Author Topic: Colorado Medicaid ST reimbursement  (Read 3131 times)

Ryanne

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Colorado Medicaid ST reimbursement
« on: February 21, 2012, 07:19:59 PM »
Does anyone know the reimbursement amounts for Speech Therapy codes 92507 and 92526 for Colorado Medicaid, for children with special needs.  In TX it's CCP program.  I've been on the website and just can't find a reimbursement schedule.  I called the provider line, and after being on hold for over 30 minutes, someone answered and referred me to the website.  I told her I had looked on the website, but couldn't find it and she told me where it was (supposedly) but went back into the website and still couldn't find an actual list of reimbursement amounts.  I have a client moving to Colorado and she wants me to still do her billing, possibly.  She has quite a few patients here in TX and about 2/3 are on Medicaid or have Medicaid as a secondary insurance. 

She mostly treats children who are medically dependent - not necessarily on Medicaid for financial reasons.  Some patients are on Medicaid because of the patient's condition.  She would like to start another practice in Colorado and has asked me to do some research for her. 
I'm wanting to know if the reimbursement is comparable to TX, which is  $34.30 per 15 minuntes.   TX Medicaid requires timed units for Speech therapy, so I have to convert when filing as a secondary, since it's not timed for commercial carriers.
thank you

Michele

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Re: Colorado Medicaid ST reimbursement
« Reply #1 on: February 22, 2012, 05:03:32 PM »
Go to:  http://www.colorado.gov/cs/Satellite/HCPF/HCPF/1197969485906 

Scroll to bottom and click on "Medicaid Fee Schedules"

Then click on July 2011 Fee Schedule Data File

It opens up in Excel.  Make sure you don't have popups blocked.

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Re: Colorado Medicaid ST reimbursement
« Reply #1 on: February 22, 2012, 05:03:32 PM »