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MedicaidAdministrativeMedium impact

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2200487 - 12/2022)

Colorado Medicaid·CO·Provider Bulletin
Effective date
Dec 1, 2022
We identified it
Jun 20, 2026
Days to comply

Summary

Colorado Medicaid (Health First Colorado) has implemented multiple billing changes including new Medicare-Only provider enrollment type, enhanced call center authentication requirements, benefit plan codes on remittance advice, and specific updates for DMEPOS providers including prior authorization for cochlear devices and new pulse oximeter billing modifiers.

Action Required

Action needed
Immediately: Update Provider Services Call Center authentication procedures to include both 8-10 digit Health First Colorado ID and NPI when contacting support. By December 1, 2022: For DMEPOS providers, begin using modifier U1 for fingertip pulse oximeters and U2 for tabletop devices with code E0445. Submit prior authorization requests for HCPCS code L8614 (cochlear devices). Update billing systems to recognize new benefit plan codes appearing on remittance advice starting November 17, 2022.

Affected Billing Codes

E0445
L8614
31599