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I Am a Provider Provider Portal Brokers
Provider Documents

Provider Forms and Materials

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Utilization Management

UM Prior Authorization Request Form
Services Requiring Prior Authorization
Authorization Submissions
Adult Orthotics and Prosthetics Form
Clinical Coverage Determination Criteria
Medicaid Provider Forms
Oral/Enteral Nutrition Form
Oxygen Request Form
Transition of Care/Continuation of Care Request Form
Provider Tips - Applied Behavior Analysis (ABA)
Provider Tips - Behavioral Health
Provider Tips - Breast Pumps
Provider Tips - Cochlear Implants
Provider Tips - Early Intervention Services (EIS)
Provider Tips - Home Health Care
Provider Tips - Infertility
Provider Tips - Medicaid Choice Attribution Process
Provider Tips - Neuropsychology Testing
Provider Tips - Newborn Enrollment
Provider Tips - Outpatient Therapy

Pharmacy

Provider Pharmacy Information
Pharmacy Prior Authorization Request Form
Submit an Online Pharmacy Prior Authorization Request
Prior Authorization Criteria for Commercial Plans
Prior Authorization Criteria for Exchange/CO Option Plans
Prior Authorization Criteria for Medicaid and CHP+ Plans
Prior Authorization Criteria for Medicare Plans
Step Therapy Criteria Medicare Plans
Medicare Prescription Drug Coverage Determination Request Form
Request for Redetermination of Medicare Prescription Drug Denial
Standard Exception Form for Contraceptives
Medication Therapy Management
Medicare Diabetic Testing Supply Information
Medicare Opioid Safety Program
Medicare Transition Process

Provider Relations & Credentialing

Provider Portal
Provider Portal User Guide
Provider Portal FAQs
Provider Portal Attestation Form
Provider Manual
Join Our Provider Network Form
Practitioner Credentialing Form
CAQH Credentialing
Provider Orientation
Policy for Selection and Retention of Providers
Colorado Option Demographic Survey Form
Notification of Practitioner Rights
Member Rights and Responsibilites
Affirmative Statement About Incentives
Provider Payment Options
W-9
Real Time Eligibility (RTE) Transactions
Medicare Advantage Risk Adjustment Training for Providers
Medicare Duraable Medical Equipment Providers
Provider Newsletters
DHMP Member Identification Card
Annual Letter to Providers

Grievances And Appeals

Appointment of Representative (AOR) Form
Independent External Review of Carrier's Adverse Determination
Medicare Waiver of Liability Form
Provider Reconsideration and Dispute FAQs
Provider Request for Dispute Resolution Form
Provider Request for Payment Reconsideration Form
Complaint and Appeal Form
CHP+ Complaints and Appeals
Medicaid Complaints and Appeals
Medicare Complaints and Appeals

Claims

Billing Information
Claims Guide
Continuous Glucose Monitor (CGM) Billing
COVID-19 Billing Guide
Gateway EDI Resource Guide
Optum Claims Editing Resource
Out-of-Network Ambulance Claim Attestation Form
Provider Payment Options
Reason Codes
Request for Payment Reconsideration Form
Subrogation

Quality Improvement

Quality Improvement Program
EPSDT
AAP Bright Futures
HCPF EPSDT Training
UM Provider Training and Portal Registration - Kepro

Complex Case Management

Care Management Referral Form
Care Management Programs for Members

Health Management

Medicare Advantage Model of Care
Medicare Durable Medical Equipment Providers
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