MedicaidAdministrativeMedium impact
Health First Colorado (Colorado's Medicaid Program) News and Updates (B2500532 - 12/2025)
Colorado Medicaid·CO·Provider Bulletin
Effective date
Jan 1, 2028
We identified it
Jun 20, 2026
Summary
Colorado's Health First Colorado (Medicaid) program has postponed Community Health Worker services reimbursement until January 1, 2028, and is transitioning pharmacy benefit management from Prime Therapeutics to MedImpact. Multiple updates affect provider revalidation requirements, appeals processes, and various specialty-specific billing changes.
Action Required
By January 1, 2028: Be prepared for Community Health Worker service reimbursement changes (currently postponed). By February 2026: Update pharmacy billing system contact information when MedImpact transitions become effective - BIN/PCN numbers will remain the same but contact information will change. Immediately: Verify provider revalidation dates using the weekly updated spreadsheet on the Revalidation web page to ensure active enrollment status.