What is SIM?

Between 2015 and 2019, the State of Colorado will receive up to $65 million from the Center for Medicare and Medicaid Innovation (CMMI) to implement and test its State Health Care Innovation Plan.

Colorado’s plan, entitled “The Colorado Framework,” creates a system of clinic-based and public health supports to spur innovation. The state will improve the health of Coloradans by:

  1. Providing access to integrated primary care and behavioral health services in coordinated community systems;
  2. Applying value-based payment structures;
  3. Expanding information technology efforts, including telehealth; and
  4. Finalizing a statewide plan to improve population health. Funding will assist Colorado in integrating physical and behavioral health care in more than 400 primary care practices and community mental health centers comprised of approximately 1,600 primary care providers. In addition, the state will work to establish a partnership between their public health, behavioral health and primary care sectors.


Frequently Asked Questions

Colorado received $65 million dollars in the form of a cooperative agreement from the Center for Medicare and Medicaid Innovation (CMMI) for the following period: 2/1/2015 - 1/31/2019. A cooperative agreement is a contract between the U.S. government and a local government where the federal government has substantial involvement in the activities - basically, it walks like a grant and talks like a grant, but CMMI will be very involved in day-to-day operations, contract approval, and evaluation.

Colorado SIM is an initiative led by the Governor's Office with the participation of many public and private partners. State agencies, including the Colorado Division of Insurance, the Colorado Department of Health Care Policy and Financing, the Colorado Department of Human Services and the Colorado Department of Public Health and Environment will coordinate SIM work. The Department of Health Care Policy and Financing provides the administrative structure.

The final proposal can be found on the SIM website (www.coloradosim.org) in the “Quick Links” section on the homepage, or by clicking here.

Several components of the grant funds have already been set aside in the grant proposal and approved by the federal government through the grant process. Funds for other parts of the grant will be competitively bid through the regular state procurement process.

SIM funding started in February 2015, and will be made available incrementally and according to grant implementation timelines. If you would like to see a high-level overview of how the SIM budget breaks down, please click here.

To see a high-level overview of how the SIM budget breaks down, please click here.

All funding has been approved and designated for specific purposes as part of the grant award.

Some funding will be distributed to grant specified organizations (mainly state agencies or quasi-state organizations); most will be competitively bid through regular procurement processes. All RFPs will be posted to the “Stakeholders” section on the SIM website, and can be viewed by clicking here.

CMMI has designated the first year as pre-implementation to allow state to go through hiring, competitive bid and contracting processes. We anticipate that the first request Request for Proposals or Documented Quotes will be posted by Fall of 2015. We expect to post throughout the year at the following site.

The deadline to apply as a workgroup member has already passed. However, there are remains many opportunities to provide your input.

Public input provides a critical role in guiding the development of SIM’s strategy and approach. All Advisory Board, Steering Committee, and Workgroup meetings are open to members of the public, both in-person and by conference call/webinar. Each meeting will include a designated period for public comment. Additionally, all meetings are recorded, and the audio recording of each meeting, along with the agenda, minutes, and any related documents are publicly posted on the Colorado SIM Website at www.colorado.gov/pacific/healthinnovation/meetings-10. Members of the public may submit comment to the SIM Office via the website using the following link: https://www.colorado.gov/healthinnovation/contact-us-73.

Please refer to the contact us section of the SIM website to contact the SIM Office. This section of the site has a general contact form, a public comment form, and a form to sign-up for our mailing list. The SIM Office sends out a newsletter on the second Wednesday of each month.