Colorado Code
Part 4 - Statewide Managed Care System
§ 25.5-5-408. Capitation Payments - Availability of Base Data - Adjustments - Rate Calculation - Capitation Payment Proposal - Preference - Assignment of Medicaid Recipients - Definition






















Source: L. 2006: Entire article added with relocations, p. 1893, § 7, effective July 1. L. 2007: (1)(b) and (9) amended and (12) added, p. 1354, § 4, effective May 29. L. 2008: (1)(a), (2), (6), (7), (8), (9), (10), and (12) amended, p. 400, § 5, effective August 5. L. 2009: (1)(a) amended, (SB 09-265), ch. 205, p. 936, § 4, effective May 1. L. 2010: (1)(a)(II) repealed, (HB 10-1382), ch. 217, p. 939, § 3, effective May 6. L. 2018: (1) amended with relocations, (6), (7), and (9) amended, and (13) added with relocations, (HB 18-1431), ch. 313, p. 1887, § 4, effective August 8. L. 2020: (1)(d) amended, (SB 20-136), ch. 70, p. 289, § 28, effective September 14.


Cross references: For the legislative declaration in SB 20-136, see section 1 of chapter 70, Session Laws of Colorado 2020.

Structure Colorado Code

Colorado Code

Title 25.5 - Health Care Policy and Financing

Article 5 - Colorado Medical Assistance Act - Services and Programs

Part 4 - Statewide Managed Care System

§ 25.5-5-401. Short Title

§ 25.5-5-402. Statewide Managed Care System - Definition - Rules

§ 25.5-5-403. Definitions

§ 25.5-5-406.1. Required Features of Statewide Managed Care System

§ 25.5-5-408. Capitation Payments - Availability of Base Data - Adjustments - Rate Calculation - Capitation Payment Proposal - Preference - Assignment of Medicaid Recipients - Definition

§ 25.5-5-410. Data Collection for Managed Care Programs

§ 25.5-5-412. Program of All-Inclusive Care for the Elderly - Services - Eligibility - Legislative Declaration - Rules - Definitions

§ 25.5-5-414. Telemedicine - Legislative Intent

§ 25.5-5-415. Medicaid Payment Reform and Innovation Pilot Program - Legislative Declaration - Creation - Selection of Payment Projects - Report - Rules

§ 25.5-5-418. Primary Care Provider Sustainability Fund - Creation - Use of Fund

§ 25.5-5-419. Accountable Care Collaborative - Reporting - Rules

§ 25.5-5-420. Advancing Care for Exceptional Kids

§ 25.5-5-421. Parity Reporting - State Department - Public Input

§ 25.5-5-422. Medication-Assisted Treatment - Limitations on Mces - Definition

§ 25.5-5-423. Independent Review Organization - Review Denial of Residential and Inpatient Substance Use Disorder Treatment Claims - Contract

§ 25.5-5-424. Residential and Inpatient Substance Use Disorder Treatment - Mce Standardized Utilization Management Process - Medical Necessity - Report

§ 25.5-5-425. Audit of Mce Denials for Residential and Inpatient Substance Use Disorder Treatment Authorization - Report