Colorado CHP+ Prior Authorization Quarterly Reports

Bill Title: Prior Authorization Requirements Health Care Service
Bill Number: HB19-1211

The reports below include data regarding clinical approvals and denials of Colorado CHP+ prior authorization requests. These reports are specific to covered benefits that require a prior authorization and include the following categories:

  • Provider Specialty
  • Procedure Code
  • Reason for denial
  • The number of denials that have been overturned through the DentaQuest appeal process
DentaQuest offers an Office Reference Manual for the Colorado CHP+ program. Our manual includes program information such as a benefit summary, benefit criteria, prior authorization requirements and other useful information. If you have any questions in regards to the Colorado CHP+ program please reach out to your Provider Relations Representative or participate in one of our monthly trainings.  

Quarterly Pre-Authorization Reports