, please contact our SEP Intake Lines: Mesa County 970-244-7892. Costilla and Conejos Counties 719-982-6025. If you have questions about your care and benefits, please call RMHP Customer Service at888-282-8801.
2021 RMHP DUAL SPECIAL NEEDS PLANS Inpatient Hospital Care. $0 copay per stay for unlimited days. $1,408* deductible; $0 for days 1 to 60; $352 copay each day for days 61 to 90; Lifetime reserve days: $704. $0 copay per day for unlimited days after that**. Skilled Nursing Facility (SNF) $0 THE NEW ACCESS|RMHP PROVIDER PORTAL IS HERE Streamlined. Secure. In mid September, RMHP will begin sending personalized emails to users about the registration process for the new access|RMHP. In an effort to better protect secure information, each portal user will need to set up new login credentials. The first phase of registration will begin with the Main Office Contact account. RMHP PRIME HEALTH PLAN Call us at 888-282-8801 (TTY: 711). Para asistencia en espanol llame al 888-282-8801. Email us. You'll receive a response from a rep within 24 business hours. Live chat with us, Monday - Friday, 8 a.m. - 5 p.m. Visit us at 2775 Crossroads Blvd in Grand Junction, Monday - Friday, 8a.m. - 5 p.m.
SUBSTANCE USE DISORDER (SUD) BENEFIT Rocky Mountain Health Plans is responsible for authorizing inpatient and residential substance use disorder treatment stays as part of administering Health First Colorado’s capitated behavioral health benefit. On January 1, 2021, Health First Colorado, Colorado’s Medicaid program, will expand its substance use disorder (SUD)benefit.
FIND A DOCTOR IN THE RMHP NETWORK Primary Care Providers. Your primary care provider, or PCP, is called your medical home, where you will get most of your healthcare. When you need care from a specialist doctor, your PCP will help you find the right provider to treat you.FIND A PROVIDER
Every year, Medicare evaluates plans based on a 5-star rating system. If you need help finding a network provider, please call 800-346-4643 (TTY 711) or visit www.rmhpMedicare.org to access our online searchable directory. If you would like a provider directory mailed to you, you may call the number above, request one at the website link CONTRACEPTIVE REFERENCE CHART 2020 Contraceptive Reference Chart KEY: EE=Ethinyl Estradiol; EV=Estradiol Valerate; Fe=Ferrous Fumarate; SD=subdermal; TD=transdermal; LNG=levonorgestrel Updated January 2020 Non-Oral Contraceptive Alternatives Generic Name Brand Name EE Progestin Route Cost/30 GET STARTED WITH MYRMHP MyRMHP is your secure Member portal that helps you manage your health, 24/7. Get access to your personal health plan information, review benefits, check claims, print your ID card, explore helpful resources, view important updates from RMHP, and much more! FIND A DOCTOR IN THE RMHP NETWORK Primary Care Providers. Your primary care provider, or PCP, is called your medical home, where you will get most of your healthcare. When you need care from a specialist doctor, your PCP will help you find the right provider to treat you. PROVIDER DIRECTORY INFORMATION The information is also reviewed during recredentialing every three years. This data is updated weekly to maintain accuracy. The Directory is current as of Wednesday of each week. However, please contact Customer Service at 1-800-842-0719 if you contact your provider and find that information is out of date.FIND A PROVIDER
Every year, Medicare evaluates plans based on a 5-star rating system. If you need help finding a network provider, please call 800-346-4643 (TTY 711) or visit www.rmhpMedicare.org to access our online searchable directory. If you would like a provider directory mailed to you, you may call the number above, request one at the website link RMHP CARE ADVANTAGE PLANS Take Advantage with RMHP CareAdvantage Plans. Find the RMHP CareAdvantage plan that fits your health and budget needs. These plans offer: Image description: $0 primary care provider visit copays, $0 generic prescription copays, No-cost vision exams with allowance for eye wear, No medical deductible, No-cost fitness memberships through Renew Active TM, Worldwide coverage for urgent CONTRACEPTIVE REFERENCE CHART 2020 Contraceptive Reference Chart KEY: EE=Ethinyl Estradiol; EV=Estradiol Valerate; Fe=Ferrous Fumarate; SD=subdermal; TD=transdermal; LNG=levonorgestrel Updated January 2020 Non-Oral Contraceptive Alternatives Generic Name Brand Name EE Progestin Route Cost/30HOME
This request should be sent to: DMCARegisteredAgent@uhc.com; or, alternatively to: UnitedHealth Group, Attn: DMCA Registered Agent, 9900 Bren Road East, Minnetonka, MN 55343. The notice must include the following information: (a) a physical or electronic signature of a person authorized to act on behalf of the owner of an exclusive rightthat
MEDICARE PLAN DOCUMENTS AND FORMS| RMHP Medicare Plan Documents and Forms. The below forms can help you manage your health care for your Medicare Advantage and Dual Special Needs Plan. If you have questions about a form, we’re here to help. You can also find helpful forms for your plan in MyRMHP, your secureMember portal.
COLORADO DOCTORS PLAN INDIVIDUAL AND FAMILY PLANS Colorado Doctors Plan . Individual and Family Plans. Rocky Mountain Health . Maintenance Organization, Inc. Effective Jan. 1, 2021. Colorado Doctors PlanPARTNERSHIP UPDATE
As we noted previously, this partnership will enable RMHP to bring significant enhancements to our partners and members, including state-of-the-art technology and other nationally recognized innovations that can help improve health outcomes, enhance the member-patient-doctor experience, and make health care more affordableand accessible.
