Provider Information

Click on the applicable subject for further information.

Provider Information

Alternative Care Facilities (ACF)

Behavioral Health: Focus on Depression

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

Essential Community Providers

Family Planning Providers

HCBS Settings Final Rule

HCBS Waiver Transition

  • Public comment until August 14, 2015 for BI, CHCBS, CMHS and EBD waivers

HIPAA

Home Health Program

Home Modification Benefit

Hospital Provider Fee

Hospital Services

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 and Opioid Use

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

Tobacco Cessation

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