Provider Revalidation and Enrollment Made Easy!

Beginning September 15, 2015, all Colorado providers who want to continue, or begin, providing services to Medicaid and CHP+ members after March 31, 2016 will be required to revalidate and enroll under new federal enrollment screening criteria. To meet these new requirements, as well as to ensure that you are enrolled in HCPF's new claims processing system, Colorado providers must revalidate using the new Online Provider Enrollment (OPE) tool. Although the new OPE tool will launch in September of 2015, HCPF is asking that you complete your revalidation during your assigned revalidation and enrollment wave.

Based on CMS provider type and risk designation, the revalidation process may include a criminal background check, fingerprinting, and unannounced site visits - including pre-enrollment site visits for some providers. Visit the HCPF provider resources page for information specific to your provider type and information specific to the HCBS service provided (if applicable). 

Providers who fail to revalidate and enroll by March 31, 2016 may have their claims suspended or denied.

For more information, visit the HCPF website.