MedicaidPrior AuthMedium impact
Health First Colorado (Colorado's Medicaid Program) News and Updates (B2500520 - 03/2025)
Colorado Medicaid·CO · Physical Therapy, Occupational Therapy, Pediatrics·Provider Bulletin
Effective date
Feb 3, 2025
We identified it
Jun 20, 2026
Summary
Colorado Medicaid (Health First Colorado) issued a March 2025 provider bulletin announcing multiple changes including prior authorization resumption for pediatric long-term home health therapy services starting February 3, 2025, and Provider Services Call Center transition to OptumInsight on May 1, 2025. The bulletin also updates load letter procedures for retroactive eligibility claims and announces quarterly NCCI coding updates effective April 2025.
Action Required
Immediately: Pediatric long-term home health providers should begin submitting prior authorization requests through ColoradoPAR Program for Physical Therapy (PT), Occupational Therapy (OT), and Speech Therapy/Speech-Language Pathology (ST/SLP) services during the voluntary soft launch period. By May 1, 2025: Update Provider Services Call Center contact information when new phone number is announced. Monitor CMS website for NCCI updates effective April 2025. Use Load Letter Request Form for retroactive eligibility claims outside 365-day filing period, submitting via fax to 1-303-866-2082 or encrypted email to LoadLetterRequests@hcpf.state.co.us.