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DENVER, CO — Governor Jared Polis signed bipartisan legislation today that will improve Colorado’s Medicaid program. HB25-1213 makes important Medicaid program updates so Coloradans can receive consistent, accessible health care coverage.
“Everyone deserves access to affordable, high-quality health care, and this law makes important administrative and eligibility updates to Colorado’s Medicaid program to improve health care coverage,” said Rep. Lisa Feret, D-Arvada. “By adjusting timelines, cutting red tape, and improving transparency, we can make essential health care more accessible to Coloradans.”
HB25-1213, also sponsored by Representative Ron Weinberg, R-Loveland, will make important improvements to Medicaid coverage in Colorado. To improve access and streamline health care coverage, HB25-1213 makes several administrative, eligibility, billing and review changes to the Medicaid program. This law:
Requires annual technical updates to the billing manual to make it easier and faster to bill and process Medicaid claims.
Requires faster payments to providers when their claims must be reprocessed due to updated provider rates.
Increases transparency by requiring managed care entities, which deliver care to Medicaid recipients, to report on their profits and medical loss ratio and by publishing that information online.
Many Medicaid billing claims require a physician’s signature. The law streamlines access to physical, occupational, or speech therapy by eliminating this requirement for these services.
Requires improved communication with Coloradans in long-term care using Medicaid when the services they receive are being discontinued.
The Congressional Republicans’ tax ploy will have devastating effects on every sector of Colorado’s health care system, including the Colorado hospitals, clinics, and other providers that could lose up to $990 million in annual federal Medicaid funding. The proposed cuts to Medicaid will result in an estimated 140,000-230,000 Coloradans suddenly losing health care coverage.
This law improves Medicaid coverage in Colorado to ensure vulnerable communities can receive the health care coverage they need to lead healthy lives.