The following message is provided by the Colorado Department of Health Care Policy and Financing:
We would like to remind our valued providers that Colorado Medicaid contracts for many important provider-related services. We know how busy you are. While we enjoy working with you directly, our goal is to connect you to the appropriate resource as quickly as possible to resolve your questions and concerns.
Xerox State Healthcare is the Department’s contracted fiscal agent. As such, Xerox is responsible for supporting provider enrollment and claims activities and responding to provider inquiries. The Department also contracts for maintenance of the Provider Web Portal, utilization management functions, and management of the Medicaid dental benefit. Providers should initially contact these resources for questions on enrollment, claims, PARs and reimbursement.
These kinds of questions should be brought to Provider Relations or other Department staff if the appropriate contractors have been unable to resolve your issue. We will do our best to move things forward. We are also happy to help direct you to other resources, as needed, and to research policy or program questions that are not covered by our contractors.
Our Provider Help Page is available online at: https://www.colorado.gov/hcpf/provider-help. Here is a brief summary of resources available to you. It’s a good idea to note the name of the representative with whom you speak, and the ticket or issue number for your concern. This will help us to escalate your issue, if necessary.
· Xerox State Healthcare 1-800-237-0757
o Medicaid Billing and Bulletin questions
o Medicaid Claims and PAR submissions
o Correspondence, Inquiries and Adjustments
o Enrollment, Changes, Signature Authorization and Claim Requisition
· CGI 1-888-538-4275 or Helpdesk.HCG.centra.us@CGI.com
o Colorado Medicaid Web Portal technical support
o Web Portal Password resets
o Web Portal End User training
· ColoradoPAR 1-888-454-7686
o Prior authorization requests for: diagnostic imaging (non-urgent CTs, MRIs, PETs); durable medical equipment/supplies; pediatric home health; medical/surgical services; EBI bone stimulator; EPSDT; surgical 2nd opinions; PT/OT; out-of-state transportation and non-emergency surgery; organ transplants; private duty nursing, vision.
· DentaQuest 1-855-225-1731
o Dental and orthodontia PARs
o Dental billing and claims questions
