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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


Provider Payment FAQs

 

EFT Information

 

During the transition to the new state's financial system, some of our Medicaid provider electronic funds transfers (EFT) information did not transfer to the new system. This issue is primarily related to those providers that changed banks and submitted new EFT forms after May 9, 2014. The Office of the State Controller and its contractor have identified and are currently working to resolve the issue before the next payments are schedules to be released. The Department understands the impact this issue has had on our providers and appreciates your patience while it’s being resolved.


Dental Providers


For Dental providers interested in becoming a Colorado Medicaid Dental Provider

  • Refer to the enrollment guides, application examples, and Frequently Asked Questions below
  • Click on the Provider Enrollment link at the top of the page when ready to begin an enrollment application
  • Follow all of the applicable instructions for completing the enrollment for your provider type

 

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