MedicaidBilling CodesMedium impact
Health First Colorado (Colorado's Medicaid Program) News and Updates (B2100469 - 10/2021)
Colorado Medicaid·CO · Pediatrics, Neurology, Orthopedics·Provider Bulletin
Effective date
Oct 1, 2021
We identified it
Jun 20, 2026
Summary
Colorado Medicaid (Health First Colorado) has issued multiple updates including rate changes effective October 1, 2021, new procedure codes for developmental disability services effective November 1, 2021, and Deficit Reduction Act compliance requirements due November 1, 2021. Key changes include cranial remolding orthosis rate restoration and new regional center billing codes.
Action Required
By November 1, 2021: Providers with $5+ million in annual Medicaid payments must submit DRA Declaration FFY2021 form to hcpf_draact2005@state.co.us. Update billing systems with new regional center procedure codes T2016 and T2021 with specific modifiers for Grand Junction (HI) and Pueblo (HB) Regional Centers effective November 1, 2021. Verify S1040 cranial remolding orthosis claims paid since July 1, 2021 were reprocessed correctly, and manually adjust any incorrect reimbursements via Provider Web Portal.