Colorado Medicaid (Health First Colorado) MNT coverage: codes and limits
The short answerHealth First Colorado's July 2026 fee schedule lists 97802, 97803 and 97804 with a single default rate and no prior authorization flag: 97802 $32.31, 97803 $27.52 and 97804 $13.86 per unit. The schedule shows no age restriction (0 through 999). G0270 and G0271 do not appear on it. Coverage conditions are not in the fee schedule.
By Javier Alvarez · Updated · 1 min read
1 row: Medicaid (by state) · Colorado. Public policy, not the member's benefits.
Colorado Medicaid (Health First Colorado)
Medicaid (HCPF fee schedule, July 2026) · Colorado
| 97802 | Listed (fee schedule line, default rate, no prior authorization flag.) [1] |
|---|---|
| 97803 | Listed (fee schedule line, default rate, no prior authorization flag.) [1] |
| G0270 | Not published |
| G0271 | Not published |
| Where it applies | Health First Colorado fee schedule with rates for dates of service starting July 1, 2026. [1] |
| Diagnoses | Not published: call the payer. |
| Other codes | 97804 (group) is on the schedule at $13.86. G0270 and G0271 are not on the schedule. [1] |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Visit limits | The fee schedule lines show an age range of 0 through 999 and nothing in the Prior Authorization Needed column for 97802, 97803 and 97804. [1] |
| Referral and prior auth | Not published: call the payer. |
| Payment | 97802 $32.31, 97803 $27.52 and 97804 $13.86 (default rate type, July 1, 2026 rates). [1] |
- Colorado HCPF: Health First Colorado Fee Schedule, July 2026 (v1.5 XLSX), checked October 30, 2026
Check a Medicaid claim against the row
Before a Colorado Medicaid (Health First Colorado) claim goes out, compare it with the row above: the code is one the policy lists, the place of service and modifier match for a video visit, and the units fit the limit. Change the filters to compare Medicaid with another payer, then download the PDF of what you see.