Colorado was an early adopter of the patient-centered medical home (PCMH) model of care delivery. In 2007, Colorado passed Chapter 346 which required the Colorado Department of Public Health and Environment  (CDPHE) to increase the number of children served by medical homes. In 2009, Colorado launched one of the earliest multi-payer medical home pilots which ended in 2012 and resulted in many improvements both in costs and health outcomes.  

In 2011, Colorado Medicaid launched the Accountable Care Collaborative with seven Regional Care Collaborative Organizations (RCCOs) to coordinate care statewide. Of these RCCOs, 18 are managed by community-based organizations that build on unique local strengths to address local needs. 

Colorado continues to expand its health care reform efforts using a foundation of strong primary care and the integration of behavioral health. The CDPHE and the Colorado Department of Health Care Policy and Financing (HCPF) have jointly established the Colorado Medical Home Initiative to serve as a clearinghouse of information for the medical home approach in Colorado. 


Primary Care Innovations and PCMH Activity

Dual Eligible 2703 SPA CPC CPC+ PCMH QHP PCMH Legislation Private Payer

State Legislation

Legislation Status Year
Chapter 346, Session Laws of Colorado 2007

This legislation defined "medical home" and required the Colorado Department of Public Health and Environment (CDPHE) to increase the number of children served by medical homes. 

Enacted 2007
Colorado - HB18-1365 Primary Care Infrastructure Creation

The bill establishes a primary care payment reform collaborative in the primary care office in the department of public health and environment. To facilitate the collaborative's work, the administrator of the all-payer health claims database is to report data on primary care spending by private health insurers, insurers providing state employee health benefit plans, and the department of health care policy and financing under the state medicaid program and the children's basic health plan.

Expired 2018
HB19-1233 Investments In Primary Care To Reduce Health Costs

This bill establishes a primary care payment reform collaborative in the division of insurance in the department of regulatory agencies. It also requires the insurance commissioner to establish affordability standards for premiums, with added targets for carrier investments in primary care. Additionally, it requires the department of health care policy and financing and carriers who offer health benefit plans to state employees to set targets for investment in primary care.

Pending 2019
HB 19-1233

Tasks Insurance Commissioner with 1) forming a collaborative (the Colorado Primary Care Payment Reform Collaborative) to advise on increasing primary care spend 2) issue rules to set affordability standards, including PC spend targets

Enacted 2019

State Facts:

Uninsured Population:
Total Medicaid Spending FY 2013: 
$5.1 Billion 
Overweight/Obese Adults:
Poor Mental Health among Adults: 
Medicaid Expansion: 

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