How do I check to see if a client is eligible for Colorado Medical Assistance Program benefits?
The fiscal agent, ACS, and the Department’s Client Contact Center are unable to provide you with a guarantee number used to assure client eligibility and coverage. You can verify eligibility through one of the electronic methods, and if the client is eligible for the date span provided, you will receive an eligibility guarantee number. Electronic methods include: 1. Colorado Medical Assistance Program Web Portal (Batch or Interactive): X12N 270 – Eligibility Inquiry Batch eligibility verifications may be made through other vendors such as WebMD, Envoy, Passport Health, etc. Maintain copies of all eligibility and coverage information in the client’s file for billing and audit purposes. 2. Fax-Back: 1-800-493-0920 Toll free Fax-Back is a phone number that can be used to have an eligibility report automatically sent to the provider’s fax machine. The recorded voice prompts the caller for information and responds to the caller. One date of service can be verified at a time. If the client i
