Several AOPA members have provided comments in this year’s Colorado Medicaid Provider Rate Review Advisory Committee’s (MPRRAC) quarterly public meetings for DMEPOS rate reviews. With their testimony and other information, the MPRRAC is recommending the following for Colorado Medicaid:
- “Prosthetics: Bring any codes below 80% of the Medicare benchmark up to 80%. All other codes remain as is.”
- “Orthotics: Bring any codes below 80% of the Medicare benchmark up to 80%. Leave any codes above 80% where they are. For codes without benchmark rates, increase 3% to account for inflation”.
Any changes due to the MPRRAC’s recommendations to the Colorado Medicaid fee schedule would be seen in July 2026 after a legislative process. Thank you to all those who provided their expertise and advocacy!