Provider Help

Category

Who To Contact

Phone Number

Email or Mailing Address

Health First Colorado (Colorado's Medicaid Program) Billing and Bulletin Questions Xerox State Healthcare 1-800-237-0757  
Health First Colorado Enrollment and Revalidation Information Center Hewlett Packard Enterprise (HPE) 1-844-235-2387 ColoradoMedicaidEnrollment@hpe.com
Xerox State Healthcare Department's fiscal agent 1-800-237-0757
Denver Club Building
518 17th Street,
4th floor
Denver, CO 80202
Health First Colorado Claims and PARs Submission Department's fiscal agent 1-800-237-0757
P.O. Box 30
Denver, CO 80201
Correspondence, Inquiries, and Adjustments
Department's fiscal agent 1-800-237-0757
P.O. Box 90
Denver, CO 80201
Enrollment, Changes, Signature Authorization and Claim Requisitions
Department's fiscal agent 1-800-237-0757
P.O. Box 1100
Denver, CO 80201
Colorado Medical Assistance Program Web Portal (Web Portal) Technical Support CGI 1-888-538-4275
Web Portal Password Resets HCPF Security Administrator 303-866-4473 Email: HCPFsecurity@hcpf.state.co.us
Web Portal End User Training CGI 1-888-538-4275 Email: helpdesk.HCG.central.us@cgi.com

The following Prior Authorization Requests (PAR) types:

  • Audiology
  • Behavioral Therapies
  • Diagnostic imaging – limited to non-emergency Computed Tomography (CT) Scans and Magnetic Resonance Imaging (MRI), and all Positron Emission Tomography (PET) Scans
  • Durable Medical Equipment (DME)/Supply – All (including repairs)
  • Home Health – Pediatric Home Health
    (formerly known as EPSDT Extraordinary and
    Long Term Home Health for Children)
  • Medical/Surgical services
  • Early and Periodic Screening, Diagnosis and Treatment (EPSDT)
  • Physical and occupational therapy (OT/PT) services
  • Out-of-state non-emergency surgical services
  • Organ transplantation
  • Private Duty Nursing (PDN)
  • Vision
The ColoradoPAR Program 1-888-801-9355

eQHealth Solutions
Attn: ColoradoPAR program
5802 Benjamin Center Drive, Suite 105
Tampa, FL  33634

Dental

  • Dental PARs
  • Orthodontia PARs
  • Dental Billing Questions
  • Dental Claims Questions
DentaQuest 1-855-225-1731  
Centers for Medicare and Medicaid Services (CMS) CMS    
Colorado Department of Public Health and Environment (CDPHE) CDPHE    

Department of Human Services of Colorado (DHS)

DHS    
Division of Insurance (DOI) DOI    
Department of Regulatory Agencies DORA    

Prescription Drug Card System (PDCS) Pharmacy Support

  • Prescription drug prior authorizations
  • Pharmacy claim submission and Pro-DUR questions
  • 24 hours / 7 days a week
Department's fiscal agent

1-800-365-4944

Fax: 1-888-772-9696

 

Child Health Plan Plus (CHP+) Billing Questions

Colorado Access 1-888-214-1101  

Fax-Back Eligibility Verification

  • Verify eligibility and receive a faxed eligibility report
  • 24 hours / 7 days a week
  1-800-493-0920  
Colorado Medical Assistance Program Eligibility Response System (CMERS)
  • Eligibility and Warrant Information by touch-tone telephone
  • 24 hours / 7 days a week
  1-800-237-0757