COLORADO HEALTH INSURANCE PLANS Colorado is Our Home. We love this beautiful state that we’re all lucky to call home. From the Rocky Mountains to the field-filled plains, from Aspen glamour to backcountry solitude, from boots to beards, from biking to brews, we understand all that it means to live in Colorado - because we live here, too.MEMBER LOGIN
Log in or register below. We work with Optum to offer you a secure log in experience, so you will create and use a RMHP One Healthcare ID. If you plan to bookmark a 2021 RMHP DUAL SPECIAL NEEDS PLANS RMHP DualCare Plus plan is a Dual Special Needs Plan available to individuals who qualify. This plan is available in Delta, La Plata, Mesa, and Montezuma counties. GET STARTED WITH MYRMHP MyRMHP is your secure Member portal that helps you manage your health, 24/7. Get access to your personal health plan information, review benefits, check claims, print your ID card, explore helpful resources, view important updates from RMHP, and much more! THE NEW ACCESS|RMHP PROVIDER PORTAL IS HERE If you are a current user and have not completed your registration for the new portal yet, you may continue to access the current portal. Don’t forget to register for the new portal by October 31 or your access will be terminated. FIND A DOCTOR IN THE RMHP NETWORK Primary Care Providers. Your primary care provider, or PCP, is called your medical home, where you will get most of your healthcare. When you need care from a specialist doctor, your PCP will help you find the right provider to treat you. SUBSTANCE USE DISORDER (SUD) BENEFIT Rocky Mountain Health Plans is responsible for authorizing inpatient and residential substance use disorder treatment stays as part of administering HealthHOME
© 2021, Rocky Mountain Health Plans, All rights reserved. CONTRACEPTIVE REFERENCE CHART 2020 Contraceptive Reference Chart KEY: EE=Ethinyl Estradiol; EV=Estradiol Valerate; Fe=Ferrous Fumarate; SD=subdermal; TD=transdermal; LNG=levonorgestrel Updated January 2020 Non-Oral Contraceptive Alternatives Generic Name Brand Name EE Progestin Route Cost/30 QUALITY IMPROVEMENT AT RMHP The objective of the RMHP Quality Improvement Program is to monitor, measure, and take effective actions on identified opportunities to improve the quality and safety of health care and services through the cycle of objective evaluation, intervention, and reevaluation. COLORADO HEALTH INSURANCE PLANS Colorado is Our Home. We love this beautiful state that we’re all lucky to call home. From the Rocky Mountains to the field-filled plains, from Aspen glamour to backcountry solitude, from boots to beards, from biking to brews, we understand all that it means to live in Colorado - because we live here, too.MEMBER LOGIN
Log in or register below. We work with Optum to offer you a secure log in experience, so you will create and use a RMHP One Healthcare ID. If you plan to bookmark a 2021 RMHP DUAL SPECIAL NEEDS PLANS RMHP DualCare Plus plan is a Dual Special Needs Plan available to individuals who qualify. This plan is available in Delta, La Plata, Mesa, and Montezuma counties. GET STARTED WITH MYRMHP MyRMHP is your secure Member portal that helps you manage your health, 24/7. Get access to your personal health plan information, review benefits, check claims, print your ID card, explore helpful resources, view important updates from RMHP, and much more! THE NEW ACCESS|RMHP PROVIDER PORTAL IS HERE If you are a current user and have not completed your registration for the new portal yet, you may continue to access the current portal. Don’t forget to register for the new portal by October 31 or your access will be terminated. FIND A DOCTOR IN THE RMHP NETWORK Primary Care Providers. Your primary care provider, or PCP, is called your medical home, where you will get most of your healthcare. When you need care from a specialist doctor, your PCP will help you find the right provider to treat you. SUBSTANCE USE DISORDER (SUD) BENEFIT Rocky Mountain Health Plans is responsible for authorizing inpatient and residential substance use disorder treatment stays as part of administering HealthHOME
© 2021, Rocky Mountain Health Plans, All rights reserved. CONTRACEPTIVE REFERENCE CHART 2020 Contraceptive Reference Chart KEY: EE=Ethinyl Estradiol; EV=Estradiol Valerate; Fe=Ferrous Fumarate; SD=subdermal; TD=transdermal; LNG=levonorgestrel Updated January 2020 Non-Oral Contraceptive Alternatives Generic Name Brand Name EE Progestin Route Cost/30 QUALITY IMPROVEMENT AT RMHP The objective of the RMHP Quality Improvement Program is to monitor, measure, and take effective actions on identified opportunities to improve the quality and safety of health care and services through the cycle of objective evaluation, intervention, and reevaluation.SEP - RMHP
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. PROVIDER DIRECTORY INFORMATION Physician and Provider Selection Criteria. RMHP does not use quality measures, member experience measures, or cost-related measures to select practitioners or facilities. FIND A DOCTOR IN THE RMHP NETWORK Primary Care Providers. Your primary care provider, or PCP, is called your medical home, where you will get most of your healthcare. When you need care from a specialist doctor, your PCP will help you find the right provider to treat you. SUBSTANCE USE DISORDER (SUD) BENEFIT Rocky Mountain Health Plans is responsible for authorizing inpatient and residential substance use disorder treatment stays as part of administering HealthFIND A PROVIDER
Find a Provider Online. Use our convenient online provider directory to find a provider near you. Find a provider. Download Printable Directories. Download a PDF of RMHP PRIME HEALTH PLAN About RMHP Prime. RMHP has a health plan called RMHP Prime that provides healthcare services to most adult Health First Colorado Members and some children with disabilities in certain counties on the Western Slope: Garfield, Gunnison, Mesa, Montrose, Pitkin, Rio BlancoHOME
© 2021, Rocky Mountain Health Plans, All rights reserved.PRIOR AUTHORIZATION
