New Utilization Management (UM) Vendor: Providers are reminded that utilization management is transitioning from eQHealth Solutions to Kepro effective May 1, 2021. Contact Kepro using coproviderregistration@kepro.com with any issues concerning registering for provider training. Refer to the April 2021 Special Provider Bulletin (B2100462) for more information on the UM Vendor transition.
Provider Services Call Center Menu Update - Enter the MCD ID or National Provider Identifier (NPI): Beginning April 29, 2021, providers contacting the Provider Services Call Center may be prompted to enter their 8-digit MCD ID or 10-digit National Provider Identifier (NPI) after pressing option 2 to speak to an agent and selecting a subsequent menu option. Providers may reference the Provider Services Call Center Information Sheet for a list of menu options and services.
2021 Holiday Schedule
Memorial Day - Monday, May 31 - State Offices, the ColoradoPAR Program,DentaQuest and Gainwell Technologies will be closed.
The receipt of warrants and EFTs may potentially be delayed due to the processing at the United State Postal Service or providers' individual banks.
|
Category |
Who To Contact |
Phone Number |
Email or Mailing Address |
|---|---|---|---|
|
Health First Colorado (Colorado's Medicaid Program)
|
Department's fiscal agent - Gainwell Technologies (formerly DXC Technology) | 1-844-235- 2387 |
The Provider Services Call Center hours: 7:00 a.m. - 5:00 p.m. MT Monday - Friday
Civic Center Plaza
1560 Broadway Street, Suite 600
Denver, CO 80202
Mail To:
P.O. Box 30
Denver, CO 80201
|
| Field Representatives | Regional Provider Support | ||
| Provider Web Portal Password Resets | Self Service resets on Web Portal | https://colorado-hcp-portal.xco.dcs- usps.com/hcp/provider/ | |
| Provider Web Portal End User Training | |||
|
The following Prior Authorization Requests (PAR) types:
|
Keystone Peer Review Organization (Kepro) - ColoradoPAR: Health First Colorado Prior Authorization Request Program web page |
1-720-689-6340 Fax: 1-800-922-3508 |
Provider Issues Email: COproviderissue@kepro.com
|
|
Dental
|
DentaQuest | 1-855-225-1731 | |
| Non-Emergent Medical Transportation (NEMT) | IntelliRide | 1-855- 489-4999 | Email: intelliride@transdev.com |
| 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
|
Magellan Rx Management Pharmacy Call Center |
1-800-424-5725 Fax: 1-800-424-5881 |
Email: RxNetworksDept@magellanhealth.com Paper Pharmacy Claims: Attention Paper Claims Processing P.O. Box9971 Richmond, VA 23242 |
|
Child Health Plan Plus (CHP+) Billing Questions |
Colorado Access | 1-888-214-1101 | Provider site: https://www.chpplusproviders.com/ |
|
Automated Eligibility Status - Integrated Voice Response (IVR)
|
1-844-235-2387 |
|
|
|||
| Region | Entity, Proposals and Contracts | Contact Information for Providers | Contact Information for Health First Colorado Members |
|---|---|---|---|
| 1 |
Rocky Mountain Health Plans |
Email: raesupport@rmhp.org Phone: 1-888-282-8801 (beginning July 1, 2018) |
1-888-282-8801 Monday-Friday, 8:00 a.m. to 5:00 p.m. State Relay: 711 for callers with hearing or speech disabilities Email: customer_service@rmhp.org Live chat at: https://www.rmhp.org |
| 2 |
Northeast Health Partners |
9925 Federal Drive, Suite 100 Colorado Springs, CO 80921 Phone: 1-800-502-4189 Email: |
1-888-502-4189 Care Coordination Line: 1-888-502-4190 Monday-Friday, 8:00 a.m. to 5:00 p.m. State Relay: 711 for callers with hearing or speech disabilities https://www.northeasthealthpartners.org |
| 3 |
Colorado Access |
Phone: 720-744-5667 |
303-368-0037 or 1-855-267-2095 (toll free) Monday-Friday, 8:00 a.m. to 5:00 p.m. State Relay: 711 for callers with hearing or speech disabilities https://www.coaccess.com |
| 4 |
Health Colorado, Inc. |
9925 Federal Drive, Suite 100 Colorado Springs, CO 80921 Phone: 1-800-502-4185 |
1-888-502-4185 Care Coordination Line: 1-888-502-4186 Monday-Friday, 8:00 a.m. to 5:00 p.m. State Relay: 711 for callers with hearing or speech disabilities https://www.healthcoloradorae.com |
| 5 |
Colorado Access |
Phone: 720-744-5667 Email: ProviderRelations@coaccess.com |
303-368-0038 (Denver County) or 1-855-384-7926 (toll free) Monday-Friday, 8:00 a.m. to 5:00 p.m. State Relay: 711 for callers with hearing or speech disabilities https://www.coaccess.com |
| 6 |
Colorado Community Health Alliance |
Phone: 303-256-1717 (local) or 1-855-627-4685 (toll free) Contact Us |
303-256-1717 or 1-855-627-4685 (toll free) Monday-Friday, 8:00 a.m. to 5:00 p.m. State Relay: 711 for callers with hearing or speech disabilities https://www.cchacares.com |
| 7 |
Colorado Community Health Alliance |
Phone: 719-598-1540 (local) or 1-855-627-4685 (toll free) Contact Us |
719-598-1540 or 1-855-627-4685 (toll free) Monday-Friday, 8:00 a.m. to 5:00 p.m. State Relay: 711 for callers with hearing or speech disabilities https://www.cchacares.com |