MedicaidAdministrativeMedium impact
Health First Colorado (Colorado's Medicaid Program) News and Updates (B2000452 - 09/2020)
Colorado Medicaid·CO·Provider Bulletin
Effective date
Nov 2, 2020
We identified it
Jun 20, 2026
Summary
Colorado Medicaid (Health First Colorado) has issued multiple updates including DRA compliance documentation due November 2, 2020, implementation of ClaimsXten claims editing system, and various provider enrollment changes. The ClaimsXten system will add automated claim editing for professional and outpatient claims to identify inappropriate coding and reduce overpayments.
Action Required
By November 2, 2020: Providers receiving $5M+ annual Medicaid payments must submit DRA Declaration FFY2020 form, employee handbook/Code of Conduct, and fraud prevention policies to hcpf_draact2005@state.co.us. Billing teams should prepare for ClaimsXten implementation by attending training webinars and reviewing claim editing procedures for professional and outpatient claims. Provider enrollment teams must update procedures for OPR to IWG and IWG to BI enrollment type changes.