Provider Information

Click on the applicable subject for further information. 

Provider Information

Alternative Care Facilities (ACF)

Benefits Collaborative

Benefits Utilization System (BUS) Updates

Billing Frequently Asked Questions (FAQs)

Case Management Agencies 

CHP+ Provider

Colorado Choice Transitions (CCT) Resources 

Colorado Indigent Care Program (CICP)

ColoradoPAR Program 

Division of Intellectual Developmental Disabilities (DIDD) Providers

Drug Utilization Review (DUR) Board

EDI Support

EPSDT Providers

Family Planning Providers

HCBS Waiver Transition

  • HCBS SCI Waiver Amendment - Public comment period open until March 24, 2015
  • HCBS CLLI Waiver Renewal - Public comment period open until March 15, 2015
  • HCBS CWA Waiver Amendment - Public comment period open until March 8, 2015
  • HCBS SCI Waiver Renewal - Public comment period open until March 4, 2015

HIPAA

Home Health Program

Hospital Provider Fee

Inpatient Hospital Payment

Mail Order Prescriptions

Medicare- Medicaid Program

Mental Health Rate Reform 

National Correct Coding Initiative (NCCI)

Nursing Facilities

Old Age Pension (OAP)

Pain Management Resources

Payment Error Rate Measurement (PERM)

The Payment Error Rate Measurement (PERM) is an audit program developed by the federal government to comply with law. The program examines eligibility decisions and payments to providers for Medicaid and Child Health Plan Plus (CHP+) for accuracy. Learn more about PERM.

Pediatric Personal Care Benefit

Pharmacy Info & FAQs

Pharmacy & Therapeutics (P&T) Committee

Pre-Admission Screening and Resident Review (PASRR)

Prenatal Plus Program

Primary Care Fund (PCF)

Provider Enrollment FAQs

Recovery Audit Contractor (RAC) Program

Each state must contract with a contingency-fee-based vendor to review provider claims.  The purpose of the review is to reduce improper Medicaid payments through the efficient detection and collection of overpayments, the identification of underpayments and the implementation of actions that will prevent future improper payments.

Rx Review Program

Pharmacist resources are available on the Forms section of the website. 

School Health Services (SHS)

Senior Dental Health Care program for Low-Income Seniors

Specifications

Supplemental Payments for Eligible Primary Care Physicians

Tobacco Cessation

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