Provider Contacts

Provider Services Call Center Friday Hours Extended: Effective February, 5, 2021, the current fiscal agent (now referenced as Gainwell Technologies) extended the Friday hours of the Provider Services Call Center, with hours of operation Monday - Friday from 7:00 a.m. - 5:00 p.m. MT.

Provider Services Call Center Menu Update - Enter the MCD ID or National Provider Identifier (NPI): Beginning April 15, 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)

  • Claims Submission and Billing Questions
  • Member Eligibility
  • Provider Enrollment Assistance
  • Provider Web Portal Technical Support
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


Gainwell Technologies office:

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

Quick Guides Web Page

   

The following Prior Authorization Requests (PAR) types:

  • Audiology
  • Back Surgeries
  • Behavioral Therapies
  • Diagnostic imaging - limited to non-emergency Computed Tomography (CT) Scans and Magnetic Resonance Imaging (MRI), and all Positron Emission Tomography (PET) Scans
  • Durable Medical Equipment (DME)/Supply - All (including repairs)
  • Home Health - Pediatric Home Health
    (formerly known as EPSDT Extraordinary and
    Long Term Home Health for Children)
  • Inpatient Hospital services
  • Medical/Surgical services
  • Early and Periodic Screening, Diagnosis and Treatment (EPSDT)
  • Physical and occupational therapy (OT/PT) services
  • Out-of-state non-emergency surgical services
  • Organ transplantation
  • Pediatric Personal Care
  • Private Duty Nursing (PDN)
  • Speech Therapy
  • Vision
The ColoradoPAR Program 1-888-801-9355

eQHealth Solutions
Attn: ColoradoPAR program
5802 Benjamin Center Drive, Suite 105
Tampa, FL 33634

Dental

  • Dental PARs
  • Orthodontia PARs
  • Dental Billing Questions
  • Dental Claims Questions
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

  • Prescription drug prior authorizations
  • Pharmacy claim submission and Pro- DUR questions
  • 24 hours / 7 days a week
Magellan Rx Management Pharmacy Call Center

1-800-424-5725

Fax: 1-800-424-5881

Email:

RxNetworksDept@magellanhealth.com

Paper Pharmacy Claims:
Send to:

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)
  • Eligibility and Warrant Information by touch-tone telephone
  • 24 hours / 7 days a week
  1-844-235-2387  
 
 
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@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:
COProviderRelations@beaconhealthoptions.com

    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
    Email:
    ProviderRelations@coaccess.com

    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

    Email:
    COProviderRelations@beaconhealthoptions.com

    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