Accountable Care Collaborative 3.0

Page Updated: March 11, 2024

CHA Advocacy Principle: Promote integration of physical and behavioral health to ensure payment adequacy and efficiency to provide care.

What Has Been Completed:

Origin: The Accountable Care Collaborative (ACC) is a managed care program designed to pay providers for increasing the value they deliver while better coordinating care for members. ACC began with the first iteration in 2011 and is currently in Phase II. Phase II launched the Regional Accountable Entities (RAEs) in 2018.

Background: Physical health services are paid for through the traditional fee-for-service (FFS) structure through HCPF. RAEs administer the state’s capitated behavioral health program, separating the state into seven different regions each assigned to a different RAE. The third iteration of ACC will govern the coordination of physical and behavioral health services beginning in 2025.

Outstanding Items: HCPF is currently accepting feedback on the next iteration of the RAEs contract. The draft contract is available for review and comment.

Resources: 

• • ACC III Draft Contract
  • ACC III Concept Paper
  • HCPF’s Initial Overview for Phase III
  • June 2023 HCPF Vision Stage Engagement Summary
  • HCPF ACC Phase III Concept Paper
  • HCPF ACC Phase III Webpage
  • HCPF ACC Phase III Stakeholder Engagement Archive
  • CHA Medicaid White Paper (Oct. 25, 2022)
  • CHA Comment Letter to HCPF on the ACC Phase III Concept Paper (October 2023)
  • CHA Letter with the Colorado Health Policy Coalition on Phase III Goals (Aug. 5, 2022)
  • Colorado Health Institute- The Way of the RAEs

Meetings/Dates of Note:

• • March 10, 2024 – Feedback due on the draft contact, feedback form here
  • Spring- Fall 2024 – Vendors Apply to Become a RAE
  • July 2025 – ACC Phase III Begins

CHA Staff Contact: Megan Axelrod, CHA director of regulatory policy and federal affairs, [email protected]