CO · guidance
CO HCPF Pediatric Personal Care Benefit Billing Manual — Eligible Providers
EligibleProviders
Physician,eitheraDoctorofMedicine(MD)orDoctorofOsteopathicMedicine(DO)
AdvancedPracticeNurse(APN)
Note:UndertheCentersforMedicare&MedicaidServices(CMS)ConditionsofParticipation,all485PlansofCare–orotherformwithidenticalcontent–mustbesignedbyanMD,DOorAPN.
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PersonalCareservicesmustbebilledusingthe837Professional(837P)transactionorCMS1500form,whichrequiresusingrenderingprovideridentificationnumbers.
ClassBagenciesbillingforPCservicesthroughOnlinePortalmustentertheirbillingNPInumberintheRenderingProviderIDfieldontheDetailLineItemstaborinline24JoftheCMS1500Professionalclaimform.
Eachagency’sspecificbillingnumberwillbeusedtoreimbursetheclaim.
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Provenance
- Source
- hcpf.colorado.gov
- Retrieved
- 2026-07-26
- Edition
- 2026-07-26
- Content hash
dd36ca4938f575284638004edb4c54aecba28d2c2739dd54e4c76c352491f41f
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