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Forms & Documents

Find the most recent forms below. If you can't find a form, or need help, please call us.

Clinical Practice Guidelines

If you would like to provide feedback or have any questions regarding the Clinical Practice Guidelines, please email QualityManagement@coaccess.com.

Preventive Care

Pediatric Health Maintenance (American Academy of Pediatrics)
Pediatric Immunizations (Centers for Disease Control and Prevention)
Prenatal Care (Epocrates)

Physical Health
Down Syndrome (American Academy of Pediatrics)
Obesity – Child (Smoking Cessation (US Department of Health and Human Services)

Behavioral Health
Alcohol and Substance Use Screening, Brief Intervention, and Referral to Treatment, SBIRT (Centers for Medicare and Medicaid)
Attention Deficit Hyperactivity Disorder (American Academy of Child and Adolescent Psychiatry)
Bipolar Disorder – Adult (American Psychiatric Association)
Bipolar Disorder – Child (American Academy of Child and Adolescent Psychiatry)
Major Depressive Disorder (Agency for Healthcare Research and Quality)
Substance Use Disorders (American Psychiatric Association)

Resources

Preventive Care
Adult Health Maintenance (Massachusetts Health Quality Partners)
Adult Immunizations (Centers for Disease Control and Prevention)
Influenza Vaccination (Centers for Disease Control and Prevention)
Postnatal Care to Reduce Infant Mortality (World Health Organzation)

Physical Health
Appropriate Antibiotic Use (Centers for Disease Control and Prevention)
Asthma (National Institutes of Health)
COPD (Global Initiative for Chronic Obstructive Lung Disease)
Diabetes Care (American Diabetes Association)
Gastroesophageal Reflux Disease (Agency for Healthcare Research and Quality)
Obesity – Adult (Obesity Society, American Heart Association, American College of Cardiology)
Sexual Behaviors < 25 Years Old (American Family Physician)

Behavioral Health
Alcohol and Substance Use Screening, Brief Intervention, and Referral to Treatment, SBIRT (Centers for Medicare and Medicaid)
Attention Deficit Hyperactivity Disorder (American Academy of Child and Adolescent Psychiatry)
Bipolar Disorder – Adult (American Psychiatric Association)
Intensive Outpatient Services (US Department of Health and Human Services)
General Anxiety Disorder (American Family Physician)
Major Depressive Disorder (Agency for Healthcare Research and Quality)
Substance Use Disorders (American Psychiatric Association)

Health Spotlight
COVID-19 (CDC)
COVID-19 (CDPHE)
Health Disparities (Article)

Provider Frequently Asked Questions

How do I get Synagis for my patients?

Complete prior authorization forms and fax them to Navitus at 855-668-8551. All approved Synagis requests will be dispensed by Avella Specialty Pharmacy. 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. Upon prior authorization approval, Navitus will notify Avella, who will fax a home health request to set up the services. Our utilization management 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.