Congress has renewed federal funding for Children's Health Insurance Program (CHIP)

Congress has renewed federal funding for the Children's Health Insurance Program (CHIP) for six years and the President has signed the bill in to law. This means the Child Health Plan Plus (CHP+) program will continue in Colorado. 

Read statements from Governor John Hickenlooper and the Department here.

This week the Department will begin notifying CHP+ members that the program will continue. Additional information will be made available in the coming days on

We encourage you to bookmark and check back often as HCPF will regularly update this page. Also, we encourage you to subscribe to our Future of CHP+ updates here


Important Update for Regional Care Collaborative Organization (RCCO) Primary Care Medical Providers (PCMP)

An email and letter was sent to all Colorado Access Regional Care Collaborative Organization providers in early December about our upcoming contracting with Primary Care Medical Providers for the RAE. You can read the letter that was sent here. If you did not receive this letter by email or regular mail, please send an email to the provider contracting team at This email address is being protected from spambots. You need JavaScript enabled to view it. with your current mailing and email address.

Please note this only applies to current Regional Care Collaborative Organization Primary Care Medical Providers, and does not apply to behavioral health providers, Child Health Plan Plus HMO providers.


Billing and Coding Updates

We are currently seeing a sharp increase in claim denials as a result of the incorrect use of applicable modifiers with certain service codes. As a result, we want to remind you that all billed services must have an applicable modifier. Please note that many services can have more than one applicable modifier, and all must be included in order for the claim to be paid.

Please note that all modifiers and requirements are listed out in the coding manual which can be found on the Department of Health Care Policy and Financing (HCPF) website at

If you submit your claims via a clearinghouse, please contact your clearinghouse to inquire which fields in their software to enter the modifier(s) that will interface to "Box 24D" of the CMS1500 form that we will receive.

Substance Use Disorder Services: Any substance use disorder service should be indicated with the HF modifier, which can ONLY be in the second modifier position. There must be another applicable modifier placed in the first position.

Effective Immediately: Claims with HF billed in the first position will be denied. Claims with HF in the second position and blank in the first position will also be denied.

Effective January 1, 2018: All other services must have an applicable modifier in the first position. If this is blank, claims will be denied effective January 1, 2018. Please see individual code pages for applicable modifiers related to the billed code.

Please send an email to your assigned provider relations representative with questions or concerns about this requirement. Please contact This email address is being protected from spambots. You need JavaScript enabled to view it.  if you do not know your currently assigned provider relations representative.


A special Provider Bulletin has been released. Please click here to read it.

Master Authorization List


Just as we offer superior customer service to our members, we also offer the same commitment to our providers. At Colorado Access, we strive to offer superior customer service to each of our providers. If you have questions or concerns, please call us or email This email address is being protected from spambots. You need JavaScript enabled to view it.

The majority of the information presented on this page pertains to in-network (participating) providers.

  • Click here for out-of-network (non-participating) provider information.
  • If you are not a Colorado Access provider, and would like to be, click here

Let us know if you have provider-based questions. Our staff is happy to help because we're all working to provide the best health care to Coloradans.

Colorado Access Provider Tool Kit


We are committed to making continuous improvements, including new enhancements to the provider portal. If you have any feedback, questions or suggestions, please contact your assigned Provider Relations representative


The following online tools and clinic reports open in a new window and require a provider logon ID. If you do not have a provider logon ID, click here for a Provider Logon ID Request Form.

If you do have an account and experiencing any issues with your username and password please contact This email address is being protected from spambots. You need JavaScript enabled to view it.

NOTE: Three (3) consecutive, incorrect logon attempts (even days or weeks apart) will lock your access. To avoid this, if you've had two (2) failed attempts to logon, click on the "forgot password" and follow the prompts for changing your password.

For the best web experience, please use Internet Explorer to browse this site.

Tool KitPCP Reports
Claim Status Regional Care Collaborative Organization (RCCO) Enrollment Report
Eligibility - Providers utilizing the Colorado Access Provider Toolkit to check eligibility after-hours or on the weekends might encounter an issue where they receive a message "No Member Found", click here for more information CHP+ offered by Colorado Access
CCAR CHP+ State Managed Care Network
Authorization List  
Colorado Access File Share
Behavioral Care Fee Schedule
Service Coordination Plan (SCP)
Electronic Coverage
Determination (ECD)

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