Welcome to the Provider Services page for the Colorado Medical Assistance Program. This site contains helpful information for Medical Assistance Program providers and other interested parties. It also provides links to other valuable information.

Please continue to check the Provider Services sections for updated information about the fiscal agent operation and the Colorado Medical Assistance Program.

If you are Interested in becoming a Colorado Medicaid Provider...

Please click on the Enrollment tab on the left-hand side of this page for links to Frequently Asked Questions , Providers not yet enrolled in the Colorado Medical Assistance Program and Providers already enrolled in the Colorado Medical Assistance Program.

Click on Providers not yet enrolled in the Colorado Medical Assistance Program and follow the instructions. For questions that are not answered in the Frequently Asked Questions section, please contact Provider Services at 303-534-0146 (Denver Metro) or 1-800-237-0757 (Toll Free).

Please scroll down to access the Colorado Medicaid Fee Schedule information.

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Effective, Monday, October 5, 2009, the ACS Provider Services Call Center hours of operation will be from 8:00 a.m. until 5:00 p.m. Mountain Time.

November and December Holiday Processing Schedules

Receipt of warrants and EFTs will be delayed by one or two days due to the Veterans Day holiday on Wednesday, November 11, 2009 and due to the Thanksgiving Day holiday on Thursday, November 26, 2009.

Due to the Christmas Day holiday on Friday, December 25, 2009, the claims processing cycle will include electronic claims accepted before 6:00 P.M. Mountain Time on Thursday, December 24, 2009. The receipt of warrants and EFTs will also be delayed by one or two days.

Prior Authorization for Non-Emergent CT, Non-Emergent MRI, and All PET Scans

Effective August 1, 2009, Colorado Medicaid requires all outpatient clinics to obtain prior authorization for non-emergent CT, non-emergent MRI, and all PET scans.  Please refer to the "What's New" link on the Department's Web site at colorado.gov/hcpf or click  here  for more information.

Medicaid Fee Schedule

          September 2009 Fee Schedule Instructions

          September 2009 Fee Schedule Data File   

July - August 2009 Fee Schedule Instructions

July - August 2009 Fee Schedule Data File 

 

January - June 2009 Fee Schedule Instructions

January - June 2009 Fee Schedule 

NPI

For answers to your NPI registration and other NPI questions.

Provider Resources

Bulletins: Colorado Medical Assistance Program publications containing new & revised program information   

EDI Support: EDI forms, approved software vendors list and EDI contact information

FAQ: Frequently Asked Questions

Forms: Claim forms, Prior Authorization Request forms, Response forms, Sterilization consent forms

Manuals: Information regarding billing the Colorado Medical Assistance Program. The provider billing manual sections that are identified in the Billing Manuals section are available for download. If requested, an enrolled provider may receive a CD containing the Billing Manual sections. CMERS/FAXBACK instructions, Interface layouts and PHP affiliation codes.

Physician News and Updates: DHCPF "Colorado Medicaid Physician News", Passive Enrollment Fact Sheet and information from the Department of Health and Human Services - Centers for Disease Control and Prevention  

Program Rules: Program rules - Colorado Code of Regulations

Specifications: HIPAA Companion Guides and the Pharmacy HIPAA Transaction Data Guide

Train/Workshops: Current Denver-metro & statewide training schedules and information  

News and Updates: News and updates on current Medical Assistance Program issues  

Web Portal News: Web Portal information and FAQs