MedicaidAdministrativeMedium impact
Health First Colorado (Colorado's Medicaid Program) News and Updates (B2400511 - 08/2024)
Colorado Medicaid·CO·Provider Bulletin
Effective date
Aug 1, 2024
We identified it
Jun 20, 2026
Summary
Colorado Medicaid (Health First Colorado) updated member billing restrictions and timely filing requirements. Key changes include strict prohibitions on billing members for PAR denials, TPL balances, and system-related claim denials, plus confirmation of 365-day timely filing deadline. Laboratory services now cover CPT codes 87505 and 87506.
Action Required
Immediately: Update billing system to prevent member billing for PAR denials, TPL balances, co-pays, deductibles, and claim denials. Ensure all Colorado Medicaid claims are submitted within 365 days of service date. Add CPT codes 87505 and 87506 to covered laboratory services for Colorado Medicaid. Train billing staff on prohibited member billing scenarios to avoid compliance violations.