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Provider resources: Quick guides, known issues, EDI, & training. CMES Transition COVID-19 Provider Information Resources for HCBS Providers. SAVE System ColoradoPAR Value Based Payments.
Use the Health First Colorado (Colorado’s Medicaid program) Provider ID and not the National Provider Identifier (NPI) to register if the NPI is enrolled and affiliated with more than one service location or provider type.
Confirm coverage types before rendering any services or submitting claims. Look carefully at effective and end dates. Eligibility coverage types listed in the Provider Web Portal include (but are not limited to): Medicaid: "Medicaid State Plan" and "TXIX" (Title XIX [Title 19])
If you’re a member of Health First Colorado (Colorado’s Medicaid program) or Child Health Plan Plus (CHP+) you can manage your account and update your information through Colorado PEAK and the Health First Colorado mobile app. Take control of your health coverage by using the Health First Colorado mobile app!
Colorado PEAK is the place to apply for and manage your medical, food, cash or other State of Colorado benefits online.
Please visit the Provider Enrollment web page. Be sure to review the Find Your Provider Type web page before you begin the online trainings – it will help you select the correct training, right from the start.
The Health First Colorado (Colorado’s Medicaid program) website contains a provider search tool that offers a resource for Health First Colorado members to search for and contact providers including physicians, dentists, and pharmacies.
Colorado Medicaid Standards for Unlicensed Practitioners – FAQs; Designated Client Representative Form
Search for Health First Colorado or Child Health Plan Plus doctors, waiver services, pharmacies, and other providers. For behavioral health services please contact your regional organization. You can also find a doctor or other health provider using the Health First Colorado mobile app.
Primary Care Providers: Access Data & Resources to Help You Care for Health First Colorado Members. We have created the CCHA Provider Portal to support contracted primary care/physical health provider practices with serving our Health First Colorado (Colorado's Medicaid Program) members.