MedicaidAdministrativeMedium impact
Health First Colorado (Colorado's Medicaid Program) News and Updates (B2300491 - 03/2023)
Colorado Medicaid·CO·Provider Bulletin
Effective date
Apr 1, 2023
We identified it
Jun 20, 2026
Summary
Colorado Medicaid updated multiple billing policies including timely filing requirements (365 days initial, 60-day resubmissions), new pulse oximeter modifiers U1/U2 for DME billing, $25 inpatient copay for elective admissions, and expanded home delivered meals benefit for multiple waiver programs.
Action Required
Immediately: DME providers must use modifier U1 for fingertip pulse oximeters ($26.03) and U2 for tabletop models ($788.64) when billing E0445. Hospital billing teams must apply $25 copay to elective inpatient admissions (emergency and deliveries exempt). HCBS providers should prepare for home delivered meals expansion on April 1, 2023. All providers must ensure claims are filed within 365 days and resubmitted every 60 days to maintain timely filing compliance.