MedicaidAdministrativeMedium impact
Health First Colorado (Colorado's Medicaid Program) News and Updates (B2200478 - 05/2022)
Colorado Medicaid·CO · Family Medicine, OB-GYN·Provider Bulletin
Effective date
May 1, 2022
We identified it
Jun 20, 2026
Summary
Colorado's Medicaid program (Health First Colorado) has implemented multiple policy changes affecting prior authorization processes, billing rates, and coverage expansions. Key changes include simplified PAR processes for enclosed/safety beds, corrected billing rates for family planning E&M codes, and extended postpartum coverage to 12 months.
Action Required
Immediate: Update billing system with corrected rates for CPT 99203 with FP modifier - FY 21-22: $122.77 (FP), $127.84 (FP+GT). For DMEPOS providers: Stop using Questionnaire #19 for enclosed/safety bed PARs - use new single attestation process in Kepro's Atrezzo system instead. Behavioral health providers may continue submitting claims under supervising provider while RAE credentialing is pending. Contact provided email addresses for questions on specific changes.