Colorado Code
Title 25.5 - Health Care Policy and Financing

§ 25.5-1-104. Department of Health Care Policy and Financing Created - Executive Director - Powers, Duties, and Functions - Source: L. 93: Entire title added, p. 1098, § 15,...

§ 25.5-1-105. Transfer of Functions - Source: L. 93: Entire title added, p. 1099, § 15,...

§ 25.5-1-105.5. Chief Medical Officer - Qualifications - Source: L. 2007: Entire section added, p. 1492, § 3,...

§ 25.5-1-106. Restructure of Health and Human Services - Development of Plan - Participation of Department Required. (Deleted by Amendment) - Source: L. 93: Entire title added, p. 1101, § 15,...

§ 25.5-1-107. Final Agency Action - Administrative Law Judge - Authority of Executive Director - Source: L. 93: Entire title added, p. 1101, § 15,...

§ 25.5-1-108. Executive Director - Rules - Source: L. 94: Entire section added, p. 1556, § 1,...

§ 25.5-1-109. Department of Health Care Policy and Financing Cash Fund - All moneys collected by the state department as fees or...

§ 25.5-1-109.5. Clinical Standards - Development - Source: L. 2007: Entire section added, p. 1495, § 9,...

§ 25.5-1-111. Waiver Applications - Authorization. (Deleted by Amendment) - Source: L. 2002: Entire section added, p. 1308, § 27,...

§ 25.5-1-113. Federal Authorization - Repeal. (Deleted by Amendment) - Source: L. 2005: Entire section added, p. 1230, § 9,...

§ 25.5-1-114. Grants-in-Aid - County Supervision - Source: L. 2006: Entire part amended, p. 1787, § 1,...

§ 25.5-1-114.5. Medicaid Fraud Detection - Request for Information - Source: L. 2013: Entire section added, (SB 13-137), ch. 285,...

§ 25.5-1-115. Locating Violators - Recoveries - Source: L. 2006: Entire part amended, p. 1788, § 1,...

§ 25.5-1-115.5. Medical Assistance Fraud - Report - Source: L. 2012: Entire section added, (SB 12-060), ch. 166,...

§ 25.5-1-116. Records Confidential - Authorization to Obtain Records of Assets - Release of Location Information to Law Enforcement Agencies - Outstanding Felony Arrest Warrants - (4) [ Editor's note: This version of subsection (4) is...

§ 25.5-1-117. County Departments - District Departments - (2) [ Editor's note: This version of subsection (2) is...

§ 25.5-1-118. Duties of County Departments - Source: L. 2006: Entire part amended, p. 1793, § 1,...

§ 25.5-1-119. County Staff - The county director, with the approval of the county board,...

§ 25.5-1-120. Appropriations - Source: L. 2006: Entire part amended, p. 1793, § 1,...

§ 25.5-1-121. County Expenditures - Advancements - Procedures - Source: L. 2006: Entire part amended, p. 1794, § 1,...

§ 25.5-1-122. County Appropriation Increases - Limitations - Source: L. 2006: Entire part amended, p. 1795, § 1,...

§ 25.5-1-123. Medical Homes for Children - Legislative Declaration - Duties of the Department - Source: L. 2007: Entire section added, p. 1488, § 2,...

§ 25.5-1-124. Early Intervention Payment System - Participation by State Department - Rules - Source: L. 2007: Entire section added, p. 888, § 2,...

§ 25.5-1-126. Discounted Prices for Durable Medical Equipment and Supplies - Source: L. 2010: Entire section added, (HB 10-1029), ch. 219,...

§ 25.5-1-127. Third-Party Benefit Denials Information - The state department shall provide information to recipients of benefits...

§ 25.5-1-128. Provider Payments - Compliance With State Fiscal Requirements - Definitions - Rules - Source: L. 2012: Entire section added, (HB 12-1054), ch. 14,...

§ 25.5-1-129. State Department Proposal - State Option for Health-Care Coverage - Report to General Assembly - Waiver Authorization - Legislative Declaration - Source: L. 2019: Entire section added, (HB 19-1004), ch. 206,...

§ 25.5-1-130. Improving Access to Behavioral Health Services for Individuals at Risk of Entering the Criminal or Juvenile Justice System - Duties of the State Department - Source: L. 2019: Entire section added, (SB 19-222), ch. 226,...

