Back to dashboard
MedicaidReimbursementHigh impact

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2200479 - 06/2022)

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

Summary

Colorado Medicaid (Health First Colorado) implemented multiple changes effective July 1, 2022, including a 2.0% across-the-board provider rate increase, new billing modifier requirements for behavioral health telemedicine services, and expanded family planning coverage for members regardless of immigration status.

Action Required

Action needed
By July 1, 2022: Update billing system to reflect 2.0% rate increase for all Colorado Medicaid services. Behavioral health providers must add modifier FQ for audio-only telemedicine services and modifier HO for dual-eligible members when not Medicare-eligible. DMEPOS providers must submit A9274 with modifier U1 via web portal with invoice attached for Omnipod products. All providers must include ordering provider NPI in claims per federal requirements (soft enforcement begins July 1).

Affected Billing Codes

A9274