Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990, PART III, LINE 1 | COLORADO ACCESS IS DEDICATED TO THE OPERATION OF A COMPETITIVE HEALTH PLAN DESIGNED TO IMPROVE ACCESS TO NEEDED HEALTHCARE DIRECTLY FOR ENROLLED MEMBERS AND INDIRECTLY, THROUGH ITS PARTNERS, TO ALL UNDERSERVED COLORADANS WITH AN EMPHASIS UPON PRIMARY CARE AND THE MAINTENANCE OF THE CONTINUUM OF CARE. |
| CEASED PROGRAM SERVICES | FORM 990, PART III, LINE 3 | THE ENHANCED CARE MANAGEMENT SERVICES PROVIDED TO THE STATE OF COLORADO DEPARTMENT OF HEALTH CARE POLICY AND FINANCING FOR A SELECT GROUP OF MEDICAID MEMBERS WHICH WAS STARTED IN 2010 CEASED JUNE 2011. |
| OTHER PROGRAM SERVICES | FORM 990, PART III, LINE 4D | THE PRIMARY COMPONENT OF OTHER PROGRAM SERVICES IS THIRD-PARTY ADMINISTRATOR SERVICES (CLAIMS PAYMENT, NETWORK DEVELOPMENT AND MANAGEMENT, CUSTOMER SERVICE) PROVIDED TO THE STATE OF COLORADO'S DEPARTMENT OF HEALTH CARE POLICY AND FINANCING FOR THE DEPARTMENT'S CHILD HEALTH PLAN PLUS STATE MANAGED CARE NETWORK, AND TO BEHAVIORAL HEALTHCARE, INC., THE MEDICAID BEHAVIORAL HEALTH ORGANIZATION IN THE EAST DENVER METRO COUNTIES OF ADAMS, ARAPAHOE AND DOUGLAS (CLAIMS PAYMENT, CUSTOMER SERVICE, AND STATE MANDATED FINANCIAL REPORTING. IN JANUARY 2011 COA WAS AWARDED ASO CONTRACTS FOR THREE OF THE SEVEN REGIONS IN THE STATE'S REGIONAL CARE COLLABORATIVE ORGANIZATION (RCCO) PROGRAM. THIS IS NEW BUSINESS IN 2011 AND IS DESCRIBED IN FORM 990, PART III, LINE 2 AND SCHEDULE O. |
| PRESENTATION OF FINANCIAL STATEMENTS | FORM 990, PART IV, LINE 12A | COLORADO ACCESS PRESENTS ITS FINANCIAL STATEMENTS IN CONFORMITY WITH ACCOUNTING PRACTICES PRESCRIBED OR PERMITTED BY THE DIVISION OF INSURANCE OF THE DEPARTMENT OF REGULATORY AGENCIES OF THE STATE OF COLORADO, WHICH PRACTICES DIFFER FROM U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. THEREFORE THIS QUESTION IS ANSWERED NO IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS. |
| DESCRIPTION OF CLASSES OF MEMBERS AND THE NATURE OF THEIR RIGHTS | FORM 990, PART VI, LINE 6 | PER THE CORPORATION BYLAWS (CURRENT VERSION DATED JULY 11, 2008), THE CORPORATION SHALL HAVE THREE VOTING MEMBERS: (1) COLORADO COMMUNITY MANAGED CARE NETWORK, DESIGNATED AS THE "CCMCN MEMBER", (2) THE CHILDREN'S HOSPITAL, DESIGNATED AS THE "TCH MEMBER", AND (3) THE "UNIVERSITY MEMBER", WHICH MEMBERSHIP IS HELD JOINTLY BY UNIVERSITY HEALTH SYSTEMS, INC. AND UNIVERSITY PHYSICIANS, INC EACH MEMBER SHALL BE FORMED AND OPERATED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL, OR SCIENTIFIC PURPOSES, OR SOCIAL WELFARE PURPOSES , AND SHALL QUALIFY AS AN EXEMPT ORGANIZATION OR ORGANIZATIONS UNDER SECTION 501(C)(3) OR SECTION 501(C)(4) OF THE INTERNAL REVENUE CODE. |
| DESCRIPTION OF CLASSES OF MEMBERS AND THE NATURE OF THEIR RIGHTS | FORM 990, PART VI, LINES 7A AND 7B | LINE 7A: PER THE CORPORATION BYLAWS (CURRENT VERSION DATED JULY 11, 2008), THREE CLASS A DIRECTORS ARE ELECTED BY UNANIMOUS VOTE OF THE MEMBERS ENTITLED TO VOTE. EACH MEMBER SHALL NOMINATE ONE CLASS A DIRECTOR. IF THERE ARE FEWER THAN THREE MEMBERS, THE CLASS A DIRECTORS SHALL NOMINATE SUCH ADDITIONAL CLASS A DIRECTORS AS ARE NECESSARY TO FILL THE COMPLEMENT OF THREE CLASS A DIRECTORS. LINE 7B: PER THE CORPORATION BYLAWS (CURRENT VERSION DATED JULY 11, 2008), VOTING BY MEMBERS - EACH MEMBER SHALL BE ENTITLED TO ONE VOTE ON ALL MATTERS