About Prior Authorization. We will review your request to: Determine if the treatment or service is covered by a Member's health plan. Consider whether it is the right care, at the right time, from the right healthcare practitioner or provider CONTRACEPTIVE REFERENCE CHART 2020 Contraceptive Reference Chart KEY: EE=Ethinyl Estradiol; EV=Estradiol Valerate; Fe=Ferrous Fumarate; SD=subdermal; TD=transdermal; LNG=levonorgestrel Updated January 2020 Non-Oral Contraceptive Alternatives Generic Name Brand Name EE Progestin Route Cost/30 COMMONLY USED FORMS FOR PROVIDERS PROVIDER TOOLS Helping our Members maintain a healthy lifestyle is a primary goal for Rocky Mountain Health Plans. We encourage our members to have regular well-care visits, to keep track of key health indicators, and receive preventive care. COLORADO HEALTH INSURANCE PLANS Rocky Mountain Health Plans is Colorado-based and Colorado-focused. We were founded in Grand Junction more than 45 years ago to provide Coloradans access to high-quality healthcare. We continue this commitment and combine the personalized attention, quality care, and comprehensive coverage that our Members deserve and have come toexpect from
MEMBER LOGIN
Welcome to MyRMHP. Log in or register below. We work with Optum to offer you a secure log in experience, so you will create and use a RMHP One Healthcare ID. If you plan to bookmark a page for logging into MyRMHP, please bookmark this page instead of the following Optum one. Already registered? New to MyRMHP? Questions about your Account? 2021 RMHP DUAL SPECIAL NEEDS PLANS Inpatient Hospital Care. $0 copay per stay for unlimited days. $1,408* deductible; $0 for days 1 to 60; $352 copay each day for days 61 to 90; Lifetime reserve days: $704. $0 copay per day for unlimited days after that**. Skilled Nursing Facility (SNF) $0 GET STARTED WITH MYRMHP MyRMHP is your secure Member portal that helps you manage your health, 24/7. Get access to your personal health plan information, review benefits, check claims, print your ID card, explore helpful resources, view important updates from RMHP, and much more! THE NEW ACCESS|RMHP PROVIDER PORTAL IS HERE Streamlined. Secure. In mid September, RMHP will begin sending personalized emails to users about the registration process for the new access|RMHP. In an effort to better protect secure information, each portal user will need to set up new login credentials. The first phase of registration will begin with the Main Office Contact account. SUBSTANCE USE DISORDER (SUD) BENEFIT Rocky Mountain Health Plans is responsible for authorizing inpatient and residential substance use disorder treatment stays as part of administering Health First Colorado’s capitated behavioral health benefit. On January 1, 2021, Health First Colorado, Colorado’s Medicaid program, will expand its substance use disorder (SUD)benefit.
FIND A DOCTOR IN THE RMHP NETWORK Primary Care Providers. Your primary care provider, or PCP, is called your medical home, where you will get most of your healthcare. When you need care from a specialist doctor, your PCP will help you find the right provider to treat you. CONTRACEPTIVE REFERENCE CHART 2020 Contraceptive Reference Chart KEY: EE=Ethinyl Estradiol; EV=Estradiol Valerate; Fe=Ferrous Fumarate; SD=subdermal; TD=transdermal; LNG=levonorgestrel Updated January 2020 Non-Oral Contraceptive Alternatives Generic Name Brand Name EE Progestin Route Cost/30 QUALITY IMPROVEMENT AT RMHP Quality Improvement at RMHP. The objective of the RMHP Quality Improvement Program is to monitor, measure, and take effective actions on identified opportunities to improve the quality and safety of health care and services through the cycle of objective evaluation, intervention, and reevaluation. These activities are the summation ofefforts
HOME
This request should be sent to: DMCARegisteredAgent@uhc.com; or, alternatively to: UnitedHealth Group, Attn: DMCA Registered Agent, 9900 Bren Road East, Minnetonka, MN 55343. The notice must include the following information: (a) a physical or electronic signature of a person authorized to act on behalf of the owner of an exclusive rightthat
COLORADO HEALTH INSURANCE PLANS Rocky Mountain Health Plans is Colorado-based and Colorado-focused. We were founded in Grand Junction more than 45 years ago to provide Coloradans access to high-quality healthcare. We continue this commitment and combine the personalized attention, quality care, and comprehensive coverage that our Members deserve and have come toexpect from
MEMBER LOGIN
Welcome to MyRMHP. Log in or register below. We work with Optum to offer you a secure log in experience, so you will create and use a RMHP One Healthcare ID. If you plan to bookmark a page for logging into MyRMHP, please bookmark this page instead of the following Optum one. Already registered? New to MyRMHP? Questions about your Account? 2021 RMHP DUAL SPECIAL NEEDS PLANS Inpatient Hospital Care. $0 copay per stay for unlimited days. $1,408* deductible; $0 for days 1 to 60; $352 copay each day for days 61 to 90; Lifetime reserve days: $704. $0 copay per day for unlimited days after that**. Skilled Nursing Facility (SNF) $0 GET STARTED WITH MYRMHP MyRMHP is your secure Member portal that helps you manage your health, 24/7. Get access to your personal health plan information, review benefits, check claims, print your ID card, explore helpful resources, view important updates from RMHP, and much more! THE NEW ACCESS|RMHP PROVIDER PORTAL IS HERE Streamlined. Secure. In mid September, RMHP will begin sending personalized emails to users about the registration process for the new access|RMHP. In an effort to better protect secure information, each portal user will need to set up new login credentials. The first phase of registration will begin with the Main Office Contact account. SUBSTANCE USE DISORDER (SUD) BENEFIT Rocky Mountain Health Plans is responsible for authorizing inpatient and residential substance use disorder treatment stays as part of administering Health First Colorado’s capitated behavioral health benefit. On January 1, 2021, Health First Colorado, Colorado’s Medicaid program, will expand its substance use disorder (SUD)benefit.
