MedicaidReimbursementHigh impact
Special Provider Bulletin - Rate Reductions (B2500528 - 09/2025)
Colorado Medicaid·CO · Dentistry, Pediatrics·Reimbursement
Effective date
Oct 1, 2025
We identified it
Jun 20, 2026
Summary
Colorado Medicaid is implementing rate reductions effective October 1, 2025, rolling back 1.6% fee increases across all professional and institutional claims due to state budget shortfall. Dental services, pediatric behavioral therapy, and some HCBS services face targeted reductions exceeding 1.6%, with dental codes reduced by 15.5%.
Action Required
Before October 1, 2025: Billing team must update fee schedules in billing system to reflect new reduced rates for all Colorado Medicaid claims. Update dental procedure rates to new amounts listed (15.5% reduction from July 2024 rates). Update pediatric behavioral therapy rates to new amounts shown. Adjust all other professional and institutional rates by 1.6% reduction from current rates. Contact hospital rate specialists for specific inpatient/outpatient rate updates via provided email contacts.