ABA therapy coverage through Rocky Mountain Health Plans, handled from your first call
Getting your child into ABA therapy shouldn’t start with a stack of paperwork — so Achieve ABA Therapy Group coordinates directly with Rocky Mountain Health Plans, sorting out coverage and authorizations while you focus on your family.
- Rocky Mountain Health Plans accepted
- We handle enrollment & authorizations
- BCBA-led care teams
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What Rocky Mountain Health Plans actually is
Rocky Mountain Health Plans, often shortened to RMHP, is a UnitedHealthcare company that serves as the Regional Accountable Entity, or RAE, for Health First Colorado (Colorado’s Medicaid program) members whose primary care provider is located across a large stretch of Western and Southern Colorado. It’s a different organization from Anthem Blue Cross Blue Shield, even though Anthem operates in Colorado under a similarly named legal entity. RMHP is specifically tied to Medicaid, not commercial insurance.
If your family lives in the RMHP service area, ABA therapy is billed as a behavioral health service, which means RMHP is the organization coordinating that part of your child’s care, working alongside Health First Colorado rather than instead of it.
At Achieve, we handle the coordination between Health First Colorado and RMHP so you don’t have to untangle it yourself. Here’s what that looks like in practice: we confirm your regional organization and benefits before you commit to anything, we submit and follow up on every authorization ourselves, we walk you through your actual costs upfront, and we manage any paperwork RMHP requires along the way.
We check everything first
Tell us about your Health First Colorado coverage, and we'll confirm whether RMHP is your regional organization and what that means for your child's ABA therapy benefits.
We handle authorization
ABA therapy through RMHP requires documentation of medical necessity and prior authorization. We submit the paperwork, follow up, and respond to any requests for more information.
We explain your real costs
Most families with Health First Colorado through RMHP pay little to nothing out of pocket for medically necessary ABA therapy. We'll confirm your exact numbers before your child's first session.
We manage the paperwork
Claims, renewals, and coordination between Health First Colorado and RMHP. We handle it so you don't have to.
We’re not working on abstract goals but on the things you need to change.
Which areas RMHP covers
Rocky Mountain Health Plans serves Health First Colorado members whose primary care provider is located across a wide region of Colorado, including Pueblo County and much of the Western Slope. Because this region is large and RMHP’s coverage boundaries can shift, the most reliable way to know whether RMHP is your regional organization is to check your Health First Colorado enrollment letter, your member ID card, or the Health First Colorado mobile app.
- Spouses and children of veterans rated permanently and totally disabled from a service-connected condition
- Survivors of veterans who died from a service-connected condition
- Survivors of service members who died in the line of duty, in certain cases
If you’re not sure whether your family qualifies, reach out and we can help you figure out where to start.
What ABA therapy coverage includes through RMHP in Colorado
When ABA therapy is approved for a Health First Colorado member through RMHP, coverage typically includes:
In-home ABA therapy
One-on-one sessions in your home, where your child works on communication, behavior, social skills, and daily living skills with a trained therapist.
School support
Coordination with your child's school so the skills they're building carry into the classroom and through the rest of their day.
Progress monitoring
Regular reviews and plan adjustments from your BCBA, to make sure therapy keeps moving toward your child's goals.
Coverage specifics depend on your child’s individual assessment. We’ll walk you through exactly what’s included once your benefits are confirmed.
Some children also qualify for Medicaid waivers, which add services like respite care or home modifications on top of standard coverage
ABA therapy for Pueblo families with RMHP
Achieve ABA Therapy Group serves families in Pueblo and the surrounding RMHP service area, along with our other locations in
The approval process for ABA therapy through RMHP
Before Anthem can approve ABA therapy, your child needs a formal autism spectrum disorder diagnosis from a qualified provider. If you don’t have one yet, we can help point you toward next steps.
Reach out
Call us or fill out our contact form. We’ll ask for your Health First Colorado information and your child’s diagnosis paperwork.
We verify everything
We confirm your regional organization, your eligibility, and exactly what’s covered. No surprises.
We handle authorization
We submit prior authorization requests with the required documentation and follow up until approval comes through.
Therapy begins
Once approved, we schedule your child’s first session, in your home, on a schedule that works for your family.
FAQs about RMHP and ABA therapy in Colorado
Is Rocky Mountain Health Plans an insurance company?
It’s a UnitedHealthcare company that acts as the regional organization managing behavioral health benefits, including ABA therapy, for Health First Colorado members in its service area. Your actual insurance coverage still comes through Health First Colorado.
Some children may also qualify for a Medicaid waiver, which adds extra support like respite care or home modifications on top of standard coverage. See our guide to Colorado Medicaid waivers explained.
Does RMHP cover ABA therapy?
Yes, for eligible Health First Colorado members with a documented autism diagnosis and medical necessity for ABA therapy.
Is RMHP the same as Anthem Blue Cross Blue Shield?
No. They’re separate organizations, even though Anthem operates in Colorado under a similarly named legal entity, Rocky Mountain Hospital and Medical Service, Inc. RMHP is specifically tied to Health First Colorado Medicaid.
How do I know if RMHP is my regional organization?
Check your enrollment letter, the back of your Health First Colorado member ID card, or the Health First Colorado mobile app. If you’re not sure, we can help you find out.
What if I live outside RMHP's service area?
You likely have a different regional organization, such as Colorado Access or Colorado Community Health Alliance. We work with families across Colorado and can help you figure out which one applies to you.
Let's get your child covered
Our team at Achieve ABA Therapy Group has helped families across Pueblo and the rest of Colorado navigate Health First Colorado and get their ABA therapy coverage approved. Let us help yours too.