FIND A DOCTOR IN THE RMHP NETWORK Primary Care Providers. Your primary care provider, or PCP, is called your medical home, where you will get most of your healthcare. When you need care from a specialist doctor, your PCP will help you find the right provider to treat you. CONTRACEPTIVE REFERENCE CHART 2020 Contraceptive Reference Chart KEY: EE=Ethinyl Estradiol; EV=Estradiol Valerate; Fe=Ferrous Fumarate; SD=subdermal; TD=transdermal; LNG=levonorgestrel Updated January 2020 Non-Oral Contraceptive Alternatives Generic Name Brand Name EE Progestin Route Cost/30 QUALITY IMPROVEMENT AT RMHP Quality Improvement at RMHP. The objective of the RMHP Quality Improvement Program is to monitor, measure, and take effective actions on identified opportunities to improve the quality and safety of health care and services through the cycle of objective evaluation, intervention, and reevaluation. These activities are the summation ofefforts
HOME
This request should be sent to: DMCARegisteredAgent@uhc.com; or, alternatively to: UnitedHealth Group, Attn: DMCA Registered Agent, 9900 Bren Road East, Minnetonka, MN 55343. The notice must include the following information: (a) a physical or electronic signature of a person authorized to act on behalf of the owner of an exclusive rightthat
SEP - RMHP
For questions about long-term care programs or to make a referral, please contact our SEP Intake Lines: Mesa County 970-244-7892. Costilla and Conejos Counties 719-982-6025. If you have questions about your care and benefits, please call RMHP Customer Service at888-282-8801.
PROVIDER DIRECTORY INFORMATION The information is also reviewed during recredentialing every three years. This data is updated weekly to maintain accuracy. The Directory is current as of Wednesday of each week. However, please contact Customer Service at 1-800-842-0719 if you contact your provider and find that information is out of date. FIND A DOCTOR IN THE RMHP NETWORK Primary Care Providers. Your primary care provider, or PCP, is called your medical home, where you will get most of your healthcare. When you need care from a specialist doctor, your PCP will help you find the right provider to treat you.FIND A PROVIDER
Every year, Medicare evaluates plans based on a 5-star rating system. If you need help finding a network provider, please call 800-346-4643 (TTY 711) or visit www.rmhpMedicare.org to access our online searchable directory. If you would like a provider directory mailed to you, you may call the number above, request one at the website link SUBSTANCE USE DISORDER (SUD) BENEFIT Rocky Mountain Health Plans is responsible for authorizing inpatient and residential substance use disorder treatment stays as part of administering Health First Colorado’s capitated behavioral health benefit. On January 1, 2021, Health First Colorado, Colorado’s Medicaid program, will expand its substance use disorder (SUD)benefit.
RMHP PRIME HEALTH PLAN Call us at 888-282-8801 (TTY: 711). Para asistencia en espanol llame al 888-282-8801. Email us. You'll receive a response from a rep within 24 business hours. Live chat with us, Monday - Friday, 8 a.m. - 5 p.m. Visit us at 2775 Crossroads Blvd in Grand Junction, Monday - Friday, 8a.m. - 5 p.m.
PRIOR AUTHORIZATION
Prior authorization requests for physical health services are submitted to RMHP. For Prior Authorization requests, or any questions from Members/Providers about RMHP as the Region 1 RAE, call 888-282-8801. Prior authorization is required for inpatient hospitalizations, partial hospitalizations, acute treatment units,short and long-term
CONTRACEPTIVE REFERENCE CHART 2020 Contraceptive Reference Chart KEY: EE=Ethinyl Estradiol; EV=Estradiol Valerate; Fe=Ferrous Fumarate; SD=subdermal; TD=transdermal; LNG=levonorgestrel Updated January 2020 Non-Oral Contraceptive Alternatives Generic Name Brand Name EE Progestin Route Cost/30HOME
This request should be sent to: DMCARegisteredAgent@uhc.com; or, alternatively to: UnitedHealth Group, Attn: DMCA Registered Agent, 9900 Bren Road East, Minnetonka, MN 55343. The notice must include the following information: (a) a physical or electronic signature of a person authorized to act on behalf of the owner of an exclusive rightthat
COMMONLY USED FORMS FOR PROVIDERS PROVIDER TOOLS Helping our Members maintain a healthy lifestyle is a primary goal for Rocky Mountain Health Plans. We encourage our members to have regular well-care visits, to keep track of key health indicators, and receive preventive care. COLORADO HEALTH INSURANCE PLANS Rocky Mountain Health Plans is Colorado-based and Colorado-focused. We were founded in Grand Junction more than 45 years ago to provide Coloradans access to high-quality healthcare. We continue this commitment and combine the personalized attention, quality care, and comprehensive coverage that our Members deserve and have come toexpect from
MEMBER LOGIN
Welcome to MyRMHP. Log in or register below. We work with Optum to offer you a secure log in experience, so you will create and use a RMHP One Healthcare ID. If you plan to bookmark a page for logging into MyRMHP, please bookmark this page instead of the following Optum one. Already registered? New to MyRMHP? Questions about your Account? GET STARTED WITH MYRMHP MyRMHP is your secure Member portal that helps you manage your health, 24/7. Get access to your personal health plan information, review benefits, check claims, print your ID card, explore helpful resources, view important updates from RMHP, and much more!I AM A PROVIDER
I am a Provider. Rocky Mountain Health Plans was founded more than 40 years ago to provide access to high-quality health coverage to Coloradans. The heart of our success lies with our commitment to that mission and our relationship with providers to provide that high standard of care. We make decisions based on the well-being of ourMembers
THE NEW ACCESS|RMHP PROVIDER PORTAL IS HERE Streamlined. Secure. In mid September, RMHP will begin sending personalized emails to users about the registration process for the new access|RMHP. In an effort to better protect secure information, each portal user will need to set up new login credentials. The first phase of registration will begin with the Main Office Contact account. RMHP PRIME HEALTH PLAN Call us at 888-282-8801 (TTY: 711). Para asistencia en espanol llame al 888-282-8801. Email us. You'll receive a response from a rep within 24 business hours. Live chat with us, Monday - Friday, 8 a.m. - 5 p.m. Visit us at 2775 Crossroads Blvd in Grand Junction, Monday - Friday, 8a.m. - 5 p.m.
