MedicaidCoverageMedium impact
Health First Colorado (Colorado's Medicaid Program) News and Updates (B2300496 - 07/2023)
Colorado Medicaid·CO·Provider Bulletin
Effective date
Jul 1, 2023
We identified it
Jun 20, 2026
Summary
Colorado Medicaid (Health First Colorado) has reduced most member co-pays to $0 effective July 1, 2023, including for physician services, hospital services, DME, lab, radiology, and prescriptions. The bulletin also includes updates on timely filing procedures, prior authorization requirements for therapy services, and various program changes.
Action Required
Immediately: Billing team must update systems to reflect $0 co-pays for Colorado Medicaid members for most services including physician visits, hospital services, DME, lab, radiology, and prescriptions effective July 1, 2023. Verify member eligibility in Provider Web Portal before each visit. Note that outpatient hospital non-emergent emergency room visits still have $8 co-pay and claims prior to July 1, 2023 still have original co-pays.