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Colorado Access Choice

Compliance and Integrity

Access Connected Care Partners (ACCP) Colorado Access Choice (COAC) is committed to conducting business with honesty, integrity and accountability. We comply with applicable federal and state laws, Colorado Division of Insurance requirements, Connect for Health Colorado requirements and our internal policies and procedures. Our Compliance Program helps promote ethical conduct, protect member information, prevent fraud, waste and abuse, and support compliance throughout our organization.

Compliance Program

ACCP maintains a Compliance Program designed to promote ethical conduct, prevent and detect noncompliance, and support adherence to applicable laws, regulations, and Exchange requirements. The program includes compliance oversight, training and education, monitoring activities, and processes for reporting and addressing compliance concerns.

Our Commitment

Colorado Access Choice is committed to:

  • Conducting business ethically and responsibly.
  • Complying with applicable laws, regulations, and Exchange requirements.
  • Preventing, detecting, and addressing fraud, waste, and abuse (FWA).
  • Protecting the privacy and security of member information.
  • Identifying and addressing potential compliance concerns.
  • Promoting a culture of integrity, accountability, and transparency.

Fraud, Waste, and Abuse

Fraud, waste, and abuse can increase healthcare costs and affect the integrity of healthcare programs. ACCP is committed to preventing, detecting, investigating, and addressing potential fraud, waste, and abuse involving our health plans.

Examples may include:

  • Providing false information to obtain health coverage or benefits.
  • Using another person’s identity to obtain services or coverage.
  • Billing for services that were not provided.
  • Falsifying records or documentation.
  • Practices that result in unnecessary costs or improper payments.

These examples are provided for informational purposes and do not represent all potential instances of fraud, waste, or abuse.

Report a Concern

Members, providers, brokers, vendors, and other stakeholders are encouraged to report concerns related to:

  • Fraud, waste, or abuse
  • Potential violations of laws or regulations
  • Ethical concerns or misconduct
  • Privacy or confidentiality concerns
  • Non-compliance with ACCP policies or requirements

We encourage individuals to report concerns as soon as possible so they can be reviewed and addressed appropriately.

Reports may be submitted confidentially and, where permitted by law, anonymously.

Non-Retaliation

ACCP prohibits retaliation against any individual who, in good faith, reports a concern, asks a compliance question, or participates in an investigation.

Contact Compliance

Mailing Address

ACCP Colorado Access Choice
Compliance Department
4643 S. Ulster Street, Suite 700
Denver, CO 80237

Privacy Resources

ACCP is committed to protecting the privacy and security of member information. We maintain policies and procedures designed to safeguard protected health information and comply with applicable privacy and security requirements.

For additional information about how we use and protect your information, please review our Notice of Privacy Practices.

Working With Our Partners

ACCP expects providers, brokers, vendors, delegated entities, and other business partners to conduct business ethically and comply with applicable laws, regulations, contractual requirements, and Exchange standards. We work with our partners to support compliance, protect member information, and promote program integrity.

Questions about compliance or fraud, waste, and abuse? Contact the ACCP Colorado Access Choice Compliance Department using the information above.