§ 25.5-1-131. Insurance Ombudsman - Consumer Advocate - Duties - Source: L. 2021: Entire section added, (HB 21-1232), ch. 241,...

Part 2 - Programs to Be Administered by the Department

§ 25.5-1-201. Programs to Be Administered by the Department of Health Care Policy and Financing - Source: L. 93: Entire title added, p. 1102, § 15,...

§ 25.5-1-203. Prescription Drug Information and Technical Assistance Program - Expansion - The state department may expand the prescription drug information and...

§ 25.5-1-204. Advisory Committee to Oversee the All-Payer Health Claims Database - Creation - Members - Duties - Legislative Declaration - Rules - Report - Source: L. 2010: Entire section added, (HB 10-1330), ch. 299,...

§ 25.5-1-204.5. All-Payer Health Claims Database Scholarship Grant Program - Creation - Definitions - Source: L. 2018: Entire section added, (HB 18-1327), ch. 150,...

§ 25.5-1-205. Providing for the Efficient Provision of Health Care Through State-Supervised Cooperative Action - Rules - Source: L. 2012: Entire section added, (HB 12-1281), ch. 246,...

§ 25.5-1-206. School-Based Substance Abuse Prevention and Intervention Program - Creation - Reporting - Legislative Declaration - Definitions - Source: L. 2014: Entire section added, (SB 14-215), ch. 352,...

Part 3 - Medical Services Board

§ 25.5-1-301. Medical Services Board - Creation - Source: L. 94: Entire part added, p. 1557, § 2,...

§ 25.5-1-302. Medical Services Board - Organization - Source: L. 94: Entire part added, p. 1557, § 2,...

§ 25.5-1-303. Powers and Duties of the Board - Scope of Authority - Rules - Source: L. 94: Entire part added, p. 1558, § 2,...

§ 25.5-1-304. Repeal of Part. (Deleted by Amendment) - Source: L. 94: Entire part added, p. 1559, § 2,...

Part 6 - Commission on Family Medicine

§ 25.5-1-601. Legislative Declaration - Source: L. 2017: Entire part added, (HB 17-1024), ch. 7,...

§ 25.5-1-602. Commission Created - Composition - Terms of Office - Source: L. 2017: Entire part added, (HB 17-1024), ch. 7,...

§ 25.5-1-603. Duties of Commission - Reporting - Source: L. 2017: Entire part added, (HB 17-1024), ch. 7,...

Part 7 - Health-Care Providers' Accountability to Communities

§ 25.5-1-701. Definitions - As used in this part 7, unless the context otherwise...

§ 25.5-1-702. Hospitals - Public Community Meeting Requirement - Source: L. 2019: Entire part added, (HB 19-1320), ch. 191,...

§ 25.5-1-703. Hospitals - Community Health Needs Assessments - Community Benefit Implementation Plans - Reports - Rules - Source: L. 2019: Entire part added, (HB 19-1320), ch. 191,...

Part 8 - Medicaid Nonmedical and Nonemergency Medical Transportation

§ 25.5-1-801. Definitions - As used in this section, unless the context otherwise requires:...

§ 25.5-1-802. Medicaid Transportation Services - Safety and Oversight - Rules - Source: L. 2021: Entire part added, (HB 21-1206), ch. 381,...

Article 2 - State-Funded Health and Medical Care

§ 25.5-2-101. Old Age Pension Health and Medical Care Fund - Supplemental Old Age Pension Health and Medical Care Fund - Cash System of Accounting - Legislative Declaration - Rules - Source: L. 2006: Entire article amended with relocations, p. 1800,...

§ 25.5-2-103. Reproductive Health-Care Program - Report - Rules - Definitions - Source: L. 2021: Entire section added, (SB 21-009), ch. 430,...

Article 2.5 - Prescription Drugs

Part 1 - Colorado Cares Rx Act

§ 25.5-2.5-101. Short Title - The short title of this part 1 is the "Colorado...

§ 25.5-2.5-102. Legislative Declaration - Source: L. 2007: Entire article added, p. 1, § 1,...

§ 25.5-2.5-103. Lower-Cost Prescription Drugs - Information - Research - Reporting - Source: L. 2007: Entire article added, p. 2, § 1,...

