UM103 – Emergency and Post-Stabilization Care

This document outlines the policies and procedures for emergency and post-stabilization care provided by Colorado Access. It ensures that members have 24/7 access to emergency services and defines key terms such as emergency medical condition and post-stabilization services. The policy also establishes the process for prior authorization and addresses the claims procedures for related services. COA guarantees coverage regardless of whether services are accessed within or outside its provider network. Overall, it aims to facilitate timely and appropriate care for members experiencing emergencies.