Treatment Centers in Colorado That Accept Rocky Mountain Health Plans

Does Rocky Mountain Health Plans Cover Rehab in Colorado?

Yes. Rocky Mountain Health Plans covers substance use treatment on every plan it runs in Colorado, from Level 3.1 to Level 4 residential and medically managed care to medication-assisted treatment, outpatient counseling and social and medical detox. Its members compare rehab programs statewide, though authorization stays with the plan.

Rocky Mountain Health Plans was founded in Grand Junction in 1974 and has been a UnitedHealthcare subsidiary since 2017, still under its own name. Under the Accountable Care Collaborative Phase III, from July 1, 2025, it is the Region 1 organization for Medicaid in Colorado, covering 33 western and southern counties, and Optum Behavioral Health manages its behavioral network.

Does Rocky Mountain Health Plans Cover Inpatient Rehab in Colorado?

Yes. Rocky Mountain Health Plans covers residential care from ASAM Level 3.1 through 3.5 and inpatient substance use treatment at Level 3.7, according to its 2026 behavioral health manual. For Region 1 and PRIME members these stays fall under the state’s Health First Colorado benefit, and long-term Medicaid residential care is authorized level by level.

How long will Rocky Mountain Health Plans pay for residential rehab?

Rocky Mountain Health Plans decides residential length case by case under The ASAM Criteria, and its manual asks facilities to notify the plan within 72 hours of a routine substance use admission. Under Health First Colorado’s rules the regional organization makes each medical necessity decision, so a longer stay rests on the program’s updated assessment.

Does Rocky Mountain Health Plans need prior authorization for inpatient rehab?

Yes. From April 1, 2026, Rocky Mountain Health Plans requires authorization for Region 1 and PRIME members at ASAM Levels 3.7, 3.5, 3.3 and 3.1, Level 3.7 withdrawal management and Level 2.5 partial hospitalization. Programs fax 888-240-2689 or email the plan’s Behavioral Health Utilization Management team; emergency and urgent care never need authorization.

Does Rocky Mountain Health Plans Cover Detox in Colorado?

Yes. Rocky Mountain Health Plans lists social ambulatory detoxification and inpatient medical detoxification on its Region 1 page, and PRIME covers withdrawal management up to Level 4. Residential withdrawal management at Level 3.7 is on the plan’s 2026 authorization list, even though the state’s 2025 guide exempts detox admission, so Medicaid medical detox programs call first.

Does Rocky Mountain Health Plans Cover Outpatient Rehab in Colorado?

Yes. Rocky Mountain Health Plans covers outpatient counseling, IOP that takes Medicaid and Medicaid PHP programs. Level 2.1 intensive outpatient needs only a notification at admission, with authorization required after 15 sessions, on Region 1, PRIME, CHP+ and marketplace plans alike, while Level 2.5 partial hospitalization needs authorization first.

Rocky Mountain Health Plans gives Region 1, PRIME, CHP+ and Medicare special needs members free 24-hour access to doctors by text, photo and video through CirrusMD, including mental health support. Its manual holds telemedicine to the same standard as in-person care, so telehealth recovery support covers most behavioral health codes.

Does Rocky Mountain Health Plans Cover Suboxone, Methadone and Other Addiction Medications?

Yes. Rocky Mountain Health Plans lists medication-assisted treatment as a covered service on its Region 1, PRIME and safety net pages and in the PRIME handbook updated July 2026. MAT clinics that take Medicaid are listed, and Colorado requires Medicaid residential and inpatient programs to help members reach these medications.

Does Rocky Mountain Health Plans cover methadone?

Yes. Rocky Mountain Health Plans’ behavioral manual includes monitoring of prescribed methadone within its covered medication management service, and Medicaid members owe nothing for it. No drug-specific tier or prior authorization rule for methadone maintenance care appears in the plan documents, so the program confirms the details with the plan.

Does Rocky Mountain Health Plans cover Suboxone?

Yes. Rocky Mountain Health Plans names Suboxone alongside methadone in its medication management service, and PRIME members fill prescriptions through Optum Rx, with retail supplies of 31 to 90 days and 90 days by mail. The PRIME drug list sets the quantity limits and preauthorization rules for Suboxone through Medicaid.

Does Rocky Mountain Health Plans cover treatment during pregnancy?

Yes. Rocky Mountain Health Plans sends pregnant Health First Colorado members to substance use treatment through the Special Connections program, and Child Health Plan Plus covers pregnant people under 260 percent of the federal poverty level who do not qualify for Medicaid, with substance use services available without a referral.

