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Provider Resources

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

Coronavirus (COVID-19) Information

With the COVID-19 situation evolving in our state, we are working 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. 

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

Contact Your Provider Relations Representative

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

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 providercommunication@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.