As used in this part 4, unless the context otherwise requires:
(1) [ Editor's note: This version of subsection (1) is effective July 1, 2024. ] "Case management agency" has the same meaning as set forth in section 25.5-6-1702 (2).
(2.5) [ Editor's note: This subsection (2.5) is effective July 1, 2024. ] "Entity" has the same meaning as set forth in section 25.5-6-1702 (8).
(b) [ Editor's note: This version of subsection (3.3)(b) is effective July 1, 2024. ] "Person with an intellectual and developmental disability" or "youth with an intellectual and developmental disability" means a person or youth determined by a case management agency to have an intellectual and developmental disability and includes a child with a developmental delay.
(4) [ Editor's note: This version of subsection (4) is effective July 1, 2024. ] "Plan of care" means a coordinated plan of care for provision of services in other than a nursing facility or institutional setting, developed and managed, subject to review and approval pursuant to section 25.5-6-404, by a case management agency for persons with intellectual and developmental disabilities. This plan of care shall fully identify the services to be provided to eligible persons. Prior to the provision of those services, a physician may be required to review an assessment document to insure that it adequately describes the medical needs of the eligible person.
(I) Approved for reimbursement by the federal government; and
(II) Necessary to prevent a person, eligible for services under subsection (2) of this section, from being subjected to placement in an intermediate care facility for individuals with intellectual disabilities.
Source: L. 2006: Entire article added with relocations, p. 1943, § 7, effective July 1. L. 2013: (2)(a)(II), (2)(a)(IV), and (5)(a)(II) amended, (SB 13-167), ch. 394, p. 2294, § 5, effective June 5; (1), (3), IP(5)(a), (5)(a)(II), and (5)(b) amended, (HB 13-1314), ch. 323, p. 1810, § 47, effective March 1, 2014. L. 2014: (3.3) added, (HB 14-1368), ch. 304, p. 1288, § 1, effective May 31. L. 2018: (1), (3.3)(a), and (3.3)(c)(II) amended, (SB 18-074), ch. 98, p. 770, § 2, effective August 8; (3.3)(a) amended, (SB 18-096), ch. 44, p. 474, § 15, effective August 8. L. 2019: (3.3)(a) amended, (SB 19-241), ch. 390, p. 3473, § 40, effective August 2. L. 2021: (1), (3.3)(b), and (4) amended and (2.5) added, (HB 21-1187), ch. 83, p. 334, § 31, effective July 1, 2024.
Cross references: (1) For additional definitions applicable to this part 4, see § 25.5-4-103.
(2) For the legislative declaration in SB 18-096, see section 1 of chapter 44, Session Laws of Colorado 2018.
Structure Colorado Code
Title 25.5 - Health Care Policy and Financing
Article 6 - Colorado Medical Assistance Act - Long-Term Care
§ 25.5-6-402. Legislative Declaration - Prader-Willi Syndrome
§ 25.5-6-405. Relationship to Other Programs
§ 25.5-6-408. Eligibility - Fees
§ 25.5-6-409. Services for Persons With Intellectual and Developmental Disabilities
§ 25.5-6-410. Qualification for Federal Funding