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Prior Authorization (PARs) in Colorado Medicaid: Nurse Assessments, Timeline & FAQ (2026 Guide)
By Bushra Ayyub
You may have many questions about the prior authorization (PARs) process, from how to schedule your state nurse assessor appointment to when you can officially begin as an employee. We know the steps can feel overwhelming at first, so we have put together everything you need in one place. Below, you will find helpful information and resources to guide you through each stage of the process and ensure you feel supported and prepared along the way.
If you're navigating prior authorization (PARs) in Colorado Medicaid, you may be wondering how the process works, when approvals happen, and how state nurse assessments affect your caregiving hours and pay.
This guide explains everything you need to know about:
- Prior authorization requests (PARs)
- State nurse assessments
- Scheduling with Telligen
- What to expect as a new or existing Abby Care family
What is a prior authorization (PAR)?
A prior authorization (PAR) is approval required by Colorado Medicaid before certain caregiving services can begin or be paid for.
Key points:
- Required before services are approved
- Based on medical and functional needs
- Determined after a state nurse assessment
How does the prior authorization process work in Colorado?
- Abby Care submits a referral for a state nurse assessment
- A nurse assessor (via Telligen) evaluates the patient
- The state determines eligibility and approved hours
- Abby Care submits the prior authorization request (PAR)
- Medicaid approves or adjusts services before care begins
How long does prior authorization take?
- Scheduling: within 1 week (may vary due to demand)
- Assessment: 1–3 hours
- Approval timeline: depends on document completion and state processing
- *Delays usually happen if required documents are missing.
What is a state nurse assessment?
A state nurse assessment is a comprehensive evaluation used to determine Medicaid program eligibility.
It includes:
- Medical record review
- Family/caregiver interview
- Functional needs assessment
Who is Telligen?
Telligen is the state-contracted organization responsible for scheduling and conducting nurse assessments in Colorado.
How do I schedule my nurse assessment?
- Telligen will call within ~1 week of referral
- You’ll coordinate availability directly with the nurse
- Appointment length: 1–3 hours
- Must include both caregiver and patient
Missed the call?
Check voicemail and return the call using the provided number.
How PARs affect families
Existing families
- Must submit PARs starting August 1, 2025
- Approval required before annual recertification
- Abby Care helps prepare all documents
New families
- Must complete a state nurse assessment
- Abby Care prepares documentation
- PAR submitted after assessment
How to prepare for your nurse assessment:
To avoid delays:
- Gather medical records early
- Ensure doctor documentation is complete
- Be available for scheduling calls
- Check email and spam for updates
Pay + Hours (Clarified):
Will my hours or pay change? Possibly.
- Hours are determined by the state nurse assessment
- Approved hours come through the PAR
- Pay depends on program eligibility (IHSS, CNA, PASA)
Abby Care helps review options to maximize compensation.
FAQs:
Can I appeal a prior authorization decision?
Yes. Abby Care can help submit additional documentation such as therapy notes or physician recommendations.
Can my hours change after assessment?
Yes. Hours are based on the state’s evaluation.
What if I miss the scheduling call?
The nurse will leave a voicemail with a callback number.
Can I request an early assessment?
Yes, but it may result in reduced hours or ineligibility.
Do I need to submit paperwork now?
No. Abby Care will guide you before your annual recertification.
How Abby Care helps with prior authorization:
Abby Care supports families by:
- Submitting referrals
- Preparing documentation
- Coordinating with Telligen
- Guiding you through approvals
Get help with your prior authorization! Navigating Medicaid prior authorization can be complex, but you don’t have to do it alone. Get started with Abby Care today!
Key Contacts
Telligen – State Nurse Assessments
- Phone: 844-650-0560
- Email: CO_SNA@telligen.com
AbbyCare – Colorado
- Phone: (720) 734-4348
- Or email: care@abbycare.org
