Denver Health Medical Plan Prior Authorization

Coverage: Denver Health Medical Plan Colorado; commercial/Elevate, Medicaid/CHP+ and Medicare filing rules differ.

Start with the reviewed Denver Health Medical Plan resources below. Confirm the member's current plan, the payer's operating status, and the requested service before scheduling care or submitting a request.

At a glance

• Submit applicable medical and behavioral authorization requests through the secure provider portal.
• Confirm the responsible benefit administrator; capitated Medicaid behavioral health may be handled separately through Colorado Access. Changes announced for January 1, 2027 are not active on this review date.

Where to verify prior authorization requirements

• Verification resource 1

How to submit prior authorization requests

• Secure provider portal authorization requests with clinical documentation.

• No direct topic-specific link was captured in the current research set.

Information commonly required

• Not clearly published in the researched sources.

Turnaround notes and caveats

• Confirm the responsible benefit administrator; capitated Medicaid behavioral health may be handled separately through Colorado Access. Changes announced for January 1, 2027 are not active on this review date.

Provider resources

• Official policy source (official)
• Official policy source (official)

Sources

Update notes

Last updated: 2026-10-30.

• Verified official authorization guidance and the September 2025 billing guide. Preserved product distinctions, the COB paid-date trigger and rejected-claim handling.
• Provider agreement and eligibility checks remain necessary. Future January 2027 authorization changes are excluded.