Colorado Medicaid (Health First Colorado)

MedicaidCO

ABA billing requirements · Source: Colorado HCPF — ABA Services Coverage Policy

Medium confidence

Verified 2026-03-01

Authorization Requirements

Requires prior auth Yes

Initial auth duration6 months

Renewal auth duration6 months

Submission deadlineN/A

Unit tracking cadenceTotal

Requires FBA Yes

Diagnostic eval validityN/A

Re-eval cadenceEvery 6 months

State licensure requiredBCBA state licensure required via CO Division of Regulatory Agencies

Documentation Requirements

Parent signatures required Yes

Start/stop times required Yes

Treatment plan componentsAssessment Tool, Referral for Services, Plan of Care

Progress summary cadenceEvery 6 months

Policy Notes

Age limit: 20 years and younger. Services must meet EPSDT medical necessity criteria. Standardized norm-referenced assessment required. PAR valid for up to 6 months.

CPT & Modifier Rules

CPT rules require a free account

View H-codes, modifiers, unit limits, and billing restrictions for Colorado Medicaid (Health First Colorado).

Official policy source:Colorado HCPF — ABA Services Coverage Policy

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Data last verified: 2026-03-01 · Confidence: Medium · See our methodology

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