ATTENTION: The Health First Colorado Fee Schedule for July is in progress. Provider communication will be sent when the new fee schedules are available and the new rates for dates of service beginning July 1, 2024 have been loaded into the Colorado Interchange. It is anticipated that new rates found on the Health First Colorado fee schedules will be completed by July.

Upcoming Holidays

Labor Day - Monday, September 2, 2024 - State Offices, Gainwell Technologies, DentaQuest, AssureCare and the ColoradoPAR Program will be closed.

Capitation cycles for managed care entities may potentially be delayed. The receipt of warrants and EFTs may potentially be delayed due to the processing at the United State Postal Service or providers’ individual banks.

Additional Resources

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Co-pay Information

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Case Management

For Our Hospitals

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EVV Information

OPR Information

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CHP+ Provider Info

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Programs Available Through Health First Colorado

Benefits Utilization System (BUS) Updates
Colorado Healthcare Affordability and Sustainability Enterprise (CHASE)
Colorado Indigent Care Program (CICP)
Diabetes Resource Center
Electronic Visit Verification
Long-Term Services and Supports Programs
Nursing Facility Minimum Wage Supplemental Payment
Old Age Pension Health and Medical Care Program (OAP)
Payment Error Rate Measurement (PERM)
- The Payment Error Rate Measurement (PERM) is an audit program developed by the federal government to comply with law. The program examines eligibility decisions and payments to providers for Medicaid and Child Health Plan Plus (CHP+) for accuracy. Click the link above to learn more about PERM.
Prenatal Plus Program
Primary Care Fund (PCF)
Public Emergency Medical Service (EMS) Supplemental Payment
Recovery Audit Contractor (RAC) Program
- Each state must contract with a contingency-fee-based vendor to review provider claims. The purpose of the review is to reduce improper Medicaid payments through the efficient detection and collection of overpayments, the identification of underpayments and the implementation of actions that will prevent future improper payments.

Rate Information For Stakeholders

Emails to Providers and Recent Communications are now located on the Provider News page.

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Billing Manuals Provider Resources Forms
Rates and Fee Schedules Training Provider Bulletins
Provider Web Portal Revalidation Contact Info

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