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Fee Schedule & Reimbursement
What's the reimbursement for CHP+ primary care providers, specialty care providers, hospitals and ancillary?
Professional services are reimbursed on a fee-for-service basis in accordance with the CHP+ Fee Schedule and as specified in the CHP+ Provider Manual. Below, please find the following fee schedules available for download:

Note: Because allowed amounts vary for Anesthesia based on time units, we have published the conversion factor in the RBRVS Facility and RBRVS Non-Facility fee schedules provided to be used in the Base+Time formula documented in the State Managed Care Network Provider Manual.

Payment of thirty five (35%) percent of billed charges will be made for those services or procedures which are by report, unlisted or have not been assigned a unit value by RBRVS.

The allowed amounts listed do not guarantee payment for non-covered services. Please refer to the Provider Manual for questions regarding covered benefits.



State Managed Care Network Customer Service
PO Box 17580 Denver, CO 80217-0580
Phone: (303) 751-9051
Toll Free: 1-800-414-6198
Send claims to:
CHP+ Claims
PO Box 17470
Denver, CO 80217-0470