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Provider Resources

Find the provider manual here, as well as information about how to contact your provider network services representative.

Coronavirus (COVID-19) Information

With the Public Health Emergency still in effect, we continue to work to bring you reliable, accurate information as it becomes available. We look to the Department of Health Care Policy & Financing for guidance. Please visit colorado.gov/pacific/hcpf/provider-telemedicine for more information. 

For further information on the status of the Public Health Emergency, please visit https://hcpf.colorado.gov/covid-19-phe-planning

You can also check our COVID-19 resources page here. 

Quick Provider Resource Contacts

Claims Research Team
ClaimsResearch@coaccess.com
Provider Network Services Team
ProviderNetworkServices@coaccess.com
Provider Portal Support

ProviderPortal.Support@coaccess.com

COVID-19 Practice Support Resources

We know COVID-19 may have affected your practice and we’re here to help. Please see the information below.
 

Small Practice Sustainability Through the COVID-19 Outbreak (PDF)

Small Practice Sustainability Through the COVID-19 Outbreak (Webinar recording)

  • This presentation covers financial assistance, business operation tips, telehealth service changes, and more.

Maximizing Telehealth Services in Your Practice (PDF)

Maximizing Telehealth Services in Your Practice (Webinar recording)

  • This presentation covers best practices in implementing telehealth services.

Messaging Patients About Necessary Care (PDF)

Messaging Patients About Necessary Care (Webinar recording)

  • This presentation covers best practices in contacting members about services.

Data Sources to Help Prioritize Patient Outreach (PDF)

Data Sources to Help Prioritize Patient Outreach (Webinar)

  • This presentation covers data about our population.

Provider Manual

From claim appeals to authorizations and referrals, our provider manual includes information you need to know. This provider manual is revised as needed. As such, some policies and procedures may have changed since that time. If you have any questions regarding any of the information in this manual, please contact your provider network services representative.

Important Updates & Provider Newsletters

We send out periodic newsletters to our providers by email. You can also find recent editions below. Each edition contains important news related to Colorado Access and our members. If you are not already receiving our provider newsletter, please send an email to ProviderNetworkServices@coaccess.com that includes the following information:

  • Practice/Provider name
  • Email address (preferably a practice email address, not a staff email)

Provider Frequently Asked Questions

How do I get Synagis for my patients?

Complete Synagis prior authorization form and fax to Navitus at 855-668-8551. You will receive a fax indicating approval or denial of prior authorization determination is made. If request is approved, fax order for Synagis to Lumicera Specialty Pharmacy at 855-847-3558. If you wish to have a home health agency administer Synagis to your patient, please indicate that the medication will be shipped to the patient’s home on your order. Upon receipt of Synagis order indicating that medication will be shipped to patient’s home, Lumicera will fax a home health request to Colorado Access utilization management (UM) team to set up the services. Our UM team will work to set up a home health agency to visit the patient’s home and administer the medication.

Is Synagis covered by Colorado Access?

Synagis is covered for eligible patients through the Colorado Access pharmacy benefit. The specific criteria for approval can be found here. Prior authorization forms should be faxed to Navitus at 855-668-8551.