MedicaidReimbursementHigh impact
Health First Colorado (Colorado's Medicaid Program) News and Updates (B2300495 - 06/2023)
Colorado Medicaid·CO · Cardiology, Family Medicine, Internal Medicine +6 more·Provider Bulletin
Effective date
Jul 1, 2023
We identified it
Jun 20, 2026
Summary
Colorado's Medicaid program (Health First Colorado) implemented multiple changes effective July 1, 2023, including a 3.0% across-the-board rate increase for most services and targeted rate increases for specific specialties like cardiology, primary care, radiology, and vision services. The policy also reinstated enrollment requirements that were waived during the Public Health Emergency.
Action Required
Immediately: Billing team must verify all Colorado Medicaid claims use correct member IDs (no dummy IDs) and update fee schedules to reflect 3.0% rate increases effective July 1, 2023. Check Provider Web Portal using member date of birth to verify IDs. Update billing system to reflect increased reimbursement rates for cardiology, primary care, radiology, ophthalmology, gastroenterology, ENT, women's health, laboratory, vision services, and HCBS waiver services. Ensure all enrollment requirements (application fees, fingerprinting, site visits) are completed to avoid disenrollment and claim denials.