MedicaidAdministrativeHigh impact
Health First Colorado (Colorado's Medicaid Program) News and Updates (B2300494 - 05/2023)
Colorado Medicaid·CO·Provider Bulletin
Effective date
May 11, 2023
We identified it
Jun 20, 2026
Summary
Colorado Medicaid (Health First Colorado) has issued updated provider guidance effective May 2023, including critical changes around PHE expiration affecting member eligibility verification, EFT payment processes, and various specialty-specific updates. Key impact is that providers must verify member eligibility within 365 days of service and cannot bill members if eligibility wasn't verified timely.
Action Required
Immediately: All staff must verify Health First Colorado member eligibility through batch submissions or Provider Web Portal within 365 days of service date - cannot rely solely on member-provided information. Check all member eligibility after May 11, 2023 due to PHE expiration as some members may lose coverage. Verify EFT payment information is current and contact Provider Services if unauthorized EFT changes occur. Front desk staff should post member renewal flyers in reception areas.