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Starting July 1, 2025, Colorado Access is preparing to serve the new Regional Accountable Entity (RAE) Region 4, including Adams, Arapahoe, Denver, and Douglas counties, under the Accountable Care Collaborative (ACC) Phase III.
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Our Providers

We strive to provide information and resources you need to strengthen your practice and ultimately, strengthen health outcomes for patients.

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Behavioral Health Town Hall

Please join us for our monthly Behavioral Health Provider Town Hall Webinar on Thursday, July 10 at 12 p.m., where we’ll share updates, provide information and training, and answer your questions. Feel free to share this invitation with colleagues who may also be interested in attending.

OwnPath Learning Hub

The Behavioral Health Administration’s OwnPath Learning Hub is an online learning platform that anyone in Colorado can use to learn more about various behavioral health care topics. Over 130 courses are currently available on this site, and 105.5 Continuing Education Credits can be accessed for FREE!

Accountable Care Collaborative (ACC) Phase III Updates

Our goal is to keep you informed on what you need to know about ACC Phase III.

Kit Carson County Expansion

Friday Health Plans (FHP) is not renewing their Child Health Plan Plus (CHP+) contract, which ends on June 30, 2022. FHP will transition out from the CHP+ program on this date. Starting July 1, 2022, we will be the new CHP+ Managed Care Organization (MCO) for Kit Carson County. Members in this county who were enrolled with FHP will move to our CHP+ MCO based on standard enrollment guidelines.

Our contracting team is working to get FHP providers contracted with us as soon as possible. To begin this process, or if you have any questions, please email us at provider.contracting@coaccess.com. Our provider contracting team will guide you through the application, contracting, and credentialing process. Contracting and credentialing can take 60 to 90 days. Click here to learn more about joining our provider network.

Billing and Coding Updates

All billed services must have an applicable modifier. Please note that many services can have more than one applicable modifier, and all must be included in order for the claim to be paid.

Please note that all modifiers and requirements are listed out in the coding manual which can be found on the Department of Health Care Policy and Financing (HCPF) website. If you submit your claims through a clearinghouse, please contact your clearinghouse to inquire which fields in their software to enter the modifier(s) that will interface to “Box 24D” of the CMS1500 form that we will receive.

Please send an email to your assigned provider network services representative with questions about this requirement. Please contact providernetworkservices@coaccess.com if you do not know your currently assigned provider network services representative.

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.