Part 2 - Canadian Prescription Drug Importation Program

§ 25.5-2.5-201. Short Title - The short title of this part 2 is the "Dr....

§ 25.5-2.5-202. Definitions - As used in this part 2, unless the context otherwise...

§ 25.5-2.5-203. Canadian Prescription Drug Importation Program - Created - Importation Process - Contract With Vendor - Vendor Duties - Source: L. 2019: Entire part added, (SB 19-005), ch. 184,...

§ 25.5-2.5-204. Eligible Prescription Drugs - Eligible Canadian Suppliers - Eligible Importers - Distribution Requirements - Source: L. 2019: Entire part added, (SB 19-005), ch. 184,...

§ 25.5-2.5-205. Federal Approval - Source: L. 2019: Entire part added, (SB 19-005), ch. 184,...

§ 25.5-2.5-206. Reports - Source: L. 2019: Entire part added, (SB 19-005), ch. 184,...

§ 25.5-2.5-207. Importation Program Authorized - Rules - Source: L. 2019: Entire part added, (SB 19-005), ch. 184,...

§ 25.5-2.5-208. Expansion of Program to Include Additional Foreign Suppliers - Federal Action Required - Notice to General Assembly - Source: L. 2021: Entire section added, (SB 21-123), ch. 57,...

Article 3 - Indigent Care

Part 1 - Colorado Indigent Care Program

§ 25.5-3-101. Short Title - This part 1 shall be known and may be cited...

§ 25.5-3-102. Legislative Declaration - Source: L. 2006: Entire article amended with relocations, p. 1802,...

§ 25.5-3-103. Definitions - As used in this part 1, unless the context otherwise...

§ 25.5-3-104. Program for the Medically Indigent Established - Eligibility - Rules - Source: L. 2006: Entire section amended, p. 1606, § 2,...

§ 25.5-3-105. Eligibility of Legal Immigrants for Services - A legal immigrant who is a resident of the state...

§ 25.5-3-106. No Public Funds for Abortion - Exception - Definitions - Repeal - Source: L. 2006: Entire article amended with relocations, p. 1804,...

§ 25.5-3-107. Report Concerning the Program - Notwithstanding the provisions of section 24-1-136 (11)(a)(I), the executive director...

§ 25.5-3-108. Responsibility of the Department of Health Care Policy and Financing - Provider Reimbursement - Repeal - Source: L. 2006: (1) amended and (16) added, p. 1606,...

§ 25.5-3-109. Appropriations - The general assembly shall make annual appropriations to the state...

§ 25.5-3-110. Effect of Part 1 - This part 1 shall not affect the department of human...

§ 25.5-3-111. Penalties - [ Editor's note: This version of this section is effective...

§ 25.5-3-112. Health Care Services Fund - Creation - State Plan Amendment - Primary Care Special Distribution Fund - (1.5) Notwithstanding any provision of subsection (1) of this section...

Part 3 - Comprehensive Primary Care Services

§ 25.5-3-301. Definitions - As used in this part 3, unless the context otherwise...

§ 25.5-3-302. Annual Allocation - Primary Care Services - Qualified Provider - Rules - Source: L. 2012: Entire part RC&RE, (HB 12-1203), ch. 5,...

§ 25.5-3-303. Consultation - At least annually, the state department shall consult with representatives...

Part 4 - Colorado Dental Health Care Program for Low-Income Seniors

§ 25.5-3-401. Short Title - This part 4 is known as and may be cited...

§ 25.5-3-402. Legislative Declaration - Source: L. 2014: Entire part added, (SB 14-180), ch. 314,...

§ 25.5-3-403. Definitions - As used in this part 4, unless the context otherwise...

§ 25.5-3-404. Colorado Dental Health Care Program for Low-Income Seniors - Rules - Source: L. 2014: Entire part added, (SB 14-180), ch. 314,...

§ 25.5-3-405. Program Reporting - Source: L. 2014: Entire part added, (SB 14-180), ch. 314,...

§ 25.5-3-406. Senior Dental Advisory Committee - Creation - Duties - Repeal - Source: L. 2014: Entire part added, (SB 14-180), ch. 314,...

Part 5 - Health-Care Billing for Indigent Patients Receiving Services Not Reimbursed Through the Colorado Indigent Care Program

§ 25.5-3-501. Definitions - As used in this part 5, unless the context otherwise...

