MedicaidAdministrativeMedium impact
Health First Colorado (Colorado's Medicaid Program) News and Updates (B2100466 - 08/2021)
Colorado Medicaid·CO·Provider Bulletin
Effective date
Oct 1, 2021
We identified it
Jun 20, 2026
Summary
Health First Colorado (Colorado Medicaid) updated provider enrollment and disenrollment processes for ownership changes with new EINs, requiring re-enrollment and coordination between selling and new providers. The policy also introduced new requirements for PDMP checks before prescribing controlled substances and updated behavioral health fee schedules.
Action Required
By October 1, 2021: Providers prescribing controlled substances to Colorado Medicaid patients must query the Colorado PDMP before prescribing. Update provider workflows to include PDMP checks. For practices undergoing ownership changes with new EINs: Complete new enrollment applications through Provider Enrollment Portal and coordinate disenrollment timing with selling providers to maintain continuity of care.