This is a reminder that requirement for Prior Authorization Requests (PARs) are currently suspended for Pediatric Long-Term Home Health and Private Duty Nursing as of July 1, 2020. While the Department previously provided guidance that the PAR requirement would not be re-started before September 30, 2020, the re-start date has not been finalized and therefore the PAR requirement will resume no sooner than November 30, 2020. The Department will be completing a phased in implementation and will provide sufficient notice about when PARs will be required and how the requirement will be implemented.
Please note: PARs do not need to be submitted to the Department's Utilization Management (UM)vendor, eQHealth Solutions for dates of service beginning July 1, 2020. Any updates will be noticed via the Provider Bulletins, the ColoradoPAR Program website, and the Departments project website. The Department's project website contains information about the provider including action steps, communication, and trainings.
Please click the link below which will take you the the Colorado HCPF Billing Guides. You will then click on CMS 1500.