For Providers
Welcome to the Rocky Mountain Health Plans Provider Information pages. We know how busy you are, so we have put access to all the important information you need at your fingertips. In just a click or two you can:
- learn more about how to use the plan
- download forms, including medical and pharmacy preauthorization forms
- view RMHP's formulary and learn about other prescription drug programs, such as ePocrates
- find evidence-based care resources and tools on topics such as diabetes, pregnancy and preventive care
Provider Helpful Information
CMS RBRVS
Colorado Medicaid Fee Schedule
CMS DMERC
CMS Clinical Lab
AWP Drugs.com
Clinical Editing Policy: Edits on Payment or Compensation include industry standard claims payment criteria and methodologies, such as Medicare Program Guidelines, Medicare’s Standard Correct Coding Initiatives, Ingenix, DMERC, and Geographic Practice Cost Indicies (GPCI’s). These edits may increase or reduce payments payable to the provider. For more information regarding the effect of clinical editing on payment and compensation, please call your Professional Relations representative.