Rocky Mountain Health Plans Rehab Centers in Western Slope Canyons, Hot Springs Towns and the High Desert

Rocky Mountain Health Plans’ Region 1 spans 33 of Colorado’s 64 counties, more than half the state, and its stated values include rural expertise. Its manual sets a behavioral emergency standard of a phone response within 15 minutes and an in-person response within one hour in urban areas or two hours in rural and frontier counties.

Rocky Mountain Health Plans rehab near the Black Canyon

Rocky Mountain Health Plans’ PRIME plan covers Montrose and Delta counties, where the Black Canyon of the Gunnison cuts through the plateau east of Montrose. Rehab centers near canyons and treatment programs in Delta are listed for an area where Medicaid members join PRIME automatically unless they opt out.

Rocky Mountain Health Plans rehab near hot springs

Rocky Mountain Health Plans covers Archuleta County, where the hot springs of Pagosa Springs sit on the San Juan River, in Region 1, its Child Health Plan Plus area and its safety net area. Rehab centers near hot springs and Pagosa Springs rehab programs are listed, and Region 1 members there use the same member line, 800-421-6204.

Rocky Mountain Health Plans rehab in the high desert

Rocky Mountain Health Plans serves Montezuma and Dolores counties in the high desert of the Four Corners, near Mesa Verde, Cortez and Dove Creek, through Region 1 and Child Health Plan Plus. Rehab centers in desert regions and Cortez treatment programs request residential authorization from the plan.

How Do I Find a Rehab That Accepts Rocky Mountain Health Plans in Colorado?

Browse the listings on this page. Rocky Mountain Health Plans is taken by each Colorado program shown here, and entries show how to call, what levels of care are offered and any accreditation, sorted by town or service. Programs can tell a caller which of the plan’s programs they contract with, from Region 1 to the marketplace HMOs.

Rocky Mountain Health Plans authorizes residential, inpatient and partial hospitalization care through its utilization management staff, and the program normally sends the request. Members can also call the line for their plan below. Out-of-network care on PRIME and CHP+ is covered only for emergencies, family planning or care the plan agrees to in advance.

Rocky Mountain Health Plans rehab in Grand Junction

Rocky Mountain Health Plans has its main office in Grand Junction, reachable on 970-243-7050 or 800-346-4643, and Mesa County is in every program it runs: Region 1, PRIME, Child Health Plan Plus and the safety net. Care coordination answers on 970-248-8718. Grand Junction treatment centers and rehab options in Clifton fall under all four.

Rocky Mountain Health Plans rehab in Pueblo

Rocky Mountain Health Plans has run Pueblo County Medicaid since July 1, 2025, after replacing Health Colorado, Inc. in the south, so Pueblo members now call 1-800-421-6204. Pueblo is not a PRIME or Child Health Plan Plus county for this plan. Pueblo addiction treatment programs request authorization through Region 1.

Rocky Mountain Health Plans rehab in Durango

Rocky Mountain Health Plans covers La Plata County through Region 1, Child Health Plan Plus and its safety net program, which connects people to residential treatment, withdrawal management and recovery housing regardless of ability to pay. Rehab services in Durango can reach that program through 855-830-1562.

Rocky Mountain Health Plans rehab in Glenwood Springs and Rifle

Rocky Mountain Health Plans enrolls Garfield County Medicaid members in PRIME automatically, and Garfield is a Region 1 and Child Health Plan Plus county too. PRIME members have physical and behavioral care under one plan. Glenwood Springs treatment programs and Rifle rehab programs appear in the listings.

Can I use Rocky Mountain Health Plans for rehab in a different county?

Yes, within Region 1, and outside it when the plan agrees. Rocky Mountain Health Plans’ manual allows out-of-network care if Region 1’s network lacks the service, a network provider objects on moral or religious grounds, or network care would pose a risk, and authorized out-of-network care costs the same as in-network. Marketplace HMOs cover only emergencies out of network.

How much does rehab cost with Rocky Mountain Health Plans?

Nothing, for Region 1 members: the state charges no substance use copays under Health First Colorado. Child Health Plan Plus outpatient substance use visits cost nothing at lower income tiers and a small copay at the highest, within a cap of 5 percent of household income. Marketplace HMOs use deductibles, copays and coinsurance.

Rocky Mountain Health Plans’ safety net role, set up under the Colorado Behavioral Health Administration on July 1, 2025, covers people with no insurance or too little. Listings below show state-funded residential rehab and sliding scale treatment programs across western and southern Colorado.