Billing Beat

Medicaid Colorado – Co-Pay Regarding COVID-19

October 1, 2022

Providers are reminded that co-pays have been waived due to guidance from the Centers for Medicare and Medicaid Services (CMS) under the American Rescue Plan Act of 2021 (ARPA) for services and treatments related to COVID-19 (including the treatment of conditions that may seriously complicate the treatment of COVID-19).

A co-pay will not be deducted from the claim if ICD-10 diagnosis code B99.9, B94.8, J12.82, M35.81, M35.89, O98.5, R05, R06.02, R50.9, U07.1, U09.9, Z20.822, Z86.16, Z11.52, J18.9, Z13.9, Z11.59, Z20.818, or Z20.828 is entered on the claim. Providers should not charge members co-pays for these services.

Medicaid

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