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Prior Authorization and Notification

We have online tools and resources to help you manage your practices notification and prior authorization requests.

Need to submit or check the status of a medical prior authorization request?

Must be an in-network provider

Submitting behavioral health prior authorizations

If you determine that behavioral health prior authorization is required for your patient, you can submit a prior authorization request in one of the following ways:

  • Email all clinical and request to rmhpbhvm@uhc.com
  • Fax all clinical and request to 970-257-3986
  • Call 888-478-4760 and ask to speak with the RMHP Behavioral Health Utilization Management Department

 

Current Prior Authorization Requirements

 

Learn more

Requirements of billing procedure codes for behavioral health services covered by Medicaid can be found using the State Behavioral Health Services Billing Manual.

 

Questions

If you have questions, contact the Provider or Member Services department or your UnitedHealthcare Provider Relations representative.

  • Colorado DSNP – Provider and Members: 800-701-9054
  • Colorado Medicaid – Provider and Member: 800-421-6204
  • Colorado CHP+ – Provider and Member: 877-668-5947
  • Colorado IFP/Exchange – Provider: 888-478-4760, Member: 888-809-6539

 

We have online tools and resources to help you manage your practices notification and prior authorization requests.

Need to submit or check the status of a medical prior authorization request?

Must be an in-network provider

Submitting behavioral health prior authorizations

If you determine that behavioral health prior authorization is required for your patient, you can submit a prior authorization request in one of the following ways:

  • Email all clinical and request to rmhpbhvm@uhc.com
  • Fax all clinical and request to 970-257-3986
  • Call 888-478-4760 and ask to speak with the RMHP Behavioral Health Utilization Management Department

 

Current Prior Authorization Requirements

 

Learn more

Requirements of billing procedure codes for behavioral health services covered by Medicaid can be found using the State Behavioral Health Services Billing Manual.

 

Questions

If you have questions, contact the Provider or Member Services department or your UnitedHealthcare Provider Relations representative.

  • Colorado DSNP – Provider and Members: 800-701-9054
  • Colorado Medicaid – Provider and Member: 800-421-6204
  • Colorado CHP+ – Provider and Member: 877-668-5947
  • Colorado IFP/Exchange – Provider: 888-478-4760, Member: 888-809-6539

 

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Using Electronic Data Interchange (EDI) for all eligible UnitedHealthcare transactions can help your organization improve efficiency, reduce costs and increase cash flow. We encourage you to use the following tools and resources to help you get started with electronic transactions.

Rocky Mountain Health Plans Children's Health Plan (CHP)

Rocky Mountain Health Plan Individual and Family Plans 

Rocky Mountain Health Plans Prime RAE

Rocky Mountain Health Plan Behavior Health

Rocky Mountain Health Plans Medicare Advantage and Dual-Special Needs

Rocky Mountain Health Plans Prior Authorization and Notifications Guide
Learn how to use the Prior Authorization and Notification tool on the UnitedHealthcare Provider Portal for a Rocky Mountain Health Plans member.