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Provider Services

Welcome to the Provider Services page for the Colorado Medical Assistance Program. This site contains helpful information for Medical Assistance Program providers and other interested parties. It also provides links to other valuable information.

Please scroll down or click here to access the Colorado Medicaid Fee Schedule information


Please continue to check the Provider Services sections for updated information about the fiscal agent operation and the Colorado Medical Assistance Program.

Billing Manuals

Provider Bulletin

Forms

Provider Enrollment

Frequently Asked Questions (FAQs)

Trainings & Workshops

Web Portal

ACA Resources

Hospitals

ICD-10

NCCI

ColoradoPAR Program

Specifications

EDI Support


 If you are Interested in becoming a Colorado Medicaid Provider...

Please click on the Enrollment tab on the left-hand side of this page.  For Providers not yet enrolled or providers already enrolled in the Colorado Medical Assistance Program please refer to the appropriate Enrollment section.
 


For questions please contact:  
 

Department's Fiscal Agent

Hours of Service

Phone Number

Xerox State Healthcare

8:00 a.m. - 5:00 p.m.

1-800-237-0757 (Toll Free)

 


Valuable Information


New Medicaid Clients Are Looking for Providers – Please Update Provider Contact Information in MMIS

The Department is asking all providers to verify and/or update their information in the Medicaid Management Information System (MMIS) as soon as possible.

With the expansion of Medicaid benefits, Colorado has many new clients looking for a health care provider.

Please be reminded that it is the responsibility of each provider to update their contact information contained in the MMIS. Keeping the information updated also assures that payments and communication are sent timely and appropriately.  

Updating provider information on file with the Department’s fiscal agent, Xerox State Healthcare, is critically important as the information provided (address and phone number in particular) are used in the Department’s Find a Provider web search, which is information maintained in the MMIS. The information on file is only as good as what is provided. Please help with the authenticity of the information by ensuring it is updated and correct. Updating the information in the Colorado Medical Assistance Web Portal (Web Portal) via the (MMIS) Provider Data Maintenance option is the easiest and most efficient method to keep information current. However, submission of a Provider Enrollment Update form is necessary for providers who do not have the capability to make updates through the Web Portal.

Assistance with this process is available by contacting the Department’s fiscal agent at 1-800-237-0757.

Dental Providers
Provider Recruitment Webinar
Medicaid Adult Dental Fee Schedule (04/14)
Provider Frequently Asked Questions

Post Eligibility Treatment of Income: Provider Frequently Asked Questions

 

Family Planning Providers
Family Planning Diagnosis Codes
Family Planning Procedure Codes 

Benefits Collaborative

CHP+ Health Plan Enrollment Verification Fact Sheet

The Accountable Care Collaborative

  

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Colorado Medicaid NCCI Disallowable Code Pairs  - February 14, 2011

 

 

Medicaid Fee Schedules
NF PETI Fee Schedules