§ 25.5-3-502. Requirement to Screen Patients for Eligibility for Public Health-Care Programs and Discounted Care - Rules - Source: L. 2021: Entire part added, (HB 21-1198), ch. 435,...

§ 25.5-3-503. Health-Care Discounts on Services Not Eligible for Colorado Indigent Care Program Reimbursement - Source: L. 2021: Entire part added, (HB 21-1198), ch. 435,...

§ 25.5-3-504. Notification of Patients' Rights - Source: L. 2021: Entire part added, (HB 21-1198), ch. 435,...

§ 25.5-3-505. Health-Care Facility Reporting Requirements - Agency Enforcement - Report - Rules - Source: L. 2021: Entire part added, (HB 21-1198), ch. 435,...

§ 25.5-3-506. Limitations on Collection Actions - Private Enforcement - Source: L. 2021: Entire part added, (HB 21-1198), ch. 435,...

Article 4 - Colorado Medical Assistance Act - General Medical Assistance

Part 1 - General Provisions

§ 25.5-4-101. Short Title - This article and articles 5 and 6 of this title...

§ 25.5-4-102. Legislative Declaration - It is the purpose of the "Colorado Medical Assistance Act"...

§ 25.5-4-103. Definitions - As used in this article 4 and articles 5 and...

§ 25.5-4-104. Program of Medical Assistance - Single State Agency - Source: L. 2006: Entire article added with relocations, p. 1819,...

§ 25.5-4-105. Federal Requirements Under Title Xix - Nothing in this article or articles 5 and 6 of...

§ 25.5-4-106. Cooperation With Federal Government - Grants-in-Aid - Cooperation With the State Department of Human Services in Delivery of Services - Source: L. 2006: Entire article added with relocations, p. 1820,...

§ 25.5-4-107. Retaliation Definition - Source: L. 2006: Entire section added, p. 1019, § 1,...

Part 2 - Administration

§ 25.5-4-201. Cash System of Accounting - Financial Administration of Medical Services Premiums - Medical Programs Administered by Department of Human Services - Federal Contributions - Rules - Source: L. 2006: Entire section amended, p. 917, § 1,...

§ 25.5-4-203. Advisory Council Established - There is hereby created a state medical assistance and services...

§ 25.5-4-204. Automated Medical Assistance Administration - Source: L. 2006: Entire article added with relocations, p. 1822,...

§ 25.5-4-205. Application - Verification of Eligibility - Demonstration Project - Rules - (I.5) (A) If the state department determines that a recipient...

§ 25.5-4-205.5. Confined Persons - Suspension of Benefits - Source: L. 2008: Entire section added, p. 903, § 1,...

§ 25.5-4-206. Reimbursement to Counties - Costs of Administration - The state department shall reimburse the county departments for costs...

§ 25.5-4-207. Appeals - Rules - Applicability - Source: L. 2006: Entire article added with relocations, p. 1825,...

§ 25.5-4-208. County Duties - Transitional Medicaid - County departments shall assist families in completing the reporting requirements...

§ 25.5-4-209. Payments by Third Parties - Copayments by Recipients - Review - Appeal - Children's Waiting List Reduction Fund - (A) The identification of persons eligible to receive medical assistance,...

§ 25.5-4-210. Purchase of Health Insurance for Recipients - Source: L. 2006: Entire article added with relocations, p. 1828,...

§ 25.5-4-211. Medicaid Management Information System - Appropriation in Annual General Appropriation Act - Expenditure in Next Fiscal Year - Source: L. 2013: Entire section added, (HB 13-1281), ch. 205,...

§ 25.5-4-212. Medicaid Client Correspondence Improvement Process - Legislative Declaration - Definition - Source: L. 2017: Entire section added, (SB 17-121), ch. 303,...

§ 25.5-4-213. Audit of Medicaid Client Correspondence - Definition - Source: L. 2017: Entire section added, (HB 17-1143), ch. 67,...

Part 3 - Recovery

§ 25.5-4-300.4. Last Resort for Payment - Legislative Intent - It is the intent of the general assembly that medicaid...

§ 25.5-4-300.7. Prevention of Coding Errors - Prepayment Review of Claims - Source: L. 2010: Entire section added, (SB 10-167), ch. 296,...

