Fee For Service Rate Information
Information about any and all rate changes impacting State Plan, Home and Community Based Services (HCBS), and all other Fee for Service rates are detailed by service in the following sections. For questions about rates or fee schedules, please contact Victoria Martinez.
Annual Rate Updates Information and Resources
Fiscal Year 2025-2026 Provider Rate Adjustments
Health First Colorado (Colorado's Medicaid Program) across-the-board provider rate increases were approved during the 2024 legislative session and are effective for dates of service beginning July 1, 2025. All rate adjustments are subject to CMS (Centers for Medicare and Medicaid Services) approval prior to implementation. The fee schedules located on the Provider Rates and Fee Schedule web page have been updated to reflect the approved 1.6% across-the-board (ATB) rate increases. Rates have been updated in the Colorado interChange.
The 1.6% across-the-board increase for Home and Community-Based Services (HCBS) waivers services does not require CMS approval. Claims with dates of service on or after July 1, 2024, will be reimbursed at an increased rate for providers for the following waivers:
- HCBS - Brain Injury (BI)
- HCBS - Children’s Extensive Supports (CES)
- HCBS - Children’s Home and Community-Based Service (CHCBS)
- HCBS - Children with Complex Health Needs (CwCHN)
- HCBS – Children’s Residential Habilitation Program (CHRP)
- HCBS - Community Mental Health Supports (CMHS)
- HCBS - Developmental Disability (DD)
- HCBS - Elderly, Blind and Disabled (EBD)
- HCBS - Complementary and Integrative Health (CIH)
- HCBS - Supported Living Services (SLS)
The Department will continue to publish updates as they become effective.