Fiscal year 2021-2022 Provider Rate Adjustments

Health First Colorado (Colorado’s Medicaid program) across-the-board provider rate increases were approved during the 2021-2022 legislative session and are effective for dates of service beginning July 1, 2021. All rate adjustments are subject to Centers for Medicare & Medicaid Services (CMS) approval prior to implementation. The fee schedules located on the Provider Rates & Fee Schedule web page have been updated to reflect the approved 2.5% across-theboard (ATB) rate increases. Rates will be updated in the Colorado interChange once approval is received from CMS.

When rate increases are implemented, claims that were already billed and paid at a rate lower than the new rate cannot be adjusted for the higher rate. The “lower of” pricing logic is always used. Providers are advised to bill their usual and customary charges.

Source: https://hcpf.colorado.gov/sites/hcpf/files/Bulletin 0721_B2100465.pdf