§ 25.5-4-300.9. Explanation of Benefits - Medicaid Recipients - Legislative Declaration - Source: L. 2016: Entire section added, (SB 16-120), ch. 254,...

§ 25.5-4-301. Recoveries - Overpayments - Penalties - Interest - Adjustments - Liens - Review or Audit Procedures - (II.5) (A) A provider of medical services who bills or...

§ 25.5-4-302. Recovery of Assets - Source: L. 2006: Entire article added with relocations, p. 1836,...

§ 25.5-4-303. State Income Tax Refund Intercept - Garnishment of Earning - Failure to Provide Medical Support for Child - Source: L. 2006: Entire article added with relocations, p. 1838,...

§ 25.5-4-303.3. Provider Fraud - Attorney General Report - Source: L. 2012: Entire section added, (SB 12-060), ch. 166,...

§ 25.5-4-303.5. Short Title - This section and sections 25.5-4-304 to 25.5-4-310 shall be known...

§ 25.5-4-304. Definitions - As used in sections 25.5-4-303.5 to 25.5-4-309, unless the context...

§ 25.5-4-305. False Medicaid Claims - Liability for Certain Acts - Source: L. 2006: Entire article added with relocations, p. 1839,...

§ 25.5-4-306. Civil Actions for False Medicaid Claims - Source: L. 2006: Entire article added with relocations, p. 1840,...

§ 25.5-4-307. False Medicaid Claims Procedures - Statute of Limitations - Source: L. 2010: Entire section added, (SB 10-167), ch. 296,...

§ 25.5-4-308. False Medicaid Claims Jurisdiction - An action under section 25.5-4-306 may be brought in any...

§ 25.5-4-309. False Medicaid Claims Civil Investigation Demands - Source: L. 2010: Entire section added, (SB 10-167), ch. 296,...

§ 25.5-4-310. Medicaid False Claims Report - Source: L. 2010: Entire section added, (SB 10-167), ch. 296,...

Part 4 - Providers - Reimbursement

§ 25.5-4-401. Providers - Payments - Rules - Source: L. 2006: Entire article added with relocations, p. 1841,...

§ 25.5-4-401.2. Performance-Based Payments - Reporting - (I) (A) Evidence that the performance-based payments are designed to...

§ 25.5-4-401.5. Review of Provider Rates - Advisory Committee - Recommendations - Repeal - (D) [ Editor's note: This version of subsection (3)(b)(III)(D) is...

§ 25.5-4-402. Providers - Hospital Reimbursement - Hospital Review Program - Rules - Source: L. 2006: Entire article added with relocations, p. 1844,...

§ 25.5-4-402.4. Hospitals - Healthcare Affordability and Sustainability Fee - Legislative Declaration - Colorado Healthcare Affordability and Sustainability Enterprise - Federal Waiver - Fund Created - Rules - Reports - Repeal - (II.3) (A) For state fiscal years 2019-20, 2020-21, and any...

§ 25.5-4-402.5. Providers - State University Teaching Hospitals - Subject to appropriations by the general assembly, the state department...

§ 25.5-4-402.8. Hospital Expenditure Report - Definitions - (I) The public health care and human services committee of...

§ 25.5-4-403. Providers - Community Mental Health Center and Clinics - Reimbursement - For the purpose of reimbursing community mental health center and...

§ 25.5-4-404. Payments for Clinic Services - Restrictions on Use - All payments received by county or district public health agencies...

§ 25.5-4-405. Mental Health Managed Care Service Providers - Requirements - (1.5) Each contract between the state department and a managed...

§ 25.5-4-406. Rate Setting - Medicaid Residential Treatment Service Providers - Monitoring and Auditing - Report - Source: L. 2006: Entire article added with relocations, p. 1845,...

§ 25.5-4-407. Services by Licensed Psychologists Without a Doctor's Referral - The executive director of the state department may authorize the...

§ 25.5-4-408. Services Provided by Licensed Psychologists - Cost Containment Program - Source: L. 2006: Entire article added with relocations, p. 1846,...

§ 25.5-4-409. Authorization of Services - Nurse Anesthetists - Advanced Practice Nurses - Source: L. 2006: Entire article added with relocations, p. 1846,...

