MedicaidAdministrativeMedium impact
Health First Colorado (Colorado's Medicaid Program) News and Updates (B2400503 - 01/2024)
Colorado Medicaid·CO·Provider Bulletin
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Colorado Medicaid (Health First Colorado) has updated its 2024 provider policies including a $709 annual enrollment fee, temporary claim suspensions for new 2024 HCPCS codes pending system updates, and new coverage verification requirements to distinguish between Medicaid and the separate BHA Benefit Plan program.
Action Required
Immediately: Billing team must verify patient coverage types before submitting claims - only accept 'Medicaid State Plan', 'TXIX', 'CHP+B', 'Medicaid Behavioral Health Benefits', or 'BHO+B' coverage types. Reject patients with only 'BHA Benefit Plan' or 'BHAB' as these are not eligible for Medicaid services. Monitor claims with 2024 HCPCS codes as they may suspend with EOB 0000 until mid-late January system update is complete. Budget for $709 enrollment fee per service location for any 2024 revalidations or new enrollments.