MedicaidReimbursementHigh impact
Health First Colorado (Colorado's Medicaid Program) News and Updates (B2400509 - 06/2024)
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 rate increase effective July 1, 2024, along with targeted rate increases for specific services including surgery, anesthesia, and HCBS waiver services. The bulletin also establishes strict gift limits ($15 per item, $75 annual cap) and reminds providers that all provider IDs must be actively revalidated for claims to be paid.
Action Required
Immediately: 1) Billing team must ensure all provider IDs (billing, attending, rendering, referring) are actively enrolled and revalidated with Health First Colorado or claims will be denied. 2) Verify billing system is capturing the 2.0% rate increase for dates of service on/after July 1, 2024. 3) Stop offering any gifts to Medicaid patients exceeding $15 per item or $75 annually - no cash, gift cards, or cash equivalents allowed. 4) Bill usual and customary charges as lower-of pricing logic applies. 5) Do not resubmit previously paid claims for rate adjustments.