§ 25.5-4-410. Services of Audiologists and Speech Pathologists Without Supervision - Source: L. 2006: Entire article added with relocations, p. 1847,...

§ 25.5-4-411. Authorization of Services Provided by Dental Hygienists - Source: L. 2006: Entire article added with relocations, p. 1847,...

§ 25.5-4-412. Family Planning Services - Family-Planning-Related Services - Rules - Definitions - Source: L. 2006: Entire article added with relocations, p. 1848,...

§ 25.5-4-413. Certain Providers to Inform Patients of Rights Concerning Advance Medical Directives - Source: L. 2006: Entire article added with relocations, p. 1848,...

§ 25.5-4-414. Providers - Physicians - Prohibition of Certain Referrals - Definitions - Source: L. 2006: Entire article added with relocations, p. 1849,...

§ 25.5-4-415. No Public Funds for Abortion - Exception - Definitions - Repeal - Source: L. 2006: Entire article added with relocations, p. 1851,...

§ 25.5-4-416. Providers - Medical Equipment and Supplies - Requirements - Source: L. 2006: Entire section added, p. 525, § 1,...

§ 25.5-4-417. Provider Fee - Medicaid Providers - State Plan Amendment - Rules - Definitions - Source: L. 2006: Entire section added, p. 887, § 2,...

§ 25.5-4-420. Providers to Obtain Unique Npi - Service Site - Provider Type - Definitions - Source: L. 2018: Entire section added, (HB 18-1282), ch. 158,...

§ 25.5-4-422. Cost Control - Legislative Intent - Use of Technology - Stakeholder Feedback - Reporting - Rules - Source: L. 2018: Entire section added, (SB 18-266), ch. 264,...

§ 25.5-4-423. Targets for Investments in Primary Care - The state department shall adopt appropriate targets for investments in...

§ 25.5-4-424. State Payments to Qualified Hospice Providers - Dually Eligible Persons - No Federal Financial Participation - Rules - Legislative Declaration - Definitions - Repeal - Source: L. 2021: Entire section added, (SB 21-214), ch. 89,...

§ 25.5-4-425. Providers - Health-Care Services Related to Labor and Delivery - Reimbursement - Source: L. 2021: Entire section added, (SB 21-194), ch. 434,...

Part 5 - State Plan Amendments - Waiver Authority

§ 25.5-4-503. Waiver Applications - Authorization - The state department is authorized to apply for health insurance...

Article 5 - Colorado Medical Assistance Act - Services and Programs

Part 1 - Mandatory Provisions

§ 25.5-5-101. Mandatory Provisions - Eligible Groups - Source: L. 2006: Entire article added with relocations, p. 1854,...

§ 25.5-5-102. Basic Services for the Categorically Needy - Mandated Services - Source: L. 2006: Entire article added with relocations, p. 1856,...

§ 25.5-5-103. Mandated Programs With Special State Provisions - Rules - Source: L. 2006: Entire article added with relocations, p. 1856,...

§ 25.5-5-104. Qualified Medicare Beneficiaries - Qualified medicare beneficiaries are medicare-eligible individuals with income and resources...

§ 25.5-5-105. Qualified Disabled and Working Individuals - Qualified disabled and working individuals are persons with income and...

Part 2 - Optional Provisions

§ 25.5-5-201. Optional Provisions - Optional Groups - Source: L. 2006: Entire article added with relocations, p. 1858,...

§ 25.5-5-202. Basic Services for the Categorically Needy - Optional Services - Source: L. 2006: Entire article added with relocations, p. 1860,...

§ 25.5-5-203. Optional Programs With Special State Provisions - Source: L. 2006: Entire article added with relocations, p. 1862,...

§ 25.5-5-204. Presumptive Eligibility - Pregnant Women - Children - Long-Term Care - State Plan - (2.5) A child under the age of eighteen years shall...

§ 25.5-5-204.5. Continuous Eligibility - Children - Source: L. 2009: Entire section added, (HB 09-1293), ch. 152,...

§ 25.5-5-206. Medicaid Buy-in Program - Disabled Children - Disabled Adults - Federal Authorization - Rules - Source: L. 2009: Entire section added, (HB 09-1293), ch. 152,...

