Dear Health Community Colleague,

Welcome to the January edition of the Navigator. In this month’s issue, you’ll find information about revalidating with the Department of Health Care Policy & Financing (HCPF), a new National Provider Identifier (NPI) law, what to do if you’re closing your practice or a practice location, and a health care worker support group.

If you want to learn more about anything in this issue of the Navigator or just have a question, don't hesitate to contact us or follow us on any of our social media channels using the links below.

In good health,
Colorado Access

COVID-19 vaccine information
Vaccine information is constantly changing, but the best
source of information for all things related to the COVID-19 vaccination is the state’s website. Click
here to read more.
Revalidating with HCPF
All Health First Colorado (Colorado’s Medicaid Program) and Child Health Plan Plus (CHP+) providers must revalidate with HCPF at least every five years to continue as a provider. Organization health care providers are required to obtain and use a unique NPI for each service location and provider type enrolled.
here to learn more. If you have any questions about this, please contact your provider relations representative or email

What to do if you’re closing your practice or
a practice location

It’s a contractual requirement to notify us by contacting your provider relations representative or emailing This helps us keep our provider directory accurate and ensures that our members have the most updated network information available to them and can be re-assigned.

New Colorado NPI law
HB 18-1282 took effect on January 1, 2021; it requires newly enrolling and currently enrolled providers to obtain and use a unique NPI for each service location and provider type enrolled in the Colorado interChange. Click here to learn more.

HeartLight Center health care worker support group
This group is for health care workers who have experienced grief and loss due to the impacts of COVID-19. It meets from 7:00 p.m. to 8:30 p.m. on the second Thursday of each month. There is no long-term commitment, but a $15 tax-deductible contribution is encouraged. For more information, call 720-748-9908 or email

Client Over Utilization Program (COUP)
This voluntary statewide program aims to lower the overuse of our health care system, particularly the use of pharmaceuticals. Once members are identified and placed into the program, our care management team will help coordinate their care. As a participating provider, you’re able to help lower the overuse of our health care system and give an extra level of help to patients who may be battling addiction issues, repeated misuse of the emergency departments, or need other assistance to find the right health care. Click here to learn more about COUP. For more information on becoming a locked-in COUP provider, please contact your provider relations representative. If you have questions about COUP, please email

Community Events

Food Bank of the Rockies
has an easy way to find local food pantries on their website. Please share this link with
your patients.

Questions & volunteer opportunities:

February 1-4: The 12th Annual Medicaid Innovations Forum:
The 2021 Medicaid Managed Care Strategies to Expand Coverage, Improve Care, and Reduce Costs event will be virtual this year, with workshops, interactive panel discussions, general sessions, and one-on-one chat rooms. Click here to learn more and to register.

If you have an upcoming community event that you'd like us to share, please email us.
COVID-19 Resources

For COVID-19 utilization management information, click here.

For COVID-19 pharmacy information, click here.

For COVID-19 administrative information, click here.

For COVID-19 training information, click here.

For COVID-19 practice support information, click here.

Coming soon: member and caregiver
satisfaction survey

HCPF and Health Services Advisory Group (HSAG) work with DataStat annually to administer and collect data from a member and caregiver satisfaction survey. Member outreach will begin for the 2021 survey soon by mail and computer-assisted phone calls. Survey results will provide valuable information on member experience of health care, but the response rate has historically been low. If members ask you any questions about the survey, please educate them on the importance of completing this survey and reiterate the value of getting their voices heard.

  1. Free online disability cultural competency training
    The Colorado Cross-Disability Coalition (CCDC) and NextFifty Initiative have an opportunity for physicians, therapists, and other medical professionals to earn 1.5 hours of AAFP prescribed CME credit by completing a free online self-paced course. The course is free until February 5th. Click here to enroll.

  2. Primary care voice: advocacy and leveraging narrative series
    The voices of primary care providers (PCPs) are needed to help address challenges in our health care system and share their stories to bring positive change. This Extension for Community Health Outcomes (ECHO) series aims to help PCPs improve their storytelling capabilities. The series meets Wednesdays until March 17th from 12:00 p.m. to 1:00 p.m. Click here to learn more and to register.

  3. Serving individuals with hearing impairments during the
    COVID-19 pandemic

    Rocky Mountain Health Plans (RMHP), the Colorado Commission for the Deaf, Hard of Hearing and the Deafblind (CCDHHDB), and the Mental Health Center of Denver (MCHD)/Colorado Daylight Partnership are offering free trainings to interested providers on Wednesday, February 3, 2021 from 11:00 a.m. to 1:00 p.m. or Tuesday, February 9, 2021 from 7:00 a.m. to 9:00 a.m. Trainings are offered for clinic staff and clinic administration, and to help CCDHHDB tailor trainings appropriately, they have asked for each group to complete an assessment prior to registration. Click here for the staff link and click here for the administrator link.  

Multilingual COVID-19 resources
Centers for Medicare & Medicaid Sciences (CMS) has public resources about COVID-19 in eight different languages available on their website. Click here to learn more.
COVID-19 testing for patients in underserved communities
Otogenics has testing available for COVID-19 PCR and COVID-19 antibodies. Their PCR testing is one of the most sensitive molecular tests under Emergency Use Authorization (EUA) issued by the FDA. Click here to learn more.
Different impacts of 2020 on Coloradans
The tumult of 2020 has caused Coloradans to rethink how we work, live, and play, and this year’s annual Pulse: The Colorado Health Foundation Poll shows that the events of this year haven’t impacted all Coloradans in the same way, and that not all of us can easily move beyond the struggles of this year. Click here to read more.

Pay-for-Performance Incentive Sharing Program updates
Our program has been updated for 2021. Click here to learn more.
New white paper - check it out!
In 2017, we launched a pilot intervention program in partnership with Denver Health & Hospital Authority to address high- and over-utilization of their psychiatric emergency services. Our care coordinators worked on-site to assist with alleviating barriers to care and scheduling follow-up appointments. This provision of care coordination services ensured that patients were connected to primary and behavioral health care as needed (e.g., scheduling same-day or next day appointments), and barriers to care were mitigated, improving patients’ quality of life by connecting them to resources. Click here to read more about this program and the impact it had.
Diabetes resources – please share with your patients
  • Diabetes Self-Management Education and Support (DSMES) is an evidence-based service that helps people with diabetes learn how to manage their condition. It’s a covered lifetime benefit under Medicaid, Medicare, and most private payers, and it can be accessed at any time. DSMES is also offered in Spanish.
    here for more information or email Joanna Espinoza at if you have any questions.
  • Tri-County Health Department is offering free, grant-funded virtual classes in both English and Spanish. Call 820-266-2971 or visit to register.

Uniform Services Coding Standards (USCS) manual updates
Click here to read more. Please continue to access the USCS manual through this link to ensure that you’re viewing the most up-to-date version.
Integrated behavioral health (IBH) learning collaborative monthly meetings
Join the Colorado Children’s Healthcare Access Program’s IBH learning community on the third Friday of every month from 12:00 p.m. to 1:00 p.m. All behavioral health providers, medical providers, care managers, care navigators, and other team members are welcome to attend. Click here for more information and to register.
Reprocessing claims
We will be reprocessing claims for diagnosis code U07.1 related to COVID-19 back to February 24, 2020. Any copays that were received during this time should be returned to members. If you have any questions about this, please contact your provider relations representative or email
11100 E. Bethany Dr.
Aurora, CO 80014

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