MedicaidReimbursementMedium impact
Health First Colorado (Colorado's Medicaid Program) News and Updates (B2500525 - 07/2025)
Colorado Medicaid·CO·Provider Bulletin
Effective date
Jul 1, 2025
We identified it
Jun 20, 2026
Summary
Colorado Medicaid (Health First Colorado) implemented a 1.6% across-the-board provider rate increase effective July 1, 2025, and postponed Community Health Worker benefit reimbursement until January 1, 2026. Providers must ensure their licenses are current to avoid claim denials with EOB 3385.
Action Required
Immediately: Verify all provider licenses are current in the Provider Web Portal and update through provider maintenance requests to avoid claim denials with EOB 3385. Resubmit any previously denied claims once license updates are completed. Update billing expectations for 1.6% rate increases effective July 1, 2025, and remove Community Health Worker billing until January 1, 2026.