Prior Authorizations for Care

Prior Authorizations

Online prior authorization requests for medical and behavioral care can be submitted through the secure Provider Portal. Refer to the Authorization Portal User Guide to get started.

See the Prior Authorizations page for a comprehensive guide to obtaining authorization for patient care, including Services Requiring Prior Authorization.

For pharmacy authorizations, see Provider Pharmacy Information.

Provider Portal

Provider Pharmacy Information

Care Management

Claims

Contracting & Credentialing

Quality, Training, and Reference Materials

Quality Improvement

EPSDT
American Academy of Pediatrics Periodicity Schedule
Quality Improvement Program

Education & Training

HCPF EPSDT Training
Cultural Competency Training for Non-DH Practitioners and Staff
UM Provider Training and Portal Registration - Kepro

Reference Materials

Provider Resources
Medicare Healthy Food Allowance Qualifying Conditions
Medicare Durable Medical Equipment Providers
Continuous Glucose Monitor Tip Sheet
Provider Manual
Member ID Cards

News & Notifications

Provider Newsletter

Common Tasks

Medical Prior Authorizations
Services Requiring Prior Authorization
Provider Tips by Type of Care
Eligibility, Benefits, and Referrals in Portal
Medicaid Plan Assignment
Pharmacy Authorizations & Formularies
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We're Here to Help

If you have questions or would like more information about participating in the DHMP provider network, please email Provider Relations or call Health Plan Services at 303-602-2100.

Provider Relations