Welcome to the Colorado Provider website!

Attention All Providers
COVID-19 RESPONSE - DME PAR REQUIREMENTS
Effective April 3, 2020, Health First Colorado
is waiving prior authorization requirements
for oxygen therapy, positive airway pressure
devices, respiratory assist devices, ventilators,
suction devices, nebulizers and oxygen related
supplies that are emergently provided
for COVID-19 treatment.
Please click here for more information:
COVID-19 RESPONSE 
If you have a previously approved PAR that needs
to be cancelled or rescheduled due to COVID-19
and the guidance from CMS and Governor Polis, 
you may request a date span
adjustment of PAR Dates.
Please click here:  
 

INPATIENT HOSPITAL REVIEW PROGRAM SUSPENSION

Effective April 1, 2020, the Inpatient Hospital 
Review Program (IHRP) will be suspended to allow hospitals to direct resources to their 
COVID-19 response.  
Inpatient claims in which the admit date occurs on or after April 1, 2020, will not require an IHRP prior authorization, concurrent or complex case review, or Neonatal Intensive Care Unit (NICU) admission review until further notice.

The New 2020 Therapy HCPCS codes have been added to eQSuite®
Click on the below link for details


The Identified issue regarding Emergency Surgical Procedures requiring a PAR for claims processing was resolved as of 12/24/2019 and claims were reprocessed as of 12/20/2019. Claims denied for no PAR with date of service 4/1/2019 – 12/23/2019 will be reprocessed automatically. A PAR is no longer required for emergency procedures to ensure claim payment.

The 2019-2020 Synagis® season will begin December 2, 2019 and end April 30, 2020

Effective November 18, 2019, the Colorado Medical Assistance Program will begin accepting PARs for Synagis®. All requests for Synagis® (Palivizumab) require a PAR, for dates beginning December 2, 2019, to April 30, 2020.

For more information click here
    
 

QUICK RESOURCES  

 

 
PAR Program Provider Bulletins

 HCPF Provider Bulletin
   

         

PAR Portal/eQSuite

PAR Portal Login

       

PAR Training Opportunities

eQSuite Training

             
 

 PAR Letters/IDs
  
PAR Letters
Medicaid Portal

 

  Fee Schedule   

Fee Schedule 

 

 Billing Manuals

Billing Manuals

             
 

 

eQHealth Solutions is pleased to be selected by the Colorado Department of Health Care Policy and Financing (HCPF) to provide services for the ColoradoPAR (prior authorization request) program, effective September 1, 2015. Together, eQHealth and HCPF will serve Medicaid members by focusing on and implementing HCPF’s mission to improve health care access and outcomes for the people we serve while demonstrating sound stewardship of financial resources.

The ColoradoPAR Program reviews PARs for the following services and supplies: 
   
    Audiology
    Behavioral Therapy
 Diagnostic imaging
 Durable medical equipment (DME)
    Habilitative Speech Therapy - Adult
 Inpatient out-of-state admissions
 Medical services including transplant and bariatric surgery
 Physical & occupational therapy
 Pediatric long term home health (LTHH)
 Private duty nursing
 Synagis®
 Vision  

Please note: For the above categories, all PARs for clients age 20 and under are reviewed according to EPSDT guidelines.

ColoradoPAR does not review services for Behavioral Health Services, Dental/Orthodontia, Pharmacy, and Transportation.   Please visit the Department’s website for information for additional information on these services at https://www.colorado.gov/hcpf/provider-help







This website meets ADA compliance requirements.


 

 

 

 

 

 

    

ANNOUNCEMENTS
Upcoming Training Opportunities: - Monday, March 30, 2020

New to eQSuite®

April 23, 2020 @ 2:00 pm MT

I
npatient Utilization Review 

June 23, 2020 @ 11:30 am MT

Speech Therapy
 

April 16, 2020 @ 10:30 am MT

Pediatric Long-Term Home Health

April 24, 2020 @ 11:30 am MT

Pediatric Behavioral Therapy 

April 10, 2020 @ 11:30 am MT

Durable Medical Equipment

April 22, 2020 @ 2:30 pm MT

PT/OT Therapy

April 13, 2020 @ 10:00 am MT

Long-Term Support Services

April 8, 2020 @ 3:30 pm MT

Surgical Services and Transplants

April 27, 2020 @ 2:30pm MT

Please visit Training Registration or contact the eQHealth Provider Relations department at co.pr@eqhs.com for registration information.

 
CONTACT INFORMATION

ColoradoPAR Customer Service Line
888-801-9355 (toll free phone)             

ColoradoPAR Provider Fax
eQHealth Solutions Fax Line
866-940-4288  (toll free fax)

ColoradoPAR Mailing Address 

eQHealth Solutions

Attn: Colorado Medicaid Program

5802 Benjamin Center Dr., Suite 105

Tampa, FL  33634 

Claims Questions

DXC Technology (DXC)
844-235-2387
  


HCPF Main Page
https://www.colorado.gov/hcpf

 

 

 

Colorado Medicaid
Nurse Advice Line

800-283-3221

Medicaid Clients Nurse Advice Line
Click for Info