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I Am a Provider Provider Portal Brokers
Provider Documents

Provider Forms and Materials

Utilization Management

Prior Authorizations
UM Prior Authorization Request Form

Medicaid Plan Assignment
Medicaid Provider Forms (HCPF)
Transition of Care/Continuation of Care Request Form

Claims

Billing Information
Provider Claims Billing Guide
Continuous Glucose Monitor (CGM) Billing
Gateway EDI Resource Guide
Optum Claims Editing Resource

Colorado Out-of-Network Ambulance Claim Attestation Form
Provider Payment Options
Reason Codes
Request for Payment Reconsideration Form
Subrogation

Pharmacy

Provider Pharmacy Information
Pharmacy Prior Authorization Request Form
Submit an Online Pharmacy Prior Authorization Request
Serious Mental Illness Step Therapy Exception Form Exchange/CO Option
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

340B Outpatient Drug Products Compliance Revisions
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 Prescription Transition Process
Continuous Glucose Monitor Tip Sheet

Provider Relations | Contracting | Credentialing

Provider Portal Login
About Your Provider Portal | FAQs
Provider Portal User Guide
Provider Portal Attestation Form
Provider Manual
Join Our Provider Network Form
Provider Information Change Request Form
CAQH Credentialing
Policy for Selection and Retention of Providers
Colorado Option Demographic Survey Form
DHMP Delgation Roster Training and Template

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 Durable Medical Equipment Providers
DHMP Member Identification Card

Complaints 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

Member Complaint and Appeal Form
CHP+ Complaints and Appeals
Medicaid Complaints and Appeals
Medicare Complaints and Appeals

Quality Improvement

Quality Improvement Program
EPSDT
AAP Bright Futures

HCPF EPSDT Training
UM Provider Training and Portal Registration - Kepro
Practice Transformation Best Practices for PCMH Recognition

Care Management

Care Management Programs for Members
Care Management Referral Form

Medicare Advantage Model of Care
Medicare Healthy Food Allowance Qualifying Conditions
Advance Directive, Living Will, CPR Directive
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