1

Provider Contacts

 2024 Holiday Schedule

Memorial Day – Monday, May 27, 2024 - State Offices, Gainwell Technologies, DentaQuest, AssureCare and the ColoradoPAR Program will be closed.

Capitation cycles for managed care entities may potentially be delayed. The receipt of warrants and EFTs may potentially be delayed due to the processing at the United State Postal Service or providers’ individual banks.

Virtual Agent Fact Sheet      General Resources and Key Contacts

CategoryWho To ContactPhone NumberEmail or Mailing Address

Health First Colorado (Colorado's Medicaid program)

  • Claims Submission and Billing Questions
  • Member Eligibility
  • Provider Enrollment Assistance
  • Provider Web Portal Technical Support
Department's fiscal agent - Gainwell Technologies1-844-235-2387

The Provider Services Call Center hours:

7:00 a.m. - 5:00 p.m. MT Monday - Friday


Gainwell Technologies office:

Civic Center Plaza
1560 Broadway Street, Suite 600
Denver, CO 80202
Mail To:
P.O. Box 30
Denver, CO 80201
Field RepresentativesRegional Provider Support  
Provider Web Portal Password ResetsSelf Service resets on Web Portal Provider Web Portal
Provider Web Portal End User TrainingQuick Guides web page  

The following Prior Authorization Requests (PAR) types:

  • Audiology
  • Diagnostic Imaging
  • Durable Medical Equipment (DME) and Supplies
  • Molecular/Genetic Testing
  • Out of State Inpatient Admissions
  • Outpatient Physical and Occupational Therapy
  • Outpatient Speech Therapy
  • Pediatric Behavioral Therapy
  • Pediatric Home Health
  • Pediatric Personal Care Services (PCS)
  • Select Surgical Procedures (Aesthetic, Back, Bariatric)
  • Select Transgender Services
  • Solid Organ Transplants
  • Synagis (seasonal)
Acentra (formerly Kepro) - ColoradoPAR: Health First Colorado Prior Authorization Request Program web page

1-720-689-6340

Fax:

1-800-922-3508

Provider Issues Email: COproviderissue@kepro.com


Provider Training Registration Email: COproviderregistration@kepro.com

Dental

  • Dental PARs
  • Orthodontia PARs
  • Dental Billing Questions
  • Dental Claims Questions
DentaQuest1-855-225-1731 
Non-Emergent Medical Transportation (NEMT)IntelliRide1-855-489-4999Email: intelliride@transdev.com
Care and Case Management (CCM)CCM Support Center1-888-235-69448:00 a.m. - 5:00 p.m. MT, Monday through Friday
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)DORA  

 Pharmacy Support

  • Prescription drug prior authorizations
  • Pharmacy claim submission and Pro- DUR questions
  • 24 hours / 7 days a week
Magellan Rx Management Pharmacy Call Center

1-800-424-5725

Fax:

1-800-424-5881

Email:

RxNetworksDept@magellanhealth.com

Paper Pharmacy Claims:
Send to:

Attention Paper Claims Processing

P.O. Box 85042

Richmond, VA 23242

Child Health Plan Plus (CHP+) Fee-For-Service (FFS) Billing QuestionsGainwell Technologies1-844-235-2387 
Health First Colorado Managed Care Provider Complaints  Managed Care Provider Complaint Form
SandataSandata Call Center1-844-289-4246

Email: coaltevv@sandata.com

Visit the Electronic Visit Verification Contacts web page for more information.

 
 
Regional Accountable Entity Contact Information
RegionEntity, Proposals and ContractsContact Information for ProvidersContact Information for Health First Colorado Members
1Rocky Mountain Health PlansEmail: raesupport@uhc.com
Phone: 1-800-421-6204
1-800-421-6204
Monday-Friday, 8:00 a.m. to 5:00 p.m.
State Relay: 711 for callers with hearing or speech disabilities
Email: rmhp_member_services@uhc.com
2Northeast Health Partners

9925 Federal Drive, Suite 100
Colorado Springs, CO 80921
Phone: 1-800-502-4191

Email:
COProviderRelations@beaconhealthoptions.com

1-888-502-4189
Care Coordination Line: 1-888-502-4190
Monday-Friday, 8:00 a.m. to 5:00 p.m.
State Relay: 711 for callers with hearing or speech disabilities
https://www.northeasthealthpartners.org
3Colorado AccessPhone: 720-744-5667
Email: ProviderRelations@coaccess.com
303-368-0037 or 1-855-267-2095 (toll free)
Monday-Friday, 8:00 a.m. to 5:00 p.m.
State Relay: 711 for callers with hearing or speech disabilities
https://www.coaccess.com
4Health Colorado, Inc.

9925 Federal Drive, Suite 100
Colorado Springs, CO 80921
Phone: 1-888-502-4185

Email:
COProviderRelations@beaconhealthoptions.com

1-888-502-4185
Care Coordination Line: 1-888-502-4186
Monday-Friday, 8:00 a.m. to 5:00 p.m.
State Relay: 711 for callers with hearing or speech disabilities
https://www.healthcoloradorae.com
5Colorado AccessPhone: 720-744-5667
Email: ProviderRelations@coaccess.com
303-368-0038 (Denver County) or 1-855-384-7926 (toll free)
Monday-Friday, 8:00 a.m. to 5:00 p.m.
State Relay: 711 for callers with hearing or speech disabilities
https://www.coaccess.com
6Colorado Community Health AlliancePhone: 303-256-1717 (local)
or 1-855-627-4685 (toll free)
Contact Us
303-256-1717 or 1-855-627-4685 (toll free)
Monday-Friday, 8:00 a.m. to 5:00 p.m.
State Relay: 711 for callers with hearing or speech disabilities
https://www.cchacares.com
7Colorado Community Health AlliancePhone: 719-598-1540 (local)
or 1-855-627-4685 (toll free)
Contact Us
719-598-1540 or 1-855-627-4685 (toll free)
Monday-Friday, 8:00 a.m. to 5:00 p.m.
State Relay: 711 for callers with hearing or speech disabilities
https://www.cchacares.com