Provider Revalidation & Enrollment
Thank you for your interest in becoming a Health First Colorado (Colorado's Medicaid Program) provider or your participation in revalidation. The following instructions apply to both new enrollments and revalidations.
Please do not begin the application before reviewing these online resources. An incorrect or incomplete application requires additional review that may add weeks to your application’s processing time.
Provider Services Call Center
Until further notice, the Provider Services Call Center (1-844-235-2387) hours will be:
- 7 a.m. – 5 p.m. MT Monday, Tuesday, & Thursday
- 10 a.m. – 5 p.m. MT Wednesday & Friday
The Provider Services Call Center will be utilizing the time between 7 a.m. and 10 a.m. on Wednesdays and Fridays to return calls to providers.
Download the Provider Services Call Center information sheet so you know which call queue can best assist you!
Need help with enrollment or revalidation? Check out this step-by-step guide and Revalidation Best Practices to help you avoid making mistakes.
- Enroll your Trading Partner ID
- Revalidation and Enrollment Webinar
- Revalidation and Enrollment Quick Guide
- Frequently Asked Questions
- Provider Web Portal Training
- Completed your training? Click here for next steps
Quick Tips and Facts for Enrollment & Revalidation:
- Know your provider type(s) before beginning the enrollment/revalidation process.
- Keep your contact information up-to-date.
- Enroll before you see a Medicaid member.
- Enrollment and revalidation is required for all medical and nonmedical Medicaid providers.
Revalidation and Enrollment Forms
Beginning March 1, 2017, all providers are required to have completed the enrollment process in the new Colorado interChange, regardless of whether they were enrolled in Colorado Medicaid prior to the transition effective March 1.
All providers, medical or nonmedical, who are enrolled with and bill Medicaid for services under the state plan or a waiver must be screened under this rule by enrolling/revalidating. In addition, providers that provide services through Managed Care Organizations (MCOs), including Child Health Plans Plus (CHP+) and Behavioral Health Organizations (BHOs), need to enroll/revalidate as well. This is necessary because the validity and currency of all provider licenses to perform any service must be screened.
New federal regulations established by the Centers for Medicare and Medicaid Services (CMS) require enhanced screening and revalidation for all existing (and newly enrolling) providers. These regulations are designed to increase compliance and quality of care, and to reduce fraud.