State playbook

Colorado

State insurers, legislation, and appeal resources for patients and advocates in Colorado.

4 guides

Beginner guide for Colorado—Connect for Health Colorado, DOI external review, PA deadlines, and what to open next.

5-day and 72-hour PA deadlines, deemed approval, Rx rules, provider exemptions, and step-therapy limits.

First level review, optional second level for group plans, 30/60-day decisions, and path to external review.

DOI independent external review—4-month filing, 45-day standard, 72-hour expedited, binding on carriers.

Prior auth & internal appeals

Match the plan on the member ID card. Use the denial letter for where to file appeals.

After internal appeal, for eligible Colorado fully insured plans only.

The weekly brief

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