§ 25.5-5-207. Adult Dental Benefit - Adult Dental Fund - Creation - Legislative Declaration - (2.5) Repealed. Source: L. 2013: Entire section added, (SB 13-242),...

§ 25.5-5-208. Additional Services - Training - Grants - Screening, Brief Intervention, and Referral - Source: L. 2015: Entire section added, (HB 15-1367), ch. 271,...

Part 3 - Services With Special State Provisions

§ 25.5-5-301. Clinic Services - (b) [ Editor's note: This version of subsection (2)(b) is...

§ 25.5-5-302. Clinic Services - Children and Pregnant Women - Utilization of Certain Providers - Source: L. 2006: Entire article added with relocations, p. 1867,...

§ 25.5-5-303. Private-Duty Nursing - Source: L. 2006: Entire article added with relocations, p. 1867,...

§ 25.5-5-304. Hospice Care - Source: L. 2006: Entire article added with relocations, p. 1868,...

§ 25.5-5-305. Pediatric Hospice Care - Legislative Declaration - Federal Authorization - Rules - Fund - Source: L. 2006: Entire article added with relocations, p. 1868,...

§ 25.5-5-307. Child Mental Health Treatment and Family Support Program - Source: L. 2006: Entire article added with relocations, p. 1872,...

§ 25.5-5-308. Breast and Cervical Cancer Prevention and Treatment Program - Creation - Legislative Declaration - Definitions - Funds - Repeal - Source: L. 2006: (8) amended, p. 1117, § 2, effective...

§ 25.5-5-309. Pregnant Women - Needs Assessment - Referral to Treatment Program - Definition - Source: L. 2006: Entire article added with relocations, p. 1875,...

§ 25.5-5-310. Treatment Program for High-Risk Pregnant and Parenting Women - Cooperation With Private Entities - Definition - Source: L. 2006: Entire article added with relocations, p. 1875,...

§ 25.5-5-311. Treatment Program for High-Risk Pregnant and Parenting Women - Data Collection - The state department, in cooperation with the department of human...

§ 25.5-5-312. Treatment Program for High-Risk Pregnant and Parenting Women - Extended Coverage - Federal Approval - Source: L. 2006: Entire article added with relocations, p. 1876,...

§ 25.5-5-314. Substance Use Disorder Treatment for Native Americans - Federal Approval - Source: L. 2006: Entire article added with relocations, p. 1876,...

§ 25.5-5-315. Acceptance of Gifts, Grants, and Donations - Native American Substance Abuse Treatment Cash Fund - Source: L. 2006: Entire article added with relocations, p. 1876,...

§ 25.5-5-316. Legislative Declaration - State Department - Disease Management Programs Authorization - Report - Source: L. 2006: Entire article added with relocations, p. 1877,...

§ 25.5-5-318. Health Services - Provision by School Districts - Repeal - Source: L. 2006: Entire article added with relocations, p. 1878,...

§ 25.5-5-319. Family Planning Pilot Program - Rules - Federal Waiver - Repeal - Source: L. 2006: Entire article added with relocations, p. 1882,...

§ 25.5-5-320. Telemedicine - Reimbursement - Disclosure Statement - Rules - Definition - Repeal - (2.1) For the purposes of reimbursement for services provided by...

§ 25.5-5-321. Telemedicine - Home Health Care - Home Health Telemedicine Cash Fund - Rules - Repeal - (I) That the patient retains the option to refuse the...

§ 25.5-5-321.5. Telehealth - Interim Therapeutic Restorations - Reimbursement - Definitions - Source: L. 2015: Entire section added, (HB 15-1309), ch. 326,...

§ 25.5-5-322. Over-the-Counter Medications - Rules - Source: L. 2010: Entire section added, (SB 10-117), ch. 227,...

§ 25.5-5-323. Complex Rehabilitation Technology - Legislative Declaration - Definitions - Source: L. 2014: Entire section added, (HB 14-1211), ch. 253,...

§ 25.5-5-324. Nonemergency Medical Transportation - Urgent and Secure Transportation Need - Report - Repeal - Source: L. 2018: Entire section added, (HB 18-1321), ch. 346,...

§ 25.5-5-325. Residential and Inpatient Substance Use Disorder Treatment - Medical Detoxification Services - Federal Approval - Performance Review Report - (I) The number of persons who received services pursuant to...

