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Kusukela ngo-Julayi 1, 2025, i-Colorado Access ilungiselela ukukhonza Isifunda esisha se-Regional Accountable Entity (RAE) Region 4, okuhlanganisa izifunda zase-Adams, i-Arapahoe, i-Denver, ne-Douglas, ngaphansi kwe-Accountable Care Collaborative (ACC) Phase III.
Funda kabanzi lapha

Abahlinzeki bethu

Silwela ukunikeza ulwazi nezinsiza oyidingayo ukuze uqinise umkhuba wakho futhi ekugcineni, uqinise imiphumela yezempilo yeziguli.

Pheqela kokuqukethwe okuyinhloko

Bhalisa Ukuze Uthole Ama-imeyili Ethu

"*"kukhombisa izinkambu ezidingekayo

Igama*
Uhlu Lokubhaliselwe (Hlola konke okusebenzayo)*
Le nsimu yenzelwe ukuqinisekiswa futhi kufanele ishiywe ingashintshi.

Behavioral Health Town Hall

Sicela uhlanganyele nathi ku-Webinar yethu ye-Behavioral Health Provider yanyanga zonke NgoLwesine, ngoJuni 12 ngo-12 pm, lapho sizokwabelana ngezibuyekezo, sinikeze ulwazi nokuqeqeshwa, futhi siphendule imibuzo yakho. Zizwe ukhululekile ukwabelana ngalesi simemo nozakwenu okungenzeka nabo bathanda ukuba khona.

I-Accountable Care Collaborative (ACC) Isigaba III Izibuyekezo

Umgomo wethu uwukugcina unolwazi ngalokho okudingeka ukwazi nge-ACC Phase III.

Ukwandiswa kweKit Carson County

I-Friday Health Plans (FHP) ayiluvuseleli Uhlelo lwazo Lwezempilo Yezingane plus (CHP+) inkontileka, ephela ngoJuni 30, 2022. I-FHP izophuma ohlelweni lwe-CHP+ ngalolu suku. Kusukela ngomhlaka-1 Julayi 2022, sizoba yi-CHP+ Managed Care Organization (MCO) entsha ye-Kit Carson County. Amalungu akulesi sifunda abhaliswe ne-FHP azothuthela ku-CHP+ MCO yethu ngokusekelwe kuzinkombandlela ezijwayelekile zokubhalisa.

Ithimba lethu lezinkontileka lisebenzela ukuthola abahlinzeki be-FHP abanenkontileka nathi ngokushesha ngangokunokwenzeka. Ukuqala le nqubo, noma uma unemibuzo, sicela usithumele i-imeyili ku provider.contracting@coaccess.com. Ithimba lethu labahlinzeki bezinkontileka lizokuqondisa ngesicelo, inkontileka, nenqubo yokuqinisekisa. Ukwenza inkontileka nokuqinisekisa kungathatha izinsuku ezingama-60 kuye kwezingama-90. Chofoza lapha ukuze ufunde kabanzi mayelana nokujoyina inethiwekhi yethu yabahlinzeki.

Ukubuyekezwa kwezindleko nokukhokha

Wonke amasevisi akhokhiswayo kufanele abe nesilungisi esisebenzayo. Sicela uqaphele ukuthi amasevisi amaningi angaba nesiguquli esisebenzayo esingaphezu kwesisodwa, futhi zonke kufanele zifakwe ukuze isimangalo sikhokhwe.

Sicela uqaphele ukuthi zonke izilungisi nezimfuneko zibalwe kubhukwana lekhodi elingatholakala ku-Department of Health Care Policy and Financing (HCPF) iwebhusayithi. Uma uthumela izimangalo zakho ngendlu ehlanzekile, sicela uxhumane nendlu yakho ehlanzekile ukuze ubuze ukuthi iziphi izinkambu ku-software yazo ongafaka kuzo isilungisi(izi)guquli esizoxhumana ne-“Box 24D” yefomu le-CMS1500 esizolithola.

Sicela uthumele i-imeyili kumnikezeli wakho omele amasevisi enethiwekhi enemibuzo mayelana nale mfuneko. Sicela uthinte providernetworkservices@coaccess.com uma ungamazi omele umhlinzeki wakho wenethiwekhi owabelwe njengamanje.

Imibuzo evame ukubuzwa njalo

Ngithola kanjani i-Synagis yeziguli zami?

Gcwalisa ifomu lokugunyazwa langaphambili le-Synagis kanye nefeksi ku-Navitus ku-855-668-8551. Uzothola ifeksi ekhombisa ukugunyazwa noma ukwenqatshwa kwesinqumo sokugunyazwa kwangaphambili okwenziwe. Uma isicelo sivunyiwe, i-oda ngefeksi ye-Synagis iye e-Lumicera Specialty Pharmacy ku-855-847-3558. Uma ufisa ukuba nesikhungo sezempilo sasekhaya esiqondise i-Synagis esigulini sakho, sicela ubonise ukuthi umuthi uzothunyelwa ekhaya lesiguli nge-oda lakho. Lapho ithola i-oda le-Synagis elibonisa ukuthi imithi izothunyelwa ekhaya lesiguli, i-Lumicera izofeksa isicelo sezempilo sasekhaya ethimbeni le-Colorado Access utilisation management (UM) ukuze limise izinsizakalo. Ithimba lethu le-UM lizosebenzela ukusungula i-ejensi yezempilo yasekhaya ezovakashela ikhaya lesiguli futhi inikeze imithi.

Ingabe i-Synagis ihlanganiswe yi-Colorado Access?

I-Synagis ihlanganiswe iziguli ezifanelekile ngokusebenzisa inzuzo ye-Pharmacy Access Pharmacy. Izindlela eziqondile zokuvunyelwa zingatholakala lapha. Amafomu okugunyazwa kwangaphambi kufanele afakwe ngefeksi ku-Navitus ku-855-668-8551.