(I) (A) Evidence that the performance-based payments are designed to achieve budget savings; or
(B) A budget request for costs associated with the performance-based payments;
(II) The estimated performance-based payments compared to total reimbursements for the affected service; and
Source: L. 2017: Entire section added, (HB 17-1353), ch. 231, p. 898, § 3, effective May 23. L. 2018: (1)(d)(II) amended, (HB 18-1431), ch. 313, p. 1892, § 10, effective August 8.
Structure Colorado Code
Title 25.5 - Health Care Policy and Financing
Article 4 - Colorado Medical Assistance Act - General Medical Assistance
Part 4 - Providers - Reimbursement
§ 25.5-4-401. Providers - Payments - Rules
§ 25.5-4-401.2. Performance-Based Payments - Reporting
§ 25.5-4-401.5. Review of Provider Rates - Advisory Committee - Recommendations - Repeal
§ 25.5-4-402. Providers - Hospital Reimbursement - Hospital Review Program - Rules
§ 25.5-4-402.5. Providers - State University Teaching Hospitals
§ 25.5-4-402.8. Hospital Expenditure Report - Definitions
§ 25.5-4-403. Providers - Community Mental Health Center and Clinics - Reimbursement
§ 25.5-4-404. Payments for Clinic Services - Restrictions on Use
§ 25.5-4-405. Mental Health Managed Care Service Providers - Requirements
§ 25.5-4-407. Services by Licensed Psychologists Without a Doctor's Referral
§ 25.5-4-408. Services Provided by Licensed Psychologists - Cost Containment Program
§ 25.5-4-409. Authorization of Services - Nurse Anesthetists - Advanced Practice Nurses
§ 25.5-4-410. Services of Audiologists and Speech Pathologists Without Supervision
§ 25.5-4-411. Authorization of Services Provided by Dental Hygienists
§ 25.5-4-412. Family Planning Services - Family-Planning-Related Services - Rules - Definitions
§ 25.5-4-413. Certain Providers to Inform Patients of Rights Concerning Advance Medical Directives
§ 25.5-4-414. Providers - Physicians - Prohibition of Certain Referrals - Definitions
§ 25.5-4-415. No Public Funds for Abortion - Exception - Definitions - Repeal
§ 25.5-4-416. Providers - Medical Equipment and Supplies - Requirements
§ 25.5-4-417. Provider Fee - Medicaid Providers - State Plan Amendment - Rules - Definitions
§ 25.5-4-420. Providers to Obtain Unique Npi - Service Site - Provider Type - Definitions
§ 25.5-4-423. Targets for Investments in Primary Care
§ 25.5-4-425. Providers - Health-Care Services Related to Labor and Delivery - Reimbursement