On March 1, 2017, the Colorado Department of Health Care Policy and Financing (HCPF) launched a new fiscal agent and “The Colorado interChange”, a new Medicaid Management Information System for claims payment.  HCPF says this new system replaced technology that had been in place for over two decades and will allow implementation of audit recommendations made over the past several years.

The system underwent several hours of testing. In fact, the Department reports there were, overall, more than 200,000 hours of system pilot testing. However, the testing did not apparently catch a list of issues. In many instances, claims are being denied due to system processing errors.  Since The Colorado interChange launched, Health First Colorado (Colorado’s Medicaid program) providers have complained of reimbursement problems threatening their financial sustainability and services continuation. The Colorado Department of Health Care Policy and Financing has instituted interim payments to providers who are facing financial difficulties.

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