FIND A DOCTOR IN THE RMHP NETWORK Primary Care Providers. Your primary care provider, or PCP, is called your medical home, where you will get most of your healthcare. When you need care from a specialist doctor, your PCP will help you find the right provider to treat you.FIND A PROVIDER
Every year, Medicare evaluates plans based on a 5-star rating system. If you need help finding a network provider, please call 800-346-4643 (TTY 711) or visit www.rmhpMedicare.org to access our online searchable directory. If you would like a provider directory mailed to you, you may call the number above, request one at the website link CONTRACEPTIVE REFERENCE CHART 2020 Contraceptive Reference Chart KEY: EE=Ethinyl Estradiol; EV=Estradiol Valerate; Fe=Ferrous Fumarate; SD=subdermal; TD=transdermal; LNG=levonorgestrel Updated January 2020 Non-Oral Contraceptive Alternatives Generic Name Brand Name EE Progestin Route Cost/30 QUALITY IMPROVEMENT AT RMHP Quality Improvement at RMHP. The objective of the RMHP Quality Improvement Program is to monitor, measure, and take effective actions on identified opportunities to improve the quality and safety of health care and services through the cycle of objective evaluation, intervention, and reevaluation. These activities are the summation ofefforts
COLORADO HEALTH INSURANCE PLANS Rocky Mountain Health Plans is Colorado-based and Colorado-focused. We were founded in Grand Junction more than 45 years ago to provide Coloradans access to high-quality healthcare. We continue this commitment and combine the personalized attention, quality care, and comprehensive coverage that our Members deserve and have come toexpect from
MEMBER LOGIN
Welcome to MyRMHP. Log in or register below. We work with Optum to offer you a secure log in experience, so you will create and use a RMHP One Healthcare ID. If you plan to bookmark a page for logging into MyRMHP, please bookmark this page instead of the following Optum one. Already registered? New to MyRMHP? Questions about your Account? GET STARTED WITH MYRMHP MyRMHP is your secure Member portal that helps you manage your health, 24/7. Get access to your personal health plan information, review benefits, check claims, print your ID card, explore helpful resources, view important updates from RMHP, and much more!I AM A PROVIDER
I am a Provider. Rocky Mountain Health Plans was founded more than 40 years ago to provide access to high-quality health coverage to Coloradans. The heart of our success lies with our commitment to that mission and our relationship with providers to provide that high standard of care. We make decisions based on the well-being of ourMembers
THE NEW ACCESS|RMHP PROVIDER PORTAL IS HERE Streamlined. Secure. In mid September, RMHP will begin sending personalized emails to users about the registration process for the new access|RMHP. In an effort to better protect secure information, each portal user will need to set up new login credentials. The first phase of registration will begin with the Main Office Contact account. RMHP PRIME HEALTH PLAN Call us at 888-282-8801 (TTY: 711). Para asistencia en espanol llame al 888-282-8801. Email us. You'll receive a response from a rep within 24 business hours. Live chat with us, Monday - Friday, 8 a.m. - 5 p.m. Visit us at 2775 Crossroads Blvd in Grand Junction, Monday - Friday, 8a.m. - 5 p.m.
FIND A DOCTOR IN THE RMHP NETWORK Primary Care Providers. Your primary care provider, or PCP, is called your medical home, where you will get most of your healthcare. When you need care from a specialist doctor, your PCP will help you find the right provider to treat you.FIND A PROVIDER
Every year, Medicare evaluates plans based on a 5-star rating system. If you need help finding a network provider, please call 800-346-4643 (TTY 711) or visit www.rmhpMedicare.org to access our online searchable directory. If you would like a provider directory mailed to you, you may call the number above, request one at the website link CONTRACEPTIVE REFERENCE CHART 2020 Contraceptive Reference Chart KEY: EE=Ethinyl Estradiol; EV=Estradiol Valerate; Fe=Ferrous Fumarate; SD=subdermal; TD=transdermal; LNG=levonorgestrel Updated January 2020 Non-Oral Contraceptive Alternatives Generic Name Brand Name EE Progestin Route Cost/30 QUALITY IMPROVEMENT AT RMHP Quality Improvement at RMHP. The objective of the RMHP Quality Improvement Program is to monitor, measure, and take effective actions on identified opportunities to improve the quality and safety of health care and services through the cycle of objective evaluation, intervention, and reevaluation. These activities are the summation ofefforts
PROVIDER RESOURCES
Provider Resources. The people at Rocky Mountain Health Plans value our relationship with our providers. That's why we work to provide you the tools and resources you need to deliver covered healthcare services to our Members. Find information below about some important topics, as well as access to commonly used forms. FIND A DOCTOR IN THE RMHP NETWORK Primary Care Providers. Your primary care provider, or PCP, is called your medical home, where you will get most of your healthcare. When you need care from a specialist doctor, your PCP will help you find the right provider to treat you.SEP - RMHP
For questions about long-term care programs or to make a referral, please contact our SEP Intake Lines: Mesa County 970-244-7892. Costilla and Conejos Counties 719-982-6025. If you have questions about your care and benefits, please call RMHP Customer Service at888-282-8801.
