ColoradoPAR Program
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New Vendor for Prior Authorization Requests (PARs)
Effective August 31, 2011, PARs previously sent to the Colorado Foundation for Medical Care (CFMC) should be sent to the ColoradoPAR Program.
The ColoradoPAR Program is the new Utilization Management Program for the Colorado Medical Assistance Program. Beginning August 31, 2011, the ColoradoPAR Program will be reviewing Prior Authorization Requests (PARs) that have previously been sent to CFMC for review. The first phase of changing to the new vendor requires that all PARs be mailed or faxed to the ColoradoPAR Program. The process and forms for submitting PARs that have been used in the past have not changed.
Please continue to send your ACS PARs to ACS for processing. At this time the change only applies to those PARs that have been sent to CFMC in the past.
The list of PARs to be sent to the ColoradoPAR Program includes:
• Durable Medical Equipment (DME) – Limited to orthotics/prosthetics, communication devices, power wheelchairs and power scooters
• Diagnostic Imaging– limited to non-emergent Computed Tomography (CT) Scans, Magnetic Resonance Imaging (MRIs), and all Positron Emission Tomography (PET) Scans
• Medical/Surgical Services
• Reconstructive Surgery
• 2nd surgical opinions
• Physical and Occupational Therapy
• Transportation- Limited to Meals and Lodging
• Out-of-State Non-Emergency Surgical Services
• Organ Transplantation
• EPSDT Home Health
Please submit the above PARs via paper to the ColoradoPAR Program’s servicing center at:
The ColoradoPAR Program
4545 N. Lincoln Blvd., Suite 103 OR Fax: 1-866-492-3176
Oklahoma City, OK 73105
The ColoradoPAR Program will have the capability for providers to submit PARs electronically in the near future to ease the administrative burden on providers for PAR submission. Click here to go directly to the ColoradoPAR Web site for the latest information on the transition, information about Webinars and regional trainings. For questions and additional assistance, please contact the ColoradoPAR Program information line at 1-888-454-7686 or visit ColoradoPAR.com.
24 Hour Nurse Hotline, 1-800-283-3221
Did you know that Medicaid offers this free service to all of its Primary Care Physician Program and fee-for-service clients? Whenever a client is hurt or sick, please encourage him or her to call the nurse hotline prior to seeking treatment. This can help reduce unnecessary emergency room and office visits and allow providers more time to spend with those who truly need medical attention. By promoting this nurse hotline to your Medicaid patients, it enables an RN to assess the client's condition and direct his or her care appropriately. This service is available after hours too! For more information, or to request promotional materials, please contact the Department at 303-866-3153 or 1-800-221-3943.