Provider Information

ACC: Access KP Program Termination

Alternative Care Facilities (ACF)

Behavioral Health: Focus on Depression

Benefits Collaborative

Benefits Utilization System (BUS) Updates

Billing Frequently Asked Questions (FAQs)

Case Management Agencies

• Single Entry Point SEP Agencies

  • Find a SEP

  • SEP Technical Assistance Calls

• Community Centered Boards
• Long-Term Services and Supports Training Topics
• LTSS Case Management Tools Page
• Waiver Charts

Child Health Plan Plus (CHP+) Providers

Colorado Choice Transitions (CCT) Resources

Colorado Indigent Care Program (CICP)

ColoradoPAR Program 

Diabetes Resource Center

Division of Intellectual Developmental Disabilities (DIDD) Providers

Drug Utilization Review (DUR) Board

EDI Enrollment and Support

EPSDT Providers

• Pediatric Behavioral Health Therapies

Essential Community Providers

Family Planning Providers

HCBS Settings Final Rule

HCBS Public Comment Opportunities

HIPAA

Home Health Program

Home Modification Benefit

Hospital Engagement Meetings

ICD-10 Information

Inpatient Hospital Payment

Mail Order Prescriptions

Medicare- Medicaid Program

Mental Health Rate Reform 

National Correct Coding Initiative (NCCI)

Nursing Facilities

Old Age Pension (OAP)

Opioid Policy Update FAQs for Providers

Outpatient Hospital Payment

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

Physical Therapy & Occupational Therapy Resources for Providers

Policy Statement: Billing Health First Colorado Members for Services

Policy Statement: Charging Health First Colorado Members For Missed Appointments

Policy Statement: Dismissing Health First Colorado Members From a Provider’s Practice

Policy Statement: Member Co-Payments and Provision of Services

Pre-Admission Screening and Resident Review (PASRR)

Prenatal Plus Program

Primary Care Fund (PCF)

Provider Revalidation, Screening, and Enrollment

Provider Web Portal

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.

Residential Child Care Facilities (RCCFs) and Psychiatric Residential Facilities (PRTFs)

Rx Review Program

School Health Services (SHS)

Senior Dental Health Care program for Low-Income Seniors

Stakeholder Engagement Protocols

Tobacco Cessation