Whether you are a contracted provider or considering becoming one, we appreciate the work you do on behalf of our members.  We consider you our first customer and work hard to be a great partner.

If you have questions about your contracting status, please contact us.

If you have questions about benefits, claims or eligibility you can call our member service team or use our convenient provider portal, available 24 hours a day.

CHOICEConnect

 

Provider Tools

NEW Provider Newsletter – Winter 2016

Provider Change Request Form

You can also make Provider changes through our web form, located here.

Request for Authorization/Referral

Request for Additional Rehabilitative Services

Quick Reference Guide-Notification, Preauthorization & Non-Covered Services

Pharmacy Prior Authorization Form

Chemo Treatment Plan

Bone Density Screening Checklist

PHQ Screeners for Providers

Please see the updated Provider Manual, Effective 7/1/2016
Provider Manual

Credentialing

Thank you for your interest in joining the Colorado Choice Health Plans (Colorado Choice) provider network.

Please remember to include all supporting documentation with your application. Your participation will not be approved without all required documents.

As a provider, you have the right to review your credentialing information. If you wish to obtain the status of your application, please contact Rita Naranjo. Initial credentialed providers will be notified via letter of the credentialing decision. All providers may consider themselves recredentialed unless otherwise notified.

If you have any questions regarding the credentialing process, please contact Rita Naranjo. Please submit your application to credentialing@cochoice.com.

Colorado Health Care Professionals Credentials Application

Ancillary & Facility Credentialing Application

 

Clinical Practice Guidelines

Type 2 Diabetes Guideline

Type 2 Diabetes Care Flow Sheet

Prenatal Clinical Guideline

Post-Partum Care

CDC Vaccination Schedule 0-18 Years

CDC Vaccination Catch Up Schedule

Adult Immunization Schedule

Preventive Pediatric Health Care

Identifying Infants & Young Children with Developmental Disorders in the Medical Home (Algorithm for Developmental Surveillance and Screening)

AGS Updated Beers Criteria (If you are not a member of AGS, requires registration for free access to Updated Beers Criteria)

Asthma Management for Children and Adults (age 5+ years)

Falls in Older Patients Guideline

MCG Guidelines (Requires a paid subscription)

Up to Date Guidelines (Requires a paid subscription)

NCCN Guidelines – Oncology (Requires registration for limited free access)

Guideline for Contraception (12/10/2010)