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MedicaidAdministrativeMedium impact

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

Colorado Medicaid·CO · Family Medicine, Internal Medicine, General Practice +5 more·Provider Bulletin
Effective date
Oct 28, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Colorado Medicaid (Health First Colorado) has issued multiple administrative updates including delegate access management, license maintenance requirements, 1099 address updates, and telemedicine procedure code restrictions for FQHCs/RHCs. Key changes include enhanced third-party liability detection and specific telemedicine billing limitations.

Action Required

Action needed
Immediately: Check all Colorado Medicaid eligibility on date of service to identify third-party liability coverage as enhanced detection is now active. For FQHCs/RHCs: Use GT modifier on UB-04 claims for telemedicine services using the specified procedure codes only. Update Provider Web Portal to inactivate delegate access for former employees. Ensure provider licenses are current and updated in the portal before expiration.

Affected Billing Codes

76801
76802
76805
76811
76812
76813
76814
76815
76816
76817
90791
90792
90832
90833
90834
90836
90837
90838
90839
90840
90846
90847
90849
90853
90863
92507
92508
92521
92522
92523
92524
92526
92606
92609
92610
96101
96102
96110
96111
96112
96113
96116
96118
96119
96121
96125
96130
96131
96132
96133
96136
96137
96138
96139
96146
97110
97112
97129
97130
97140
97150
97151
97153
97154
97155
97158
97161
97162
97163
97164
97165
97166
97167
97168
97530
97532
97533
97535
97537
97542
97755
97760
97761
97763
97802
97803
97804
98966
98967
98968
99201
99202
99203
99204
99205
99211
99212
99213
99214
99215
99401
99402
99403
99404
99406
99407
99408
99409
99441
99442
99443
99451
G0108
G0109
G0515
G8431
G8510
G9006
H0001
H0002
H0004
H0006
H0025
H0031
H0032
H0049
H1005
H2000
H2011
H2015
H2016
Q3014
S9445
S9485
T1017
V5011

Related policy hubs

Colorado Medicaid policiesCO policy changesFamily MedicineInternal MedicineGeneral PracticePediatricsPhysical TherapyOccupational TherapyPsychiatryRadiologyCode 76801Code 76802Code 76805Code 76811Code 76812Code 76813Code 76814Code 76815Code 76816Code 76817Code 90791Code 90792Code 90832Code 90833Code 90834Code 90836Code 90837Code 90838Code 90839Code 90840Code 90846Code 90847Code 90849Code 90853Code 90863Code 92507Code 92508Code 92521Code 92522Code 92523Code 92524Code 92526Code 92606Code 92609Code 92610Code 96101Code 96102Code 96110Code 96111Code 96112Code 96113Code 96116Code 96118Code 96119Code 96121Code 96125Code 96130Code 96131Code 96132Code 96133Code 96136Code 96137Code 96138Code 96139Code 96146Code 97110Code 97112Code 97129Code 97130Code 97140Code 97150Code 97151Code 97153Code 97154Code 97155Code 97158Code 97161Code 97162Code 97163Code 97164Code 97165Code 97166Code 97167Code 97168Code 97530Code 97532Code 97533Code 97535Code 97537Code 97542Code 97755Code 97760Code 97761Code 97763Code 97802Code 97803Code 97804Code 98966Code 98967Code 98968Code 99201Code 99202Code 99203Code 99204Code 99205Code 99211Code 99212Code 99213Code 99214Code 99215Code 99401Code 99402Code 99403Code 99404Code 99406Code 99407Code 99408Code 99409Code 99441Code 99442Code 99443Code 99451Code G0108Code G0109Code G0515Code G8431Code G8510Code G9006Code H0001Code H0002Code H0004Code H0006Code H0025Code H0031Code H0032Code H0049Code H1005Code H2000Code H2011Code H2015Code H2016Code Q3014Code S9445Code S9485Code T1017Code V5011