2021 RMHP DUAL SPECIAL NEEDS PLANS Inpatient Hospital Care. $0 copay per stay for unlimited days. $1,408* deductible; $0 for days 1 to 60; $352 copay each day for days 61 to 90; Lifetime reserve days: $704. $0 copay per day for unlimited days after that**. Skilled Nursing Facility (SNF) $0 PROVIDER DIRECTORY INFORMATION The information is also reviewed during recredentialing every three years. This data is updated weekly to maintain accuracy. The Directory is current as of Wednesday of each week. However, please contact Customer Service at 1-800-842-0719 if you contact your provider and find that information is out of date.FORMULARY - RMHP
Hours are 8am – 8pm, 7 days/week, Oct. 1-Mar. 31, and 8am – 8pm, M-F, April. 1-Sept.30. Limitations, copayments, and restrictions may apply. The formularies are constantly updated and may change at any time. To ask about the the most up-to-date formulary coverage on a medication, call our Pharmacy Help Desk at 800-641-8921. SUBSTANCE USE DISORDER (SUD) BENEFIT Rocky Mountain Health Plans is responsible for authorizing inpatient and residential substance use disorder treatment stays as part of administering Health First Colorado’s capitated behavioral health benefit. On January 1, 2021, Health First Colorado, Colorado’s Medicaid program, will expand its substance use disorder (SUD)benefit.
CONTRACEPTIVE REFERENCE CHART 2020 Contraceptive Reference Chart KEY: EE=Ethinyl Estradiol; EV=Estradiol Valerate; Fe=Ferrous Fumarate; SD=subdermal; TD=transdermal; LNG=levonorgestrel Updated January 2020 Non-Oral Contraceptive Alternatives Generic Name Brand Name EE Progestin Route Cost/30 SUBMIT AN APPLICATION Submit a Provider Application. To be part of the RMHP network, you must complete our credentialing process. Rest assured, we keep things simple for physicians, ancillary, and midlevel practitioners who wish to contract with us. All practitioners applying to join RMHP have the following rights: The right to review information submitted toHOME
This request should be sent to: DMCARegisteredAgent@uhc.com; or, alternatively to: UnitedHealth Group, Attn: DMCA Registered Agent, 9900 Bren Road East, Minnetonka, MN 55343. The notice must include the following information: (a) a physical or electronic signature of a person authorized to act on behalf of the owner of an exclusive rightthat
COLORADO HEALTH INSURANCE PLANS Rocky Mountain Health Plans is Colorado-based and Colorado-focused. We were founded in Grand Junction more than 45 years ago to provide Coloradans access to high-quality healthcare. We continue this commitment and combine the personalized attention, quality care, and comprehensive coverage that our Members deserve and have come toexpect from
MEMBER LOGIN
Welcome to MyRMHP. Log in or register below. We work with Optum to offer you a secure log in experience, so you will create and use a RMHP One Healthcare ID. If you plan to bookmark a page for logging into MyRMHP, please bookmark this page instead of the following Optum one. Already registered? New to MyRMHP? Questions about your Account? GET STARTED WITH MYRMHP MyRMHP is your secure Member portal that helps you manage your health, 24/7. Get access to your personal health plan information, review benefits, check claims, print your ID card, explore helpful resources, view important updates from RMHP, and much more!I AM A PROVIDER
I am a Provider. Rocky Mountain Health Plans was founded more than 40 years ago to provide access to high-quality health coverage to Coloradans. The heart of our success lies with our commitment to that mission and our relationship with providers to provide that high standard of care. We make decisions based on the well-being of ourMembers
THE NEW ACCESS|RMHP PROVIDER PORTAL IS HERE Streamlined. Secure. In mid September, RMHP will begin sending personalized emails to users about the registration process for the new access|RMHP. In an effort to better protect secure information, each portal user will need to set up new login credentials. The first phase of registration will begin with the Main Office Contact account. RMHP PRIME HEALTH PLAN Call us at 888-282-8801 (TTY: 711). Para asistencia en espanol llame al 888-282-8801. Email us. You'll receive a response from a rep within 24 business hours. Live chat with us, Monday - Friday, 8 a.m. - 5 p.m. Visit us at 2775 Crossroads Blvd in Grand Junction, Monday - Friday, 8a.m. - 5 p.m.
