MedicaidAdministrativeHigh impact
Health First Colorado (Colorado's Medicaid Program) News and Updates (B2000456 - 12/2020)
Colorado Medicaid·CO·Provider Bulletin
Effective date
Jan 1, 2021
We identified it
Jun 20, 2026
Summary
Colorado Medicaid (Health First Colorado) has multiple changes effective January 1, 2021, including mandatory use of unique NPIs for each service location on all claims, updates to HCPCS/NDC crosswalks with new benefit qualifiers, and reminders that not all 2021 CPT/HCPCS codes are covered benefits requiring prior verification.
Action Required
By January 1, 2021: Billing team must update all Colorado Medicaid claims to use the unique NPI associated with each specific service location and provider type. Verify all 2021 CPT/HCPCS codes are covered benefits before billing by checking the Provider Rates & Fee Schedule. Update billing system to use new HCPCS/NDC crosswalk with benefit qualifiers. Claims submitted without proper location-specific NPIs will not be compliant with Colorado law.