Our Providers

In January 2020, the U.S. Department of Health and Human Services (HHS) responded to the COVID-19 pandemic by declaring a public health emergency (PHE). Congress passed legislation to ensure that anyone enrolled in Medicaid (Health First Colorado (Colorado’s Medicaid program) in Colorado), as well as children and pregnant people who were enrolled in the Children’s Health Insurance Program (Child Health Plan Plus (CHP+) in Colorado), was guaranteed to keep their health coverage during the PHE. This is the continuous coverage requirement. Congress recently passed a bill that ends the continuous coverage requirement in the spring of 2023.

Friday Health Plans (FHP) is not renewing their Child Health Plan Plus (CHP+) contract, which ends on June 30, 2022. FHP will transition out from the CHP+ program on this date. Starting July 1, 2022, we will be the new CHP+ Managed Care Organization (MCO) for Kit Carson County. Members in this county who were enrolled with FHP will move to our CHP+ MCO based on standard enrollment guidelines.

Our contracting team is working to get FHP providers contracted with us as soon as possible. To begin this process, or if you have any questions, please email us at provider.contracting@coaccess.com. Our provider contracting team will guide you through the application, contracting, and credentialing process. Contracting and credentialing can take 60 to 90 days. Click here to learn more about joining our provider network.

All billed services must have an applicable modifier. Please note that many services can have more than one applicable modifier, and all must be included in order for the claim to be paid.

Please note that all modifiers and requirements are listed out in the coding manual which can be found on the Department of Health Care Policy and Financing (HCPF) website. If you submit your claims through a clearinghouse, please contact your clearinghouse to inquire which fields in their software to enter the modifier(s) that will interface to “Box 24D” of the CMS1500 form that we will receive.

Please send an email to your assigned provider network services representative with questions about this requirement. Please contact providernetworkservices@coaccess.com if you do not know your currently assigned provider network services representative.