MedicaidReimbursementHigh impact
Health First Colorado (Colorado's Medicaid Program) News and Updates (B2200480 - 07/2022)
Colorado Medicaid·CO·Provider Bulletin
Effective date
Jul 1, 2022
We identified it
Jun 20, 2026
Summary
Colorado Medicaid (Health First Colorado) implemented multiple billing updates effective July 1, 2022, including a 2.0% across-the-board rate increase for most services, new gender restriction bypass procedures using KX modifier and condition code 45, and various program expansions. The policy also adds 32 new ASC procedure codes and extends behavioral health billing flexibility.
Action Required
Immediately: Update billing system to reflect 2.0% rate increases for Colorado Medicaid services effective July 1, 2022. For gender-affirming care claims, add KX modifier on CMS-1500 forms and condition code 45 on UB-04 forms when procedures conflict with member's identified gender. Billing team must verify updated fee schedules are loaded in system and train staff on new gender restriction bypass procedures to avoid claim reprocessing delays.