Colorado Department of Health Care Policy & Financing (HCPF) Provider Resources

Contacts

Health Policy Office (Acute Home Health/OT/PT/ST/Audiology)

• Section Manager, Policy Innovation & Benefit Management 

Michelle Topkoff - HCPF She Her

• Medicaid Health Policy Specialist, OT/PT/ST/Audiology/Acute Home Health benefits

Devinne Parsons - HCPF

Office of Community Living (Long Term Home Health)

Home Health Policy Advisor (LTHH)

Paul Hutchings - HCPF He Him

Provider News

Subscribe to ongoing provider communications to receive the latest information on key topics here.

Medicaid Provider Rate Review Advisory Committee

Each year the Medicaid Provider Rate Review Advisory Committee (MPRRAC) focuses on a particular scope based on services under review for that year. Services are reviewed on a three-year basis but are subject to change.
MPRRAC

Medical Services Board

The Medical Services Board (MSB) was established by law effective July 1, 1994. It is the responsibility of the Medical Services Board to adopt the rules that govern the Department's programs. The Board has eleven members, with at least one member from each congressional district and no more than six members from the same political party. Members are appointed by the Governor and confirmed by the Senate.

The purpose of the Medical Services Board is to adopt program rules with stakeholder input aligned with HCPF’s mission in the best interest of Coloradans. Learn more here!

Legislator Resource Center

The Department submits multiple reports and responds to legislative requests for information. This resource center includes links to reports, fact sheets, and overviews of the budget process. Click here for more information.

Budget Information

The Governor submits a balanced budget to the legislature on November 1 of each year. This includes requests specific to each department. The submission can be found on this website.

Billing Manuals

Billing manuals provide general information about Health First Colorado to assist enrolled providers with submitting claims for services rendered to Health First Colorado members.

Providers and their staff should familiarize themselves with the manual and refer to it to answer program and billing questions. Using the information in manuals and bulletins helps eliminate program and billing misunderstandings that can result in payment delays, incorrect payments and payment denials, regarding covered services, member eligibility and billing procedures.

The manuals are instructional guides and are not Health First Colorado policy manuals.

To find the billing manual for a specific Fee-for-Service benefit, expand the Professional (CMS-1500) section - click here,