December 30, 2019

All Coloradans should receive the most appropriate, effective and safest medical treatments available. To achieve this goal, prior authorization is one tool used by health plans and government-sponsored health care programs including Medicare, Medicaid, and Tricare, to get advance approval of coverage for a medical service or prescription drug. Prior authorization is often applied to drugs with safety concerns or that have less expensive alternatives or to ensure that patients are not subject to unnecessary or harmful tests—such as certain imaging tests that are commonly overused or may expose patients to potentially harmful radiation, undue surgical procedures or added stress