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MedicaidAdministrativeMedium impact

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2200481 - 08/2022)

Colorado Medicaid·CO · Family Medicine, Pediatrics, OB-GYN +1 more·Provider Bulletin
Effective date
Jul 1, 2022
We identified it
Jun 20, 2026
Days to comply

Summary

Colorado Medicaid (Health First Colorado) has eliminated CHP+ enrollment fees effective July 1, 2022, expanded family planning benefits for eligible populations, and implemented new EVV requirements for telehealth pediatric behavioral therapy starting October 1, 2022. Non-Invasive Prenatal Testing (NIPT) is now covered without prior authorization per national guidelines.

Action Required

Action needed
By October 1, 2022: Billing team must ensure EVV collection is implemented for pediatric behavioral therapy telehealth services using place of service codes 02 and 10. Update billing system to require EVV data for codes T1019 and S5130 with Remote Supports modifiers. Claims without EVV will be denied. Remove prior authorization requirements for NIPT billing effective July 1, 2022.

Affected Billing Codes

T1019
S5130