MedicaidReimbursementMedium impact
Health First Colorado (Colorado's Medicaid Program) News and Updates (B2000448 - 05/2020)
Colorado Medicaid·CO · Ophthalmology, General Surgery·Provider Bulletin
Effective date
May 1, 2020
We identified it
Jun 20, 2026
Summary
Colorado Medicaid (Health First Colorado) has suspended Payment Error Rate Measurement (PERM) audit activities due to COVID-19, temporarily relieving providers from submitting medical records. Additionally, a new ASC payment group for corneal tissue procedures takes effect May 1, 2020.
Action Required
Immediately: ASC billing teams should update fee schedules to reflect HCPCS V2785 now pays $3,418.65 in group 11 for corneal tissue procedures effective May 1, 2020. Suspend responses to PERM medical record requests unless resources allow - no penalties will apply during COVID-19 suspension period.