FY 2026-2027 Medical Home Payment Model Program

Colorado Access (COA), as the Regional Accountable Entity (RAE) of Colorado Region 4, is tasked with building and managing a robust network of primary care medical providers (PCMPs) that serve as medical homes to Health First Colorado Members (Colorado’s Medicaid Program). COA aims to create programming that incentivizes medical home practices to employ methods that allow Health First Colorado members to receive high-quality primary care services, grounded in best practices, which result in the best possible health outcomes.

Medical Home Payments are per-member-per-month (PMPM) payments from RAEs to support the PCMP role as a medical home for Health First Colorado members. This payment focuses on building and maintaining advanced primary care activities such as care coordination, integrated behavioral health services and population health management.