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Health First Colorado (Colorado's Medicaid Program) News and Updates (B2100469 - 10/2021)
Effective date
Not stated in the notice
Identified
Jun 20, 2026
Summary
The October 2021 Health First Colorado provider bulletin (B2100469) covers several separate items. It asks providers subject to Section 6032 of the Deficit Reduction Act to submit the DRA Declaration FFY2021 form Previously due November 1, 2021 (date passed; verify current applicability), reverts the S1040 cranial remolding orthosis rate to its pre-July 2021 level effective September 3, 2021, and moves prior authorization requests for private duty nursing and pediatric long-term home health to Kepro's Atrezzo portal starting November 1, 2021.
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What to do
Action · 5 steps
01Historical deadline November 1, 2021: Providers subject to Section 6032 of the Deficit Reduction Act must submit the DRA Declaration FFY2021 form by emailing it to hcpf_draact2005@state.co.us.
02Already effective September 3, 2021: Claims for S1040 that were not reimbursed correctly after the rate change will need to be manually adjusted via the Provider Web Portal.
03Already effective November 1, 2021: Private duty nursing and pediatric long-term home health prior authorization requests are submitted to Kepro through the online PAR portal, Atrezzo, and providers must watch the recorded Atrezzo training before submitting a PAR for these services.
04Physician-administered drugs: once the prior authorization requirement is implemented (no earlier than December 1, 2021), ensure an approved prior authorization is on file before administering any of the listed drugs.
05Check current applicability of all of these dates before acting on them.
Codes mentioned
S1040B410590694906859075690672T2016T2021H0019J0897J1459J1556J1557J1561J1566J1568J1569J1572J1599J0517J1300J1745J2182J2357J2786J3380J2323J2350J0585J0586J0587J0588
Original notice
Health First Colorado (Colorado's Medicaid Program) News and Updates (B2100469 - 10/2021)
hcpf.colorado.gov · Always check the source before changing claims.
Related changes
See all Colorado Medicaid changes →Health First Colorado (Colorado's Medicaid Program) News and Updates (B2100470 - 11/2021)MediumNo effective date · Provider BulletinHealth First Colorado (Colorado's Medicaid Program) News and Updates (B2100468 - 09/2021)MediumNo effective date · Provider BulletinHealth First Colorado (Colorado's Medicaid Program) News and Updates (B2100463 - 05/2021)MediumNo effective date · Provider BulletinHealth First Colorado (Colorado's Medicaid Program) News and Updates (B2100464 - 06/2021)MediumNo effective date · Provider BulletinBrowse every Colorado Medicaid change in the policy list
Related policy hubs
Colorado Medicaid policiesCO policy changesCode S1040Code B4105Code 90694Code 90685Code 90756Code 90672Code T2016Code T2021Code H0019Code J0897Code J1459Code J1556Code J1557Code J1561Code J1566Code J1568Code J1569Code J1572Code J1599Code J0517Code J1300Code J1745Code J2182Code J2357Code J2786Code J3380Code J2323Code J2350Code J0585Code J0586Code J0587Code J0588