| However, earlier today, the Home Care and Hospice Association of Colorado provided the following updates to this fluid situation (please see below).
Colorado PARs Program Modification
We know many of you have endured four or more months of difficulty with HCPF’s Prior Authorization Request, or PAR, approval process, specifically related to denials issued by the state’s new utilization manager, KEPRO.
Your association continues to push these issues aggressively with the state, and we are beginning to see progress. A few weeks after pausing the CNA Pediatric Long-Term Home Health, or PLTHH, PAR process, until June 1, 2022, HCPF yesterday announced the following:
- PARs with denials for CNA, PT, OT, and SLP services issues between November 2, 2021, and January 17, 2022, will be reversed.
- A suspension of PAR requirements for CNA services as well as PT, OT, and SLP in the PLTHH benefit.
- A technical denial for PARs without a determination backdated to January 28, 2022.
At this time, only CNA service PAR services have been announced to resume in June. HCPF has not announced the continuation date of other services except that it would provide a minimum of 30 days’ notice prior to reinstating the PAR requirements for these services.
While HHAC continues to push for an efficient PAR process, these pauses are welcome news. Your association will continue to work with government representatives and other stakeholders to streamline the PAR process so that providers can assure consistency of care for our clients, the citizens of Colorado. |
The Centers for Medicare & Medicaid Services (CMS) has issued 
