Medical Home Payment Model – Colorado Access

This document outlines the Medical Home Payment Model in Colorado, focusing on providing high-quality primary care services within the Health First Colorado Medicaid program. It details the structure of per-member-per-month payments to primary care medical providers (PCMPs) that incentivize advanced care practices, including integrated behavioral health and care coordination. The payment model is designed to improve health outcomes by establishing effective primary care medical homes. Guidelines for provider site payments, assessment criteria, and eligibility are included to support the implementation of this model. Additionally, it features a glossary of key terms relevant to the program.