MedicaidAdministrativeMedium impact
Health First Colorado (Colorado's Medicaid Program) News and Updates (B2200475 - 02/2022)
Colorado Medicaid·CO·Provider Bulletin
Effective date
Jul 1, 2022
We identified it
Jun 20, 2026
Summary
Colorado Medicaid (Health First Colorado) has implemented multiple billing updates including record retention extended from 6 to 7 years, new COVID-19 at-home test coverage through DMEPOS benefit, and upcoming NPI requirements for DME ordering providers. Key changes affect billing procedures, coverage benefits, and administrative requirements.
Action Required
By July 1, 2022: Update DMEPOS claims to include ordering provider's NPI in field 17.b (paper) or loop 2420e with qualifier DK (electronic). Ensure ordering providers are actively enrolled with Health First Colorado. For COVID-19 at-home tests, bill HCPCS E1399 with modifier U1, limit 15 units per member per month, require prescription, and bill at retail price per test. Update record retention policies to maintain all records from January 10, 2016 onward for 7 years instead of 6.