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Provider Toolkit

We want you to have the resources you need. Find the eligibility portal, CCAR, fee schedule and more.

Provider Tools

Eligibility: Find out if a member is currently eligible

CCAR (Colorado Client Assessment Record): Complete this state-required form for all members receiving mental health treatment

CCAR Manual: Read the current manual

Claim Status: Check the status of your recent claim submission

Behavioral Care Fee Schedule: View the standard reimbursement rate

Uniform Service Coding Standards Manual (USCSM): A living document that is frequently updated as coding, state, and federal regulations change. The manual can be found under the Uniform Service Coding Standards heading.

Authorization Requests

We strive to make the prior-authorization process as easy as possible for you. The following is a summary of our authorization rules and does not guarantee coverage. You can find additional information in the:

Authorization List (no login required)
Provider Manual
Prior Authorization

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.