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MedicaidAdministrativeMedium impact

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2000445 - 03/2020)

Colorado Medicaid·CO·Provider Bulletin
Effective date
Feb 26, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Colorado Medicaid (Health First Colorado) updated several billing and operational policies including timely filing rules (365 days initial period, 60 days for resubmissions), new Provider Services Call Center hours, and added Youth Day Services for ages 12-17 with specific billing codes and rates.

Action Required

Action needed
Immediately: Update billing procedures for Colorado Medicaid claims - ensure initial claims are submitted within 365 days of service date without load letters. For resubmissions after 365 days, include previous internal control number and resubmit every 60 days. Update Provider Services Call Center contact hours (Mon-Thu 7am-5pm MT, Fri 10am-5pm MT). For HCBS-CES providers treating youth 12-17: add Youth Day Services billing using T2027 U7 (individual at $5.70 per 15-min unit) and T2027 U7 HQ (group at $1.90 per 15-min unit), maximum 10 hours per member per day.

Affected Billing Codes

T2027