FIND A DOCTOR IN THE RMHP NETWORK Primary Care Providers. Your primary care provider, or PCP, is called your medical home, where you will get most of your healthcare. When you need care from a specialist doctor, your PCP will help you find the right provider to treat you.FIND A PROVIDER
Every year, Medicare evaluates plans based on a 5-star rating system. If you need help finding a network provider, please call 800-346-4643 (TTY 711) or visit www.rmhpMedicare.org to access our online searchable directory. If you would like a provider directory mailed to you, you may call the number above, request one at the website link CONTRACEPTIVE REFERENCE CHART 2020 Contraceptive Reference Chart KEY: EE=Ethinyl Estradiol; EV=Estradiol Valerate; Fe=Ferrous Fumarate; SD=subdermal; TD=transdermal; LNG=levonorgestrel Updated January 2020 Non-Oral Contraceptive Alternatives Generic Name Brand Name EE Progestin Route Cost/30 QUALITY IMPROVEMENT AT RMHP Quality Improvement at RMHP. The objective of the RMHP Quality Improvement Program is to monitor, measure, and take effective actions on identified opportunities to improve the quality and safety of health care and services through the cycle of objective evaluation, intervention, and reevaluation. These activities are the summation ofefforts
COLORADO HEALTH INSURANCE PLANS Rocky Mountain Health Plans is Colorado-based and Colorado-focused. We were founded in Grand Junction more than 45 years ago to provide Coloradans access to high-quality healthcare. We continue this commitment and combine the personalized attention, quality care, and comprehensive coverage that our Members deserve and have come toexpect from
MEMBER LOGIN
Welcome to MyRMHP. Log in or register below. We work with Optum to offer you a secure log in experience, so you will create and use a RMHP One Healthcare ID. If you plan to bookmark a page for logging into MyRMHP, please bookmark this page instead of the following Optum one. Already registered? New to MyRMHP? Questions about your Account? GET STARTED WITH MYRMHP MyRMHP is your secure Member portal that helps you manage your health, 24/7. Get access to your personal health plan information, review benefits, check claims, print your ID card, explore helpful resources, view important updates from RMHP, and much more!I AM A PROVIDER
I am a Provider. Rocky Mountain Health Plans was founded more than 40 years ago to provide access to high-quality health coverage to Coloradans. The heart of our success lies with our commitment to that mission and our relationship with providers to provide that high standard of care. We make decisions based on the well-being of ourMembers
THE NEW ACCESS|RMHP PROVIDER PORTAL IS HERE Streamlined. Secure. In mid September, RMHP will begin sending personalized emails to users about the registration process for the new access|RMHP. In an effort to better protect secure information, each portal user will need to set up new login credentials. The first phase of registration will begin with the Main Office Contact account. RMHP PRIME HEALTH PLAN Call us at 888-282-8801 (TTY: 711). Para asistencia en espanol llame al 888-282-8801. Email us. You'll receive a response from a rep within 24 business hours. Live chat with us, Monday - Friday, 8 a.m. - 5 p.m. Visit us at 2775 Crossroads Blvd in Grand Junction, Monday - Friday, 8a.m. - 5 p.m.
FIND A DOCTOR IN THE RMHP NETWORK Primary Care Providers. Your primary care provider, or PCP, is called your medical home, where you will get most of your healthcare. When you need care from a specialist doctor, your PCP will help you find the right provider to treat you.FIND A PROVIDER
Every year, Medicare evaluates plans based on a 5-star rating system. If you need help finding a network provider, please call 800-346-4643 (TTY 711) or visit www.rmhpMedicare.org to access our online searchable directory. If you would like a provider directory mailed to you, you may call the number above, request one at the website link CONTRACEPTIVE REFERENCE CHART 2020 Contraceptive Reference Chart KEY: EE=Ethinyl Estradiol; EV=Estradiol Valerate; Fe=Ferrous Fumarate; SD=subdermal; TD=transdermal; LNG=levonorgestrel Updated January 2020 Non-Oral Contraceptive Alternatives Generic Name Brand Name EE Progestin Route Cost/30 QUALITY IMPROVEMENT AT RMHP Quality Improvement at RMHP. The objective of the RMHP Quality Improvement Program is to monitor, measure, and take effective actions on identified opportunities to improve the quality and safety of health care and services through the cycle of objective evaluation, intervention, and reevaluation. These activities are the summation ofefforts
PROVIDER RESOURCES
Provider Resources. The people at Rocky Mountain Health Plans value our relationship with our providers. That's why we work to provide you the tools and resources you need to deliver covered healthcare services to our Members. Find information below about some important topics, as well as access to commonly used forms. FIND A DOCTOR IN THE RMHP NETWORK Primary Care Providers. Your primary care provider, or PCP, is called your medical home, where you will get most of your healthcare. When you need care from a specialist doctor, your PCP will help you find the right provider to treat you.SEP - RMHP
For questions about long-term care programs or to make a referral, please contact our SEP Intake Lines: Mesa County 970-244-7892. Costilla and Conejos Counties 719-982-6025. If you have questions about your care and benefits, please call RMHP Customer Service at888-282-8801.
2021 RMHP DUAL SPECIAL NEEDS PLANS Inpatient Hospital Care. $0 copay per stay for unlimited days. $1,408* deductible; $0 for days 1 to 60; $352 copay each day for days 61 to 90; Lifetime reserve days: $704. $0 copay per day for unlimited days after that**. Skilled Nursing Facility (SNF) $0 PROVIDER DIRECTORY INFORMATION The information is also reviewed during recredentialing every three years. This data is updated weekly to maintain accuracy. The Directory is current as of Wednesday of each week. However, please contact Customer Service at 1-800-842-0719 if you contact your provider and find that information is out of date.FORMULARY - RMHP
Hours are 8am – 8pm, 7 days/week, Oct. 1-Mar. 31, and 8am – 8pm, M-F, April. 1-Sept.30. Limitations, copayments, and restrictions may apply. The formularies are constantly updated and may change at any time. To ask about the the most up-to-date formulary coverage on a medication, call our Pharmacy Help Desk at 800-641-8921. SUBSTANCE USE DISORDER (SUD) BENEFIT Rocky Mountain Health Plans is responsible for authorizing inpatient and residential substance use disorder treatment stays as part of administering Health First Colorado’s capitated behavioral health benefit. On January 1, 2021, Health First Colorado, Colorado’s Medicaid program, will expand its substance use disorder (SUD)benefit.
