Provider Contacts
Providers are encouraged to use the new automated phone system for self-service instead of holding for an agent. Providers can verify payment history, claims status and associated EOB codes, and member eligibility. Providers can also select the new "virtual hold" option to hang up the phone while keeping their place in line and receive a call back when an agent is available.
2025 Holiday Schedule
Upcoming Holidays:
Labor Day - Saturday, September 1, 2025
State Offices, AssureCare, Acentra, DentaQuest, Gainwell, Optum and Prime Therapeutics will be closed. Capitation cycles for managed care entities may potentially be delayed. The receipt of warrants and EFTs may potentially be delayed due to the processing at the United States Postal Service or providers’ individual banks.
General Resources and Key Contacts
| Category | Who To Contact | Phone Number | Email or Mailing Address |
|---|---|---|---|
Health First Colorado (Colorado's Medicaid program)
| Provider Services Call Center (OptumInsight) | 1-833-468-0362 | The Provider Services Call Center hours: 8:00 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 | Provider Web Portal | |
| Provider Web Portal End User Training | Quick Guides web page | ||
The following Prior Authorization Requests (PAR) types:
| Acentra (formerly Kepro) - ColoradoPAR: Health First Colorado Prior Authorization Request Program web page | 1-720-689-6340 Fax: 1-800-922-3508 | Provider PAR Concern or Issue Email: COProviderissue@acentra.com Provider Training Registration or Atrezzo Provider Portal Registration |
Dental
| DentaQuest | 1-855-225-1731 | |
| Non-Emergent Medical Transportation (NEMT) | Transdev | 1-855-489-4999 | Email: us.transdevhealthsolutions@transdev.com |
| Care and Case Management (CCM) | CCM Support Center | 1-888-235-6944 | 8:00 a.m. - 5:00 p.m. MT, Monday through Friday |
| 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) | DORA | ||
| Prime Therapeutics State Government Solutions, LLC (formerly Magellan Rx Management) Pharmacy Call Center | 1-800-424-5725 Fax: 1-800-424-5881 | Email: COProviderResponseTeam@primetherapeutics.com Paper Pharmacy Claims: Prime Therapeutics State Government Solutions, LLC |
| Child Health Plan Plus (CHP+) Managed Care Organizations | Colorado Access - Customer Service: 800-511-5010 Denver Health Medical Plan - Customer Service: 800-700-8140 Kaiser Permanente - Customer Service: 303-338-3800 Rocky Mountain Health Plans - Customer Service: 877-668-5947 | ||
| Health First Colorado Managed Care Provider Complaints | Provider Escalation Request Form | ||
| Home and Community-Based Services Case Management Bridge Support | CCMHelpDesk@gainwelltechnologies.com | ||
| Sandata | Sandata Call Center | 1-844-289-4246 | Email: coaltevv@sandata.com Visit the Electronic Visit Verification Contacts web page for more information. |
Regional Accountable Entity Contact Information
| Region | Entity, Proposals and Contracts | Contact Information for Providers | Contact Information for Health First Colorado Members |
|---|---|---|---|
| 1 | Rocky Mountain Health Plans | Email: raesupport@uhc.com Phone: 800-421-6204 | 800-421-6204 Monday-Friday, 8:00 a.m. to 5:00 p.m. State Relay: 711 for callers with hearing or speech disabilities Email: rmhp_member_services@uhc.com |
| 2 | Northeast Health Partners (NHP) | 710 11th Ave Suite L75 Member Engagement Email: nhpmembersupport@nhpllc.org | Website: https://www.nhprae2.org/ Member Services Call Center: 800-541-6870 (toll free) Fraud and Abuse (Member): 844-475-0444 (toll-free) Care Coordination: 888-502-4190 (toll free) Care Coordination Referrals: nhpccreferrals@nhpllc.org |
| 3 | Colorado Community Health Alliance | Phone: 303-256-1717 (local) or 855-627-4685 (toll free) Contact Us | 303-256-1717 or 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 |
| 4 | Colorado Access | Phone: 720-744-5667 Email: ProviderNetworkServices@coaccess.com | 800-511-5010 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 |