COMING BEFORE A MEETING OF THE MEMBERS. THE UNANIMOUS VOTE OF THE MEMBERS ENTITLED TO VOTE SHALL BE THE ACT OF THE MEMBERS IN EVERY CASE WHERE THE VOTE OF THE MEMBERS IS EXPRESSLY REQUIRED BY THE ACT, THESE BYLAWS OR THE ARTICLES. WITHOUT LIMITING THE FOREGOING, MEMBERS ARE ENTITLED TO VOTE WITH RESPECT TO ANY MATTER REQUIRED TO BE SUBMITTED TO A VOTE OF THE MEMBERS IN ACCORDANCE WITH THE ARTICLES, THESE BYLAWS OR THE ACT, INCLUDING THE FOLLOWING: (I) THE ELECTION AND REMOVAL OF CLASS A DIRECTORS; (II) THE APPROVAL OF AMENDMENTS TO THE ARTICLES OR THESE BYLAWS THAT WOULD AFFECT THE RIGHTS, PRIVILEGES, PREFERENCES, RESTRICTIONS, OR CONDITIONS OF THE MEMBERS OR AFFECT THE MEMBERS' QUORUM, VOTING, DISSOLUTION, REDEMPTION, TRANSFER OF MEMBERSHIP INTERESTS, OR DIVISION OF THE MEMBERS INTO TWO OR MORE CLASSES OF MEMBERS; (III) THE APPROVAL OF THE SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OF THE CORPORATION OTHER THAN IN THE USUAL AND REGULAR COURSE OF BUSINESS; (IV) THE APPROVAL OF A PLAN OF MERGER; (V) THE APPROVAL OF VOLUNTARY DISSOLUTION OF THE CORPORATION; (VI) A DETERMINATION AND AUTHORIZATION OF INDEMNIFICATION, IF MEMBER APPROVAL IS REQUIRED UNDER SECTION 6 OF ARTICLE VI HEREOF; (VII) THE ADMISSION OF ADDITIONAL MEMBERS IN ACCORDANCE WITH THE PROCESSES SET FORTH IN THE MEMBERS AGREEMENT AND NOT INCONSISTENT WITH THE ARTICLES; (VIII) THE EXPULSION OF A MEMBER FOR CAUSE; (IX) THE TRANSFER OF MEMBERSHIP INTERESTS IN ACCORDANCE WITH THE MEMBERS AGREEMENT, AS DEFINED BELOW; AND (X) IF DISTRIBUTIONS TO MEMBERS ARE AUTHORIZED BY THE BOARD OF DIRECTORS, THE ALLOCATION OF SUCH DISTRIBUTIONS AMONG THE MEMBERS WHO QUALIFY TO RECEIVE SUCH DISTRIBUTIONS IN ACCORDANCE WITH THE ARTICLES. |
| PROCESS USED BY ORGANIZATION TO REVIEW FORM 990 | FORM 990, PART VI, LINE 11B | THE INFORMATION FOR THE IRS 990 RETURN IS PREPARED BY THE COMPANY'S CONTROLLER AND REVIEWED BY PERSONNEL FROM THE COMPANY'S HUMAN RESOURCES AND LEGAL DEPARTMENTS, AND THE CFO. THE CFO PRESENTS THE COMPLETED RETURN TO THE COMPANY'S FINANCE, AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD WHO IN TURN PRESENTS IT TO THE FULL BOARD AS PART OF THE COMMITTEE'S STANDARD FINANCIAL REPORT. THIS IS DONE PRIOR TO FILING THE RETURN. |
| PROCESS USED TO MONITOR AND ENFORCE CONFLICT OF INTEREST POLICY | FORM 990, PART VI, LINE 12C | ALL NEW HIRES ARE REQUIRED TO FILL OUT AND SIGN THE CONFLICT OF INTEREST FORM. ALL EMPLOYEES ARE ALSO REQUIRED TO SUBMIT A NEW SIGNED FORM ANNUALLY DURING THE OPEN ENROLLMENT PERIOD. THESE FORMS ARE REVIEWED BY THE HUMAN RESOURCES DEPARTMENT TO ENSURE THERE ARE NO ISSUES. IF A CONFLICT APPEARS ON THE FORM, THEN IT IS REVIEWED WITH THE CCO AND THE DIRECTOR OF CORPORATE COMPLIANCE. THE SIGNED FORMS ARE THEN FILED IN THE EMPLOYEE'S PERSONNEL FILE. ALL BOARD MEMBERS ARE ALSO REQUIRED TO COMPLETE AND SIGN THE CONFLICT OF INTEREST POLICY ANNUALLY. IF A CONFLICT IS IDENTIFIED FOR A BOARD MEMBER, THAT BOARD MEMBER MUST LEAVE THE MEETING DURING THE DISCUSSION OF AND THE VOTE ON THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. |
| AVAILABILITY OF CERTAIN DOCUMENTS TO THE GENERAL PUBLIC | FORM 990, PART VI, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT REQUIRED TO BE MADE AVAILABLE TO THE GENERAL PUBLIC AND THEREFORE THEY ARE NOT MADE PUBLIC. |
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