Colorado Access

Colorado Access main line / customer service for Health First Colorado (Medicaid RAE) and CHP+ questions: eligibility, claim status, policy clarification. TTY 888-803-4494. (Colorado Access provider manual, revised June 2025.)

Panel changes, demographic updates, bulletins distribution and general network questions; local 720-744-5667. (Colorado Access provider manual, revised June 2025.)

Colorado Access utilization management line (behavioral health and CHP+ authorizations handled by COA). Physical-health PARs for Health First Colorado fee-for-service go through the state ColoradoPAR program instead. (Colorado Access provider manual, revised June 2025.)

Fax or email the Behavioral Health Prior Authorization Request form with clinical notes (local fax 720-744-5130), 24 hours a day, 7 days a week. Psychological testing uses a separate form.

Colorado Access care management referrals and coordination. (Colorado Access provider manual, revised June 2025.)

Paper claims; initial and corrected claims within 120 calendar days. EDI accepted from clearinghouses listed at coaccess.com/providers/resources/claims; direct data entry at portal.smartdatastream.us. Claims research questions by email. (Colorado Access provider manual, revised June 2025.)

Mail a letter or provider-carrier dispute form with the claim appeal form; portal 'File Claim Appeal' is the electronic route. (Colorado Access provider manual, revised June 2025.)

Written notifications (e.g., member discharge from care) and grievances. (Colorado Access provider manual, revised June 2025.)

Credentialing questions (COA uses CAQH ProView). New providers/groups first notify contracting at provider.contracting@coaccess.com. (Colorado Access provider manual, revised June 2025.)

Contract initiation for providers/groups new to Colorado Access. (Colorado Access provider manual, revised June 2025.)

Request a provider portal account (eligibility, claim status, claim appeals, PA requests, remittance) by email with TIN, NPI and contact information. (Colorado Access provider manual, revised June 2025.)

Email the Quality of Care & Critical Incident Notification form. (Colorado Access provider manual, revised June 2025.)

Application assistance for Health First Colorado and CHP+ (PEAK help, in-person, fax or email applications); local 303-755-4138; 11100 E. Bethany Dr., Aurora, CO; 8 a.m.-5 p.m. M-F. (Colorado Access provider manual, revised June 2025.)