← Back to list
Special Provider Bulletin - Rate Reductions (B2500528 - 09/2025)
Effective date
Oct 1, 2025
Identified
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%.
Get alerts when payers change rules like this one
We check Colorado Medicaid and other payers every day and email you when a change matches your specialty and state.
Get Colorado Medicaid alertsPolicy Monitoring is free. No card required.
What to do
Action · 5 steps
01Before October 1, 2025: Billing team must update fee schedules in billing system to reflect new reduced rates for all Colorado Medicaid claims.
02Update dental procedure rates to new amounts listed (15.5% reduction from July 2024 rates).
03Update pediatric behavioral therapy rates to new amounts shown.
04Adjust all other professional and institutional rates by 1.6% reduction from current rates.
05Contact hospital rate specialists for specific inpatient/outpatient rate updates via provided email contacts.
Codes mentioned
9715197153971549715597158D0120D0140D0150D1110D1120D1206D1351D1352D1354D2740D2750D2751D2752D2790D2794D2930D3310D3320D3330D3346D3347D3348D4341D4342D4910
Original notice
Special Provider Bulletin - Rate Reductions (B2500528 - 09/2025)
hcpf.colorado.gov · Always check the source before changing claims.
Related changes
See all Colorado Medicaid changes →Health First Colorado (Colorado's Medicaid Program) News and Updates (B2500530 - 10/2025)HighEffective Oct 1, 2025 · Provider BulletinHealth First Colorado (Colorado's Medicaid Program) News and Updates (B2400510 - 07/2024)HighNo effective date · Provider BulletinHealth First Colorado (Colorado's Medicaid Program) News and Updates (B2000455 - 11/2020)MediumEffective Jan 1, 2021 · Provider BulletinHealth First Colorado (Colorado's Medicaid Program) News and Updates (B2400506 - 03/2024)HighEffective Apr 1, 2024 · Provider BulletinBrowse every Colorado Medicaid change in the policy list
Related policy hubs
Colorado Medicaid policiesCO policy changesDentistryPediatricsCode 97151Code 97153Code 97154Code 97155Code 97158Code D0120Code D0140Code D0150Code D1110Code D1120Code D1206Code D1351Code D1352Code D1354Code D2740Code D2750Code D2751Code D2752Code D2790Code D2794Code D2930Code D3310Code D3320Code D3330Code D3346Code D3347Code D3348Code D4341Code D4342Code D4910