Child Health Plan Plus (CHP+) is a low-cost health insurance plan for children from birth through age 18, administered by the State of Colorado’s Department of Health Care Policy and Financing. Children who are approved for CHP+ must enroll with a managed care organization in order to access benefits of the program. Children who live in Alamosa, Baca, Bent, Chaffee, Cheyenne, Conejos, Costilla, Crowley, Custer, Fremont, Huerfano, Kiowa, Kit Carson, Las Animas, Mineral, Otero, Prowers, Rio Grande, Saguache, Washington, and Yuma counties can enroll with Colorado Choice Health Plans as their managed care organization.

Here are some tools to help you decide if we’re the right health plan for you, and to provide support if you are already a Colorado Choice Health Plans member or acting as the Designated Client Representative for a member.

 

Plan and Benefit Information

CHP+ Member Handbook
The CHP+ Member Handbook is a comprehensive guide that explains how to access the services and programs available to you through Colorado Choice Health Plans. You can find information about Getting Care, Process for Getting Covered Services, Your Colorado Choice Benefits and Services, and more, in the CHP+ Member Handbook.
Click here to download the CHP+ Member Handbook in PDF format. To view the CHP+ Member Handbook document, you will need to have Adobe Acrobat Reader installed on your system. Click on the following link to download Acrobat Reader.
http://www.adobe.com/products/reader.html.

 

CHP+ Summary of Benefits

The CHP+ Summary of Benefits is a guide to the major categories of health services that are covered benefits under your Colorado Choice Health Plan. It also lists any financial responsibility, such as copays, coinsurance, or deductibles, you may have when receiving these services.

Click here to download the Summary of Benefits in PDF format

To view the Summary of Benefits document, you will need to have Adobe Acrobat Reader installed on your system. Click on the following link to download Acrobat Reader http://www.adobe.com/products/reader.html.

Colorado Choice Health Plans has been serving Colorado for over 40 years. We are a community focused organization, and are well known in our communities for understanding rural and underserved health care needs. We have expanded over the last few years into additional non-rural counties, but have not lost the values from our rural roots. Our focus continues to be on community and the responsibility that comes when our members are our neighbors, friends, and family.

How to Find a Doctor

CHP+ Participating Provider Directory

    The CHP+ Provider Directory is a comprehensive listing at one point in time of the providers available to you in the Colorado Choice Health Plans network. The directory includes a listing of doctors & specialists, their gender, locations, telephone numbers, additional languages some providers have available, and what specialty, if any, per provider.
  • Colorado Choice specializes in serving rural and underserved counties in south central Colorado and on the eastern plains. We make every effort to contract with every facility and every provider located in the communities we serve.
  • Click here to download the CHP+ Provider Directory in PDF format (coming soon). To view the CHP+ Provider Directory document, you will need to have Adobe Acrobat Reader installed on your system. Click on the following link to download Acrobat Reader http://www.adobe.com/products/reader.html.
  • To look up a specific provider, find a provider close to your home, or obtain a current copy of the provider directory customized to you, please log in to your CHOICEConnect account. (You must be a member of Colorado Choice Health Plans to obtain a CHOICEConnect account. For instructions on how to set up your account, see the CHOICEConnect section below).

Selecting or Changing a Primary Care Provider (PCP)

  • As a Colorado Choice Member, you must pick a Primary Care Provider (PCP) from our PCP Provider Directory that lists our Participating PCPs. You can choose a PCP for each child enrolled. Your child’s PCP will provide medical care and help coordinate his or her care. A PCP can be one of the following types of providers:

Family and General Practice – usually can see the whole family
Internal Medicine – usually sees only adults and children 14 years or older
Pediatrician – sees children from newborn to age 18 or 21

Please call Customer Service at 719-589-3696, or 1-800-475-8466, if you want to select or change your child’s PCP, or login into CHOICEConnect.

Online Self Service Tools

CHOICECONNECT

  • CHOICEConnect is our secure member portal that is easy to navigate and full of ways to help you take control of your health. CHOICEConnect provides the following three main categories of information.
    • My Health helps you manage your health by giving you access to your medical history, the medications you have taken, your appointments, the illnesses/conditions diagnosed by physicians you have seen, and a summary of your medical visits. You can also collaborate with your Primary Care Provider to develop “My Plan For Health” which is your personal record of health concerns and your plan to manage them.
    • My Health Plan gives you up to date information about your health care coverage through Colorado Choice. With My Health Plan, you can quickly obtain current information about your benefits and eligibility, choose or change your own PCP, and look up claims to determine the amounts paid or denied. You can request a new ID card should yours become lost or damaged. You can also use My Health Plan to print a temporary card at home. You can even view the status of a referral to ensure your visit is approved before the specialist visit. If your personal information changes, such as a name change due to marriage or divorce, you can submit member information and contact information changes to Colorado Choice through CHOICEConnect using the secure messaging option.
    • My Resources gives you access to additional web sites and other online resources to help answer your medical questions. The Formulary gives you information about thousands of medications including how to use the medications and whether the medication is preferred generic, preferred brand, or non-formulary according to your health plan. Healthwise is a leading medical information tool designed to “help people make better health decisions.” Use Healthwise to learn more about medical conditions so you can have meaningful discussions about your concerns with your health care providers. SLV Resources links you to additional assistance provided by CO Choice.
      Click here to download instructions for accessing CHOICEConnect.

