Colorado Prior Authorization Requirements for UnitedHealthcare Exchange Plans
Lists behavioral health inpatient and outpatient services that require prior authorization for UnitedHealthcare Exchange Plans members in Colorado effective Jan 1, 2025. Applies to participating behavioral health providers; emergency/urgent care and out-of-network/area coverage exceptions noted.
No material changes to clinical coverage or policy — no substantive updates reported.
Policy summary
This policy lists behavioral health services that require prior authorization for participating behavioral health providers for UnitedHealthcare Exchange Plans members in Colorado, effective 2025-01-01. Member-specific benefit plan documents govern coverage determinations and must be referenced because plan terms vary by state. Prior authorization is not required for emergency or urgent care.