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