PA Reform EnactedTransparency Requirements
Colorado Prior Authorization Requirements
A guide to prior authorization rules, turnaround times, and laws for medical practices operating in Colorado (CO).
PA Turnaround Times
Standard Requests
10 business days
Urgent / Expedited
48 hours
PA Reform Legislation
Colorado has enacted legislation requiring insurers to streamline PA processes, reduce unnecessary PA requirements, and improve transparency.
Key Regulations
- Standard PA turnaround of 10 business days
- Urgent requests must be processed within 48 hours
- Insurers must publicly post PA criteria
- Continuity of care protections during plan transitions
Colorado Medicaid PA
Health First Colorado (Medicaid) uses Regional Accountable Entities (RAEs) for behavioral health and managed care for physical health. PA requirements vary by RAE.
Recent Changes (2025-2026)
- Colorado has been at the forefront of PA reform legislation
- New transparency requirements for PA criteria publication took effect
Top Payers in Colorado
Anthem Blue Cross Blue ShieldKaiser PermanenteUnitedHealthcareCignaFriday Health Plans
State Regulatory Body: Colorado Division of Insurance
File PA complaints or appeals through your state insurance department.
Automate PA in Colorado
Greenlight knows every payer's PA requirements in Colorado and checks them automatically before every appointment -- so your staff does not have to.
See a Demo