Medicaid

How to Get Credentialed with Health First Colorado in Colorado

Network: Open
30-60 Days

Quick Overview

Timeline

30 - 60 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

Colorado-Specific Requirements

Colorado Medicaid (Health First Colorado) enrollment steps: (1) Obtain NPI via NPPES. (2) Register on the Colorado interchange portal or PEAK system for provider enrollment. (3) Submit application with CO state license, proof of malpractice insurance, and required documentation. (4) Background check through the Colorado Bureau of Investigation (CBI) is required for all providers. Managed care is delivered through Regional Accountable Entities (RAEs) that coordinate care across the state. Behavioral health providers accepted include LPC, LCSW, LMFT, and Licensed Psychologist with active Colorado licensure. Revalidation is required every 5 years.

Medicaid Information — Colorado

Agency: Colorado Department of Health Care Policy & Financing

Program: Health First Colorado

Portal: https://www.colorado.gov/hcpf

Phone: 1-844-235-2387

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Colorado.

2

Prepare Your Application

Complete Health First Colorado's provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to Health First Colorado.

4

Track & Follow Up

Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Background Check

Federal/state background check required for Medicaid enrollment

CV/Resume

Work history required

Malpractice Insurance

Conditional

Required in most states; some state programs waive for government employees

Medical License

NPI Certificate

Enrollment Forms

Colorado Medicaid Provider Enrollment

Required
Online Open →

Contact Information

Provider Enrollment

National

1-844-235-2387

General Provider Inquiries

National

1-844-235-2387

Quick Links

Provider Portal

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Other Payers in Colorado

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Kaiser Permanente Anthem Blue Cross and Blue Shield of Colorado TRICARE
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