Provider Help

Contact the following for:

Category

Vendor

Phone Number 

Mailing Address

Medicaid Billing and Bulletin Questions Department's fiscal agent 1-800-237-0757 N/A
Xerox State Healthcare Department's fiscal agent 1-800-237-0757
Denver Club Building
518 17th Street,
4th floor
Denver, CO 80202
Medicaid 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 CGI 1-888-538-4275 Email: helpdesk.HCG.central.us@cgi.com
Web Portal End User Training CGI 1-888-538-4275 Email: helpdesk.HCG.central.us@cgi.com

The following Prior Authorization Requests (PAR) types:

  • 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
  • EBI Bone Stimulator
  • Early and Periodic Screening, Diagnosis and Treatment (EPSDT)
  • Second surgical opinions
  • Physical and occupational therapy (OT/PT) services
  • Out-of-state Transportation
  • Out-of-state non-emergency surgical services
  • Organ transplantation
  • Private Duty Nursing (PDN)
  • Vision
the ColoradoPAR Program 1-888-454-7686

55 N. Robinson Ave.,
Suite 600
Oklahoma City, OK 73102

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 hrs/7 days a week

Department's fiscal agent

1-800-365-4944

Fax: 1-888-772-9696

 

CHP+ Billing Questions

Colorado Access 1-888-214-1101  

Fax-Back Eligibility Verification
Verify eligibility and recieve a faxed eligibility report
24 hrs/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 hrs/7 days a week
  1-800-237-0757