MedicaidReimbursementHigh impact
Health First Colorado (Colorado's Medicaid Program) News and Updates (B2400510 - 07/2024)
Colorado Medicaid·CO·Provider Bulletin
Effective date
Jul 1, 2024
We identified it
Jun 20, 2026
Summary
Colorado Medicaid (Health First Colorado) implemented a 2.0% across-the-board provider rate increase effective July 1, 2024, along with targeted rate increases for specific services including surgery, anesthesia, dental, maternity, and behavioral health. The policy also includes significant rate increases for Home and Community-Based Services (HCBS) waiver programs.
Action Required
Immediately: Billing team must verify that Colorado Medicaid claims with dates of service July 1, 2024 and after are being reimbursed at the new increased rates. Update fee schedules from the Provider Rates and Fee Schedule web page. Ensure usual and customary charges are billed as the 'lower of' pricing logic applies - claims already paid at lower rates cannot be adjusted upward by the fiscal agent.