The CDA is surveying ALL Colorado dentists (Medicaid and non-Medicaid providers, those who see children and those who don’t) and dental hygienists. The survey results will help the CDA better understand dentists’ experiences with the Take 5/pay-for-performance program to gather data on what influenced them to sign up or not sign up as Medicaid providers when the program was expanded …
Medicaid Provider Rate Review Advisory Committee Seeks Input
The Medicaid Provider Rate Review Advisory Committee (MPRRAC) assists the Department of Health Care Policy and Financing (HCPF) in the review of provider rates to determine whether rates are sufficient to ensure client access and provider retention. Its next meeting is April 3. This year the dental rate codes will be reviewed. Some of the defined goals of this process …
CDA Shares Stories of Coloradans Helped by Medicaid Dental
Medicaid dental coverage has played a key role in improving lives and health across the state. It has improved nutrition. It’s helped women have healthier pregnancies. It’s prevented poor medical outcomes. It’s enabled people to find better jobs and businesses to grow. That’s why the CDA and its dental partners launched in early November the Health First: Dental Is Essential …
Comments Requested on Future of Colorado Medicaid Dental Program
The Colorado Department of Health Care Policy and Financing (HCPF) is looking to assess the continued need, appropriateness, and cost-effectiveness of its rules and determine whether those rules should be continued, modified, or repealed. In regard to the Colorado Medicaid dental program, for both adults and children, dentists who either love or dislike aspects of what’s covered versus not covered …
Medicaid Revises Orthodontic Payment Policy Proposal
In October 2016, Medicaid (now known as Health First Colorado) announced changes to its payment methodology for orthodontic providers, which was met by many concerns within the orthodontist community. Many major issues came up, including potential rate cuts and lack of coverage for denied cases, which are highlighted in an updated bulletin issued in early April. Fortunately, the CDA was …
Medicaid Announces Changes to Orthodontic Billing Policies
In October, Health First Colorado (formerly known as Colorado Medicaid) hosted an orthodontic stakeholder meeting and announced plans to revise the payment methodology for orthodontic services delivered to Medicaid patients. Currently, Health First Colorado pays the full fee for orthodontic services at the time care is initiated. The program plans to transition to a system of multiple payments and incorporate …
New Health First Colorado Provider Enrollment Specialists Are Here to Help You
The Aug. 1 deadline for provider revalidation for Colorado’s Medicaid program, Health First Colorado, has passed, but help is available—from provider enrollment specialists—if you have questions about the process. The Health First Colorado Enrollment and Revalidation Information Center now staffs specialists who can help you with anything from general enrollment questions and questions about the status of your application to …