CO · guidance
CO HCPF Psychiatric Residential Treatment Facility and Out-of-state High Intensity Residential Treatment (OHIRT) Provider Billing Manual — Prior Authorization and Utilization Management (UM) Requirements
PriorAuthorizationandUtilizationManagement(UM)Requirements
PRTFandOHIRTservicesmustbeprovidedandbilledonlybyalicensedandcertifiedPRTForOHIRTprovider.
OHIRTsoutsideofColoradomustworkwiththeDepartmenttosubmitforapriorauthorizationandcontinuingstayauthorizationsforservicesformembers.
PRTFandOHIRTservicesaresubjecttoUMapproval.UMandEnhancedStandardizedAssessment(ESA)requirementsarelocatedinOperationalMemoOM25-032.
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Provenance
- Source
- hcpf.colorado.gov
- Retrieved
- 2026-07-26
- Edition
- 2026-07-26
- Content hash
1f975fee5fc2ea29c913f9e63c87d3791ccd386e5d7e724f206e99f5961dbf52
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