MedicaidCoverageMedium impact
Health First Colorado (Colorado's Medicaid Program) News and Updates (B2400508 - 05/2024)
Colorado Medicaid·CO · Family Medicine, Internal Medicine, Pediatrics +2 more·Provider Bulletin
Effective date
May 1, 2024
We identified it
Jun 20, 2026
Summary
Colorado Medicaid (Health First Colorado) May 2024 bulletin introduces multiple updates including new immunization code 90611 coverage, STI testing coverage, telehealth expansion, and new DME accessories criteria for myAIRVO equipment. The bulletin also emphasizes requiring valid referring NPIs to prevent claim denials.
Action Required
Immediately: 1) Billing team must ensure all claims requiring referring providers include valid NPIs to prevent suspensions/denials. 2) Add CPT code 90611 to covered immunization services for Colorado Medicaid. 3) Update DME billing procedures for Fisher & Paykel myAIRVO accessories using HCPCS A9999 with new quantity limits (maximum 2 units per month). 4) Verify STI testing is being billed as covered benefit. 5) Update prior authorization workflows to use Acentra Health (formerly Kepro) through Atrezzo portal.