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CO HCPF Physician-Administered Drugs (PAD) Billing Manual — PAD Revisions Log
PADRevisionsLog
RevisionDate
Additions/Changes
Madeby
5/4/2020
Manualcreated
HCPF
5/8/2020
ConvertedtoHTML
HCPF
6/1/2020
PADresourcepagelinkandFAQs#13added.
HCPF
8/03/2020
Tableofcontents,NewDrugs,andWastedDrugupdated,RetentionofRecords,AcceptableUse,andExclusionsadded,PharmacyBillingRequirement-Exceptionssectionupdated,EAPGcarve-outchangedtoOutpatientHospitalSpecialtyDrugcarve-out,FAQ#4updated.
HCPF
8/12/2020
Inpatient/OutpatientBillingManualadded,DurableMedicalEquipment,Prosthetics,OrthoticsandSuppliesBillingManualadded,HCPF_Colorado.SMAC@state.co.usupdated.
HCPF
8/21/2020
Updatedemailaddress
HCPF
9/16/2021
UpdatedemailaddresstoHCPF_PAD@state.co.us
HCPF
01/18/2022
UpdatedtheTableofContents,HCPCS/NDCCrosswalkandExclusionssections,PaymentMethodologysection,PharmacyBillingRequirementsandExceptionssections,PADPriorAuthorizationRequirementssection,andadded340BsectionandTemporaryCOVID-19PolicyandBillingInformation.UpdatedFAQs#2,4,8,10,11,and#13;added#12,14,and16.
HCPF
06/21/2022
UpdatedtheTableofContents,HCPCS/NDCCrosswalkadditionrequestsaddedtoHCPCS/NDCCrosswalksection,andFamilyPlanningExpansionaddedtoClaimSubmissionRequirementssection.
HCPF
9/1/2022
UpdatedtheTableofContents,addedPADPAadditionalinformation(OPspecialtydrugpolicy,unitsrequestedonthePA,retroactivePARs,andPAsubmission),addedCoordinationofBenefitssection,addedsectiontitleOtherMethodologiesunderPaymentMethodologiessection,addedDMEPOSsectionunderPharmacyBillingRequirements.
HCPF
10/14/2022
RemovedPhoneNumberReferencesandchangedGainwellTechnologiesmentionstoahyperlinkofProviderServicesCallCenter
HCPF
2/23/2023
AddedNoCOVID-19monoclonalantibodyEUAsintheUnitedStatesandminoredits
HCPF
4/11/2023
UpdatedURLs
HCPF
12/19/2023
TableofContents,RetentionofRecords,HCPCS/NDCCrosswalk,Exclusions,PADPriorAuthorizationInformation,UnitsRequestedonthePA,RetroactivePARs,OtherTPL,HospitalSpecialtyDrugPolicy,PaymentMethodologies,OtherMethodologies,WastedDrug,ClaimSubmissionRequirements,FamilyPlanningExpansion,andPADFAQs#2,4,6,7,8,10,13,and14updated.DuplicateReimbursementPaymentsandOpioidTreatmentProviders:Take-HomeBuprenorphinesectionsadded.
HCPF
3/1/2024
TableofContents,RecordKeepingandRetention
HCPF
7/28/2025
UpdatedHospitalSpecialtyDrugsectionandremovedTemporaryCOVID-19PolicyandBillingInformationsection
HCPF
07/20/2026
AddedProgramIntegrityandCompliancesection
HCPF
Backtotop
Provenance
- Source
- hcpf.colorado.gov
- Retrieved
- 2026-07-26
- Edition
- 2026-07-26
- Content hash
715bd04a756b7f7eedefd5a1a458e93ece9cd5f860f123fd6d75a62ea824ad9b
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