Welcome to the ColoradoPAR provider website!

Attention All Providers

New ! Revision and Peer-to-Peer Process guides are now posted! Visit the Provider Resources tab to view/download.

You’ll Want to Read This !  Visit the State News and Resources tab each month to read the Provider Bulletin for important updates.

NEW March 2016! We updated our process to show all PA#s in eQSuite®; including updated PA#s for revised PARs.

The Department has issued a ColoradoPAR Program Special Provider Bulletin, please see Announcements at right.

 

 

 

 

 

    
 

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)
 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

QUICK RESOURCES
 

 

 
PAR Program Provider Bulletins

 Provider Bulletin
   

         

PAR Portal/eQSuite

PAR Portal
eQSuite® 

       

PAR Training Opportunities

Training

             
 

 PAR Letters/IDs
  
PAR Letters/IDs

 

  PAR Forms and Instructions  
 PAR
   Forms   

 

 PAR Reconsideration Process

PAR
Reconsideration

             

 

    

ANNOUNCEMENTS
Download New PAR Guides Today! - Thursday, April 28, 2016

Easy to follow guides for PAR Revisions and Peer-to-Peer Process are now posted under the Provider Resources tab. Look for more guides in May!

 
Ventilator PAR Update - Monday, January 25, 2016

Effective January 1, 2016, CMS consolidated the five ventilator codes into two new codes - E0465 and E0466. Any existing PARs for vents codes with an end date AFTER 12/31/15 must be updated in MMIS. Click here to view the Quick Guide for detailed instructions.

 
IMPORTANT: Lack of Information Denial - Tuesday, December 08, 2015

A Lack of Information (LOI) denial will incur when eQHealth Solutions does not receive the necessary documentation needed to complete PAR review. Click Here to view the quick guide or search under the Provider Resources tab.

 
Synagis® PAR requests - Friday, November 13, 2015

Providers may submit a Medical Synagis® PAR through eQHealth Solutions beginning November 16, 2015.

Go to Provider Education/Training tab, then click Synagis®.

 
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

800-237-0757  


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

 

 

Colorado Medicaid
Nurse Advice Line

800-283-3221

Medicaid Clients Nurse Advice Line
Click for Info