ColoradoPAR: Health First Colorado Prior Authorization Request Program

Provider Updates

Attention Physical, Occupational and Speech Therapy Providers

The Department of Health Care Policy and Financing (HCPF) and the Department's Utilization Management (UM) Vendor, Kepro, will be holding training specific to Health First Colorado Therapy Providers that submit Prior Authorization Requests (PARs) to Kepro.

Benefit Specific Training: : On August 10, 2022, Kepro will provide three separate training sessions (8:30am, 12pm, 3pm MT) to assist you in submitting successful PARs. This training will cover the following topics:

• ST Change in Policy to allow for up to 365-day PARs 
• Required documents and documentation
• Revisions
• Reconsiderations
• Peer-to-Peer

You can register for a training session using the Kepro Provider Training Registration Links; you will need to register prior to attending a training webinar.

• Registration Form 8:30am – 9:30am MT

• Registration Form 12:00pm – 1:00pm MT

• Registration Form 3pm – 4pm MT

For any questions, please contact COproviderissue@kepro.com.

If you have any questions related to PARs for the Department please contact hcpf_um@state.co.us.

Longer Pend Times for Kepro PARs  

We heard from you Colorado Providers and we are making changes. Effective April 4th, 2022, all providers will have 10 business days to respond to Kepro's pends asking for additional information to complete medical reviews for PARs. Providers will notice the timeline change in Atrezzo, Kepro's portal, and in response notes from utilization management reviewers.  PARs pending for additional information dated prior to April 4th, 2022, will have 7 business days to respond.  Please reach out to the utilization management inbox at hcpf_um@state.co.us with questions or concerns. 

Atrezzo Update: Beginning February 1, 2022, you will see a slightly different look to your home page in Kepro’s Atrezzo Provider Portal.  This change is mostly cosmetic and will not change how you create or work within cases. The main change is the case search bar will be moving from the left side of the screen to the right side.  Please feel free to contact Kepro at coproviderissue@kepro.com or 720-689-6340 if you have questions about this change.

ATTENTION PROVIDERS: Please review Update: COVID-19 Response for Prior Authorization Requests (PARs) submitted to Keystone Peer Review Organization (Kepro) 1-5-2022

In response to the current COVID-19 surge that Colorado is experiencing, the diagnostic imaging codes below temporarily do not require prior authorization effective for dates of service on and after November 1, 2021. This will remain in effect until further communication from the Department. 

• 74150
• 74160
• 74170
• 74174
• 74175
• 74176
• 74177
• 74178
• 72192
• 72193
• 72194

Atrezzo Account Reactivation: Atrezzo will deactivate a Provider’s user account if the account has not been used in the past ninety days for security purposes. Kepro is currently working on developing an email alert that will be sent to the Atrezzo user’s registered email address warning that their account is about to be deactivated due to no activity. The notice of account deactivation will occur when the provider attempts to login to the Atrezzo account.  Providers can call Kepro's customer service by calling (720) 689-6340 or emailing coproviderissue@kepro.com to reactivate Atrezzo accounts.

Synagis®: Effective August 17, 2021, Health First Colorado (Colorado’s Medicaid Program) began accepting Prior Authorization Requests (PARs) for Synagis®. Providers who are administering Synagis® in the provider’s office or clinic will submit prior authorization through Kepro’s provider portal, Atrezzo. Please review the Synagis® Provider Bulletin for additional information.