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Thank you for serving Health First Colorado (Colorado's Medicaid Program) and Child Health Plan Plus (CHP+) members. The Department knows providers will have many questions about COVID-19 and will post updates on policies, codes and other important information to providers on this site. Communications will continue to be sent out via bulletins and newsletters. Please sign up for updates on the Provider News web page.
For information about COVID-19 in Colorado, refer to the Department of Public Health & Environment website. This website includes special resources for health care providers on Patient Evaluation, Testing, Personal Protective Equipment and many more topics.
Provider Enrollment Specialties
For more information on new provider specialties for long-term and temporary enrollment during COVID-19, refer to the Provider Enrollment web page.
A new website, ConnectToCareJobs.com, has been launched to help prevent health care workforce shortages in Colorado during the coronavirus disease (COVID-19) public health emergency and beyond. Focused entirely on health care, ConnectToCareJobs.com quickly connects residential care facilities and providers with health care professionals seeking employment.
New Codes Related to COVID-19:
Effective March 20, 2020, the Colorado interChange has been updated to receive and process claims billed with new HCPCS codes U0001 and U0002 for dates of service on or after February 4, 2020. Providers who test members for the 2019 Novel Coronavirus (COVID-19) using the Centers for Disease Control and Prevention (CDC) 2019 Novel Coronavirus Real Time RT-PCR Diagnostic Test Panel may bill using code U0001. Providers may use code U0002 to bill for non-CDC laboratory tests for COVID-19.
Billing with these specific codes will allow for better tracking of the public health response for COVID-19. Rates for U0001 and U0002 can be found on the Provider Rates & Fee Schedule web page under Health First Colorado Fee Schedule drop-down.
The Colorado interChange has been updated to receive and process claims billed with new CPT code 87635 for the laboratory testing of the novel coronavirus (COVID-19) for dates of service on or after March 13, 2020.
Colorado interChange Update to Receive New CPT Code for Laboratory Testing for COVID-19 was sent out to providers via email on 3/27/20.
The Colorado interChange has been updated to receive and process claims billed with the new ICD-10 code for the diagnosis of COVID-19 U07.1 for dates of service on or after April 1, 2020.
Colorado interChange Update to Receive New ICD-10 Code for COVID-19 was sent out to providers via email on 3/27/20.
New HCPCS codes G2023 and G2024 (used to identify and reimburse specimen collection for COVID-19 testing) have been released for dates of service on or after March 1, 2020. The Colorado interChange has been updated to receive and process claims for these codes.
New HCPCS Codes for Specimen Collection for 2019 Novel Coronavirus (COVID-19) was sent out to providers via email on 4/13/20.
The new ICD-10 code U07.1 for the diagnosis of COVID-19 has been released but will not become effective until April 1, 2020. The Colorado interChange is being updated to accept claims billed with this new ICD-10 code. More information will be provided in future communications.
The 3M software which utilizes the EAPG methodology has been updated to accommodate the new COVID-19 Current Procedural Terminology (CPT) code, Healthcare Common Procedure Coding System (HCPCS) codes, and ICD-10 diagnosis code. The Colorado interChange has been updated accordingly as listed below:
March 30 – Updated to include COVID-19 CPT code 87635 and HCPCS codes U0001 and U0002.
April 29 – Updated to include COVID-19 diagnosis code U07.1.
For more information on EAPG, refer to the IP and OP Hospital Billing Manual under the UB-04 drop-down and Appendix G under the Appendices drop-down on the Billing Manuals web page.
Outpatient Hospital Providers - COVID-19 Update to 3M Enhanced Ambulatory Patient Grouping (EAPG) Grouper was sent out to providers via email on 4/3/20.
For local public health agencies and healthcare providers only:
From Monday through Friday, 8:30 a.m.- 5:00 p.m., please call 303-692-2700.
For after-hours, holidays, and weekends, please call 303-370-9395.
For general questions about COVID-19:
Call CO-HELP at 303-389-1687 or 1-877-462-2911.
Email COHELP@RMPDC.org for answers in English.
Contact the Provider Services Call Center for billing questions.