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Colorado Fertility Billing
& IVF Mandate Guide

Comprehensive 2024 mandate covering IVF, IUI, egg freezing, fertility drugs, and embryo storage

Statute
C.R.S. §10-16-104(22) (SB 23-093)
Effective
January 1, 2024
Plans Covered
Fully-insured individual and group health plans

What's Covered Under Colorado's Mandate

Up to 3 IVF cycles; 6 IUI cycles. Always verify individual plan benefit designs at patient intake.

IVF (standard cycles)
✓ Mandated

Up to 3 IVF cycles covered

IUI
✓ Mandated

Up to 6 IUI cycles covered

Egg freezing (oocyte cryopreservation)
✓ Mandated

Fertility preservation covered

Embryo cryopreservation
✓ Mandated

Covered including at least 1 year of storage

Fertility medications
✓ Mandated

Mandated as part of infertility treatment

ICSI
✓ Mandated

Covered when clinically indicated

FET (frozen embryo transfer)
✓ Mandated

Covered as part of IVF benefit

PGT
✗ Not Mandated

Not mandated — payer discretion

Self-funded employer plans (ERISA)
✗ Not Mandated

Exempt from CO state mandate

Colorado Billing Notes

1
New mandate — payer workflows evolving

Colorado's mandate took effect January 1, 2024. Payer benefit designs and prior auth requirements are still being finalized. Confirm current requirements with each payer before initiating a cycle.

2
Anthem CO prior auth

Anthem BCBS Colorado requires prior authorization for IVF and typically reviews clinical documentation including diagnosis, AMH, AFC, and prior treatment history. Allow 2–3 weeks for auth processing.

3
IUI cycle tracking

Colorado mandates up to 6 IUI cycles. Track per patient — bill each IUI with CPT 58321 or 58322 and maintain a utilization log to prevent benefit exhaustion surprises.

4
Kaiser CO in-network restrictions

Kaiser Permanente Colorado patients must receive ART services within the Kaiser system. Out-of-network IVF claims will be denied — verify Kaiser patients require internal referral.

Top Payers in Colorado

Anthem Blue Cross Blue Shield CO
UnitedHealthcare
Cigna
Kaiser Permanente CO
Rocky Mountain Health Plans
Aetna

EasyRCM tip: Payer requirements change frequently. We track prior auth workflows, coverage criteria updates, and denial pattern shifts for every major payer in Colorado — so you don't have to.

Colorado Fertility Billing — FAQ

When did Colorado's IVF mandate start?

Colorado's fertility insurance mandate (SB 23-093) took effect January 1, 2024. It is one of the most recent comprehensive state mandates.

How many IVF and IUI cycles does Colorado cover?

Colorado mandates up to 3 IVF cycles and 6 IUI cycles per patient. Embryo storage for at least 1 year following retrieval is also mandated.

Does Colorado cover egg freezing?

Yes. Colorado's mandate includes coverage for oocyte cryopreservation (egg freezing) as part of fertility preservation. This applies to medically indicated cases.

Billing under Colorado's mandate?

EasyRCM handles fertility billing for practices in Colorado and all 21 mandate states — from eligibility verification and prior auth to denial appeals and A/R recovery.

Book Your Free CO Billing Review →