What types of policy changes does Colorado Medicaid issue?

Colorado Medicaid regularly publishes coverage updates including prior authorization requirement changes, billing code additions or deletions, plan-type coverage modifications, and clinical policy revisions. PolicyChanges.app monitors these notices and summarizes the impact for providers.

How often does Colorado Medicaid update its policies?

Colorado Medicaid typically releases policy bulletins on a rolling basis throughout the year. Our system checks for new updates daily and adds them to this feed as soon as they are identified.

How many Colorado Medicaid policy changes are tracked here?

This page currently tracks 50 documented Colorado Medicaid policy changes. New items are added as they are identified.

What should I do when Colorado Medicaid changes a prior authorization policy?

Review each change's effective date and action-required notes. Update your billing and clinical workflows before the effective date to avoid claim denials. Each policy detail page on PolicyChanges.app includes a plain-English summary and action items.

Colorado Medicaid Policy Changes 2026 | Prior Auth & Coverage Updates

Colorado Medicaid Policy Changes & Prior Auth Updates

We track 50 documented policy changes from Colorado Medicaid across CO. Each entry includes an AI-generated plain-English summary, effective date, affected billing codes, and a direct link to the original Colorado Medicaid notice. Use the related links below to narrow results by specialty or state, or sign up for a free daily alert to receive new Colorado Medicaid updates automatically.

Medium impact

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2100463 - 05/2021)

Colorado Medicaid·Effective Jul 1, 2021

Colorado Medicaid (Health First Colorado) has updated their claims processing procedures - denied claims should now be corrected and resubmitted as new electronic claims rather than sent for reconsideration. The policy also updates billing requirements for multiple infant deliveries, requiring modifier 59 instead of modifier 22 effective May 1, 2020, and implements prior authorization requirements for select physician-administered drugs starting July 1, 2021.

Special Provider Bulletin - Healthcare Common Procedure Coding System (HCPCS) Updates for 2020 (B2000441 - 01/2020)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2000442 - 01/2020)

Special Provider Bulletin - Laboratories (B2000443 - 01/2020)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2000444 - 02/2020)

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

Special Provider Bulletin - Long Acting Injectable Antipsychotics(B2000446 - 03/2020)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2000447 - 04/2020)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2000448 - 05/2020)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2000449 - 06/2020)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2000450 - 07/2020)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2000451 - 08/2020)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2000452 - 09/2020)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2000453 - 10/2020)

Special Provider Bulletin - Synagis® and Seasonal Influenza Vaccines (B2000454 - 10/2020)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2000455 - 11/2020)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2000456 - 12/2020)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2100457 - 01/2021)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2100458 - 01/2021)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2100459 - 02/2021)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2100460 - 03/2021)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2100461 - 04/2021)

Special Provider Bulletin - Utilization Management (UM) Vendor Transition (B2100462 - 04/2021)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2100463 - 05/2021)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2100464 - 06/2021)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2100465 - 07/2021)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2100466 - 08/2021)

Special Provider Bulletin - Synagis® Vaccine Benefit (B2100467 - 08/21)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2100468 - 09/2021)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2100469 - 10/2021)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2100470 - 11/2021)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2100471 - 12/2021)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2200472 - 01/2022)

Special Provider Bulletin - Synagis® Vaccine Benefit (B2200473 - 01/2022)

Special Provider Bulletin - Healthcare Common Procedure Coding System (HCPCS) Updates for 2022 (B2200474 - 01/2022)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2200475 - 02/2022)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2200476 - 03/2022)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2200477 - 04/2022

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2200478 - 05/2022)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2200479 - 06/2022)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2200480 - 07/2022)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2200481 - 08/2022)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2200482 - 09/2022)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2200483 - 10/2022)

Special Provider Bulletin - Synagis® Vaccine Benefit (B2200484 - 10/2022)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2200485 - 11/2022)

Special Provider Bulletin - Synagis® Vaccine Benefit (B2200486 - 11/2022)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2200487 - 12/2022)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2300488 - 01/2023)

Special Provider Bulletin - Healthcare Common Procedure Coding System (HCPCS) Updates for 2023 (B2300489 - 01/2023)

Health First Colorado (Colorado's Medicaid Program) News and Updates (B2300490 - 02/2023)