CONTRACEPTIVE REFERENCE CHART 2020 Contraceptive Reference Chart KEY: EE=Ethinyl Estradiol; EV=Estradiol Valerate; Fe=Ferrous Fumarate; SD=subdermal; TD=transdermal; LNG=levonorgestrel Updated January 2020 Non-Oral Contraceptive Alternatives Generic Name Brand Name EE Progestin Route Cost/30 SUBMIT AN APPLICATION Submit a Provider Application. To be part of the RMHP network, you must complete our credentialing process. Rest assured, we keep things simple for physicians, ancillary, and midlevel practitioners who wish to contract with us. All practitioners applying to join RMHP have the following rights: The right to review information submitted toHOME
This request should be sent to: DMCARegisteredAgent@uhc.com; or, alternatively to: UnitedHealth Group, Attn: DMCA Registered Agent, 9900 Bren Road East, Minnetonka, MN 55343. The notice must include the following information: (a) a physical or electronic signature of a person authorized to act on behalf of the owner of an exclusive rightthat
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WE ARE HERE FOR YOU. AT ROCKY MOUNTAIN HEALTH PLANS (RMHP), OUR TOP PRIORITIES ARE THE HEALTH AND WELL-BEING OF OUR MEMBERS, EMPLOYEES, AND THE SAFETY OF THOSE WHO DELIVER CARE. We are closely monitoring COVID-19, and are working to ensure we are doing everything possible to support the health of those we serve. We have created our member pageand provider page
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THERE WILL BE A SCHEDULED MAINTENANCE PERIOD STARTING JUNE 4TH, 2020 AT 6:00 A.M. (MST). WE ANTICIPATE THIS PLANNED MAINTENANCE WILL BE COMPLETE ON JUNE 4TH, 2020 AT 8 A.M. (MST). We apologize for any inconvenience and encourage you to check back later in the day if you are experiencing issues. For help, please contact our RMHP Customer Service team at 800-346-4643 (TTY: 771) or customer_service@rmhp.org during our regular business hours.GET TO KNOW US
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Read our blog View our films MAKE AN ONLINE PREMIUM PAYMENT Conveniently and securely pay your monthly premiums online. Please note: Effective January 1, 2018, RMHP will no longer accept credit or debit cards. We invite you to continue making your online premium payment using your bank account.Pay your bill
COLORADO IS OUR HOME We love this beautiful state that we’re all lucky to call home. From the Rocky Mountains to the field-filled plains, from Aspen glamour to backcountry solitude, from boots to beards, from biking to brews, we understand all that it means to live in Colorado - because we live here, too. Our Members are our neighbors, friends, and fellow Coloradans. We respect and honor those connections. When you call us, someone that lives here and understands you will pick up the phone. Our state and our Members are unique, and you don’t have to explainthat to us.
DO THE RIGHT THING
What does that mean? We stand by the fact that we’re Colorado, too, which means we’re invested in you. We spend our days focusing on what you expect and deserve: great coverage that’s right for your Colorado lifestyle from a company that was founded on the vision of providing quality healthcare for all Coloradans. A CULTURE OF SERVICE Serving you, our Members and fellow Coloradans, is our top priority. We believe the idea of service goes far beyond what happens when you pick up the phone to call us. Being of service to our Members also means being of service to our state, our communities, and our employees. Our culture of service means uplifting others, contributing in concrete ways, and improving the lives and health of people allaround our state.
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OUR MEMBERS
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OUR EMPLOYEES
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OUR STATE
LET'S FIND YOU GREAT HEALTH INSURANCE * For Employer Group Plans * For Individual and Family Plans * For Medicare Plans Healthy employees build healthy businesses, and your employees receive the health protection they expect and deserve when you partner with RMHP. Whether you’re a small business or large employer, we have a group health insurance plan that will fit your employees’ needs.Get more from RMHP
Our plans offer the coverage, network, and health management resources you and your family need for your Colorado lifestyle. Get the personalized attention and quality care you deserve from your local health insurance option that has been serving our communities for over40 years.
Find your Plan
Since 1977, Colorado retirees like you have trusted RMHP to get the most out of their Medicare benefits. Enjoy local customer service, a wide variety of services, and a large provider network by choosingRMHP.
Explore Your Options * __ For Employer Group Plans Healthy employees build healthy businesses, and your employees receive the health protection they expect and deserve when you partner with RMHP. Whether you’re a small business or large employer, we have a group health insurance plan that will fit your employees’ needs.Get more from RMHP
* __ For Individual and Family Plans Our plans offer the coverage, network, and health management resources you and your family need for your Colorado lifestyle. Get the personalized attention and quality care you deserve from your local health insurance option that has been serving our communities for over40 years.
Find your Plan
* __ For Medicare Plans Since 1977, Colorado retirees like you have trusted RMHP to get the most out of their Medicare benefits. Enjoy local customer service, a wide variety of services, and a large provider network by choosingRMHP.
Explore Your Options __ Call Us __ MyRMHP* __
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