§ 25.5-5-326. Access to Clinical Trials - Definitions - Source: L. 2020: Entire section added, (HB 20-1232), ch. 266,...

§ 25.5-5-327. Eligible Peer Support Services - Reimbursement - Definitions - Source: L. 2021: Entire section added, (HB 21-1021), ch. 256,...

§ 25.5-5-328. Secure Transportation for Behavioral Health Crises - Benefit - Funding - Source: L. 2021: Entire section added, (HB 21-1085), ch. 355,...

§ 25.5-5-329. Family Planning Services - Federal Authorization -Rules - Definitions - Source: L. 2021: Entire section added, (SB 21-025), ch. 432,...

§ 25.5-5-330. Screening for Perinatal Mood and Anxiety Disorder - Source: L. 2021: Entire section added, (SB 21-137), ch. 362,...

§ 25.5-5-331. Federally Qualified Health Center - Clinical Pharmacy Services - Reimbursement - Rules - Source: L. 2021: Entire section added, (HB 21-1275), ch. 470,...

Part 4 - Statewide Managed Care System

§ 25.5-5-401. Short Title - This part 4 shall be known and may be cited...

§ 25.5-5-402. Statewide Managed Care System - Definition - Rules - Source: L. 2006: Entire article added with relocations, p. 1883,...

§ 25.5-5-403. Definitions - As used in this part 4, unless the context otherwise...

§ 25.5-5-406.1. Required Features of Statewide Managed Care System - (B) An enrollee is entitled to designate a representative, including...

§ 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,...

§ 25.5-5-410. Data Collection for Managed Care Programs - Source: L. 2006: Entire article added with relocations, p. 1896,...

§ 25.5-5-412. Program of All-Inclusive Care for the Elderly - Services - Eligibility - Legislative Declaration - Rules - Definitions - (6) [ Editor's note: This version of the introductory portion...

§ 25.5-5-414. Telemedicine - Legislative Intent - Source: L. 2006: Entire article added with relocations, p. 1903,...

§ 25.5-5-415. Medicaid Payment Reform and Innovation Pilot Program - Legislative Declaration - Creation - Selection of Payment Projects - Report - Rules - (I) On or before February 1, 2013, concerning the design...

§ 25.5-5-418. Primary Care Provider Sustainability Fund - Creation - Use of Fund - The primary care provider sustainability fund is hereby created in...

§ 25.5-5-419. Accountable Care Collaborative - Reporting - Rules - Source: L. 2017: Entire section added, (HB 17-1353), ch. 231,...

§ 25.5-5-420. Advancing Care for Exceptional Kids - Within one hundred twenty days of the enactment of the...

§ 25.5-5-421. Parity Reporting - State Department - Public Input - Source: L. 2019: Entire section added, (HB 19-1269), ch. 195,...

§ 25.5-5-422. Medication-Assisted Treatment - Limitations on Mces - Definition - Source: L. 2019: Entire section added, (HB 19-1269), ch. 195,...

§ 25.5-5-423. Independent Review Organization - Review Denial of Residential and Inpatient Substance Use Disorder Treatment Claims - Contract - No later than July 1, 2023, the state department shall...

§ 25.5-5-424. Residential and Inpatient Substance Use Disorder Treatment - Mce Standardized Utilization Management Process - Medical Necessity - Report - Source: L. 2021: Entire section added, (SB 21-137), ch. 362,...

§ 25.5-5-425. Audit of Mce Denials for Residential and Inpatient Substance Use Disorder Treatment Authorization - Report - Source: L. 2021: Entire section added, (SB 21-137), ch. 362,...

Part 5 - Prescription Drugs

§ 25.5-5-500.3. Authorization to Bill Third Party - As a condition of doing business in the state, each...

§ 25.5-5-501. Providers - Drug Reimbursement - Source: L. 2006: Entire article added with relocations, p. 1904,...

§ 25.5-5-502. Unused Medications - Reuse - Rules - Definition - Source: L. 2006: Entire article added with relocations, p. 1904,...

§ 25.5-5-503. Prescription Drug Benefits - Authorization - Dual-Eligible Participation - Source: L. 2006: Entire article added with relocations, p. 1905,...

§ 25.5-5-504. Providers of Pharmaceutical Services - Source: L. 2006: