MedicaidBilling CodesMedium impact
Health First Colorado (Colorado's Medicaid Program) News and Updates (B2100461 - 04/2021)
Colorado Medicaid·CO · Family Medicine, Internal Medicine, Endocrinology·Provider Bulletin
Effective date
Mar 31, 2021
We identified it
Jun 20, 2026
Summary
Colorado Medicaid updates include new span billing requirements for DMEPOS supplies (up to 30 days), COVID-19 vaccine administration rates at $41.18 for FQHCs, and monoclonal antibody infusion rates at $309.60. FQHCs can now bill professional claims for these services in addition to encounter rates.
Action Required
Immediately: DMEPOS providers must update billing to include 'from' and 'to' date spans (up to 30 days) for diabetic supplies, CPM devices, and nutrition supplies. FQHCs must submit professional claims (CMS1500/837p) for COVID-19 vaccines and monoclonal antibody treatments to receive fee schedule rates. Billing team should verify date span requirements are configured in system and train staff on dual claim submission for FQHCs.