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MedicaidAdministrativeMedium impact

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

Colorado Medicaid·CO·Provider Bulletin
Effective date
Nov 1, 2022
We identified it
Jun 20, 2026
Days to comply

Summary

Colorado Medicaid (Health First Colorado) issued multiple updates including DRA compliance requirements due November 1, 2022, PERM audit notifications for claims from 2021-2022, and upcoming remittance advice changes to show member benefit plan codes.

Action Required

Action needed
By November 1, 2022: Providers with $5+ million annual Medicaid payments must submit DRA Declaration form, employee handbook/Code of Conduct, and fraud prevention policies to hcpf_draact2005@state.co.us. Respond promptly to PERM audit requests from Empower AI within 75 calendar days to avoid claim recovery. Update staff on new Provider Services virtual agent system starting November 4, 2022.

Affected Billing Codes

L8614
31599