07-02-2025
State Medicaid suspends contract with MedRide
(COLORADO) — Colorado's Department of Health Care Policy & Financing (HCPF) said it has suspected MedRide's contract after it allegedly participated in a fraud scheme.
According to HCPF, an initial review of MedRide found significant deficiencies in reimbursement paperwork, including missing member signatures, missing dates and times, and claims forms with missing information from poor scanning. In response to concerns by HCPF, a Corrective Action Plan was put in place that MedRide allegedly failed to comply with.
The Corrective Action Plan required MedRide to hold a meeting in November with HCPF to certify that MedRide understood billing and documentation submission requirements. They also had to submit clean claims with the required supporting documentation for their reimbursements to be paid.
The suspension is set to last for six months while HCPF investigates the alleged fraud, and HCPF may terminate or extend this six-month suspension or terminate MedRide as a provider as the investigation continues.
MedRide is not allowed to provide services, and Medicaid members will need to find an alternate provider. Medicaid members who need assistance can contact the Member Contact Center at 1-(800) 221-3943.
MedRide told FOX21 News it is working with HCPF to resume services and reiterated the suspension was temporary.
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