Frequently Asked Questions

Who do I contact if I have questions about my eligibility for the CHP+ program?

  • Call CHP+ Customer Service at 1.800.359.1991
  • Visit CHP+ website @ www.cchp.org

Who do I call if I have questions about my CHP+ benefits?

  • Contact Colorado Choice at 719.589.3696, if calling from within the San Luis Valley, or 1.800.475.8466, if calling from outside the valley, so we can help you understand the programs and services available to you as a Colorado Choice Health Plans member

What if I need a new member identification card?

  • Contact Colorado Choice at 719.589.3696 if calling within the San Luis Valley, or 1.800.475.8466, if calling from outside the valley, so we can send you a new member ID card. You can also log in to your CHOICEConnect account to print a temporary membership card and request a new membership card

How do I select a PCP?

  • Please call Customer Service at 719.589.3696, if calling from within the San Luis Valley, or 1.800.475.8466, if calling from outside the valley, if you want to select or change your child’s PCP, or login into CHOICEConnect.

What if I get a bill from the doctor?

  • Contact Colorado Choice at 719.589.3696 if calling from within the San Luis Valley, or 1.800.475.8466, if calling from outside the valley, so we can help you determine benefits and understand your medical claims

Who do I call if I want to choose a different managed care organization?

  • Contact Health Colorado at 1.888.367.6557

Grievances and Appeals

  • A ‘grievance’ is an expression of dissatisfaction.
  • An ‘appeal’ means a request for a review of an action.

How do I file a grievance?

  • You or your DCR can call or write Colorado Choice CHP+ Customer Service Department. You should do this within 30 days from when the problem happened. Be sure to include your name, Member ID number, State identification (ID) number, address, and phone number.

Colorado Choice Health Plans
Grievance and Appeals Department
700 Main Street, Suite 100
Alamosa, Colorado 81101

How do I file an appeal?

  • If the appeal is about a new request for services, you or your DCR must request an appeal within 30 calendar days from the date on the letter saying what action Colorado Choice CHP+ has taken, or plans to take.
  • If you appeal an action where the plan lowered, changed or stopped a previously authorized service, you must file your appeal on time. On time means: within 10 days from the mailing date of the decision (notice of action) letter; or the date that the action will take effect.
  • You or your DCR can call Colorado Choice CHP+ Grievance and Appeal Department to start your appeal. The phone number is 719.589.3696 if calling within the San Luis Valley, or 1.800.475.8466, if calling from outside the Valley. Tell them you are a Colorado Choice CHP+ member. Tell them which decision or action you want to appeal. If you call to start your appeal, you or your DCR must send us a letter after the phone call unless he or she requests expedited resolution. The letter must be signed by you or your DCR. The letter must be sent to:

Colorado Choice Health Plans
Grievance and Appeals Department
700 Main Street, Suite 100
Alamosa, Colorado 81101

  • You or your DCR can request a “fast” or “expedited” appeal if you are in the hospital, or feel that waiting for a regular appeal would threaten your life or health. The section called “Expedited (Fast) Appeals” tells you more about expedited appeals.
  • If you are getting services that have already been approved by Colorado Choice CHP+, you may be able to keep getting those services while you appeal. You may have to pay for those services that you get during the appeal if you lose the appeal. If you win the appeal, you will not have to pay. Please let us know when you ask for an appeal if you want to keep getting your services.

Important Changes for 2016

  • There are none at this time.

Forms and Additional Resources

Additional Resources

  • CHP+ Customer Service: 1.800.359.1991
  • CHP+ website: www.cchp.org
  • Health Colorado: 303.839.2120 or 1.888.367.6557 (selecting an HMO)

How to Contact Us:

Telephone: 719.589.3696 or 1.800.475.8466
TTY: 1.800.659.2656
Fax: 719.589.4901
Address:
700 Main Street, Suite 100
Alamosa, CO 81101
Hours: 8:00 a.m. – 5:00 p.m., Monday through Friday
Translation services are available by contacting Customer Service.
Servicios de tradducion están disponibles contactando a servicio al cliente.