Colorado Health First Colorado Behavioral Health Billing: Manuals, Codes and Payers
Colorado Medicaid is called Health First Colorado. Behavioral health is paid through Regional Accountable Entities, and the state publishes billing manuals for standard behavioral health services. This page lists the manuals and the payers. Checked against state sources on 9/30/26.
Get My Free ConsultationIn this guide
- ✓ HCPF billing manuals and fee schedules
- ✓ The four Regional Accountable Entities
- ✓ Behavioral health administrative service organizations
- ✓ The 2025 Phase III change
Colorado Medicaid Billing at a glance
This page covers colorado medicaid billing for behavioral health claims: where the state provider manuals and code lists live, and which HCPCS codes apply to psychotherapists and psychiatrists. Rules vary by state and by payer, so confirm current requirements with the state Medicaid agency before you bill.
Use this Colorado Medicaid Billing guide as a starting point. Colorado Medicaid Billing rules differ by plan, so check whether a claim goes to the state fee-for-service program or to a managed care plan. Keep a copy of the current Colorado Medicaid Billing manual your practice follows, and review your Colorado Medicaid Billing process whenever the state issues an update.
Colorado Medicaid at a glance
State manuals and fee schedules
| Document | What it covers |
|---|---|
| Colorado HCPF | The state Medicaid agency. |
| HCPF billing manuals | Index of all billing manuals. |
| Standard Behavioral Health Services (SBHS) billing manual | The behavioral health billing manual; HCPF lists an August 2026 edition. |
| Provider rates and fee schedule | Current rates. |
| Accountable Care Collaborative Phase III | The RAE program and region map. |
Managed care plans and payer sites
Under Phase III there are four RAEs, one per region. Older pages that list seven regions are out of date.
| Payer | Provider site |
|---|---|
| Region 1: Rocky Mountain Health Plans | rmhp.org |
| Region 2: Northeast Health Partners | Provider site |
| Region 3: Colorado Community Health Alliance | Provider site |
| Region 4: Colorado Access | Providers |
| Behavioral health administrative service organizations (Behavioral Health Administration) | BHA BHASO page |
The BHASO for Region 1 is Rocky Mountain Health Plans and for Regions 2 to 4 is Signal Behavioral Health Network, per the Behavioral Health Administration.
What is changing
- Accountable Care Collaborative Phase III started 7/1/2025 with four RAEs. The map is a known moving target, so reconfirm it.
- The BHASO system launched 7/1/2025.
Current as of 9/30/2026. Reconfirm before you bill.
Colorado Medicaid billing: frequently asked questions
What is a Regional Accountable Entity?
A RAE is the organization that coordinates care and pays for behavioral health for Health First Colorado members in its region. Colorado has four under Phase III.
Where is Colorado's behavioral health billing manual?
HCPF publishes the Standard Behavioral Health Services billing manual. Start from its billing manuals index.
Which Colorado regions are there now?
Four, starting 7/1/2025: Rocky Mountain Health Plans, Northeast Health Partners, Colorado Community Health Alliance and Colorado Access.
Where this information comes from
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