MedicaidAdministrativeHigh impact
Health First Colorado (Colorado's Medicaid Program) News and Updates (B2400505 - 02/2024)
Colorado Medicaid·CO·Provider Bulletin
Effective date
Feb 1, 2024
We identified it
Jun 20, 2026
Summary
Colorado Medicaid updated HCPCS codes for 2024 and implemented new provider revalidation requirements. Claims with 2024 HCPCS codes are suspending pending review, and claims will also suspend if billing, rendering, attending, or OPR providers haven't completed revalidation.
Action Required
Immediately: 1) Billing team must verify all providers (billing, rendering, attending, and OPR) have completed revalidation by checking the Provider Revalidation Dates Spreadsheet on the Colorado Medicaid website. 2) Contact any providers who haven't revalidated to ensure completion within 5 business days. 3) Monitor claims with 2024 HCPCS codes for EOB 0000 suspensions and expect processing delays. 4) Update encounter forms to ensure OPR provider NPIs are captured for audiology, DME, lab, radiology, pediatric personal care, and therapy services. Claims will suspend with EOB codes 7511-7514 if providers aren't revalidated.