MedicaidReimbursementMedium impact
Health First Colorado (Colorado's Medicaid Program) News and Updates (B2200472 - 01/2022)
Colorado Medicaid·CO · Family Medicine, Internal Medicine, Pediatrics +1 more·Provider Bulletin
Effective date
Sep 1, 2021
We identified it
Jun 20, 2026
Summary
Colorado Medicaid (Health First Colorado) updated COVID-19 vaccine administration rates retroactive to September 1, 2021, increasing payment to $61.77 for first two doses, $41.18 for additional doses, plus $35.00 for in-home administration. Several ASC procedure codes were removed from coverage effective January 1, 2022.
Action Required
Immediately: Update billing rates for COVID-19 vaccine administration - bill $61.77 for first two doses, $41.18 for additional doses, plus $35.00 for home administration (retroactive to September 1, 2021). Stop billing codes 31241, 32551, and 32560 at ASCs as they are no longer covered. Use CPT 99401 for COVID vaccine counseling visits for patients under 21. Verify primary insurance coverage before billing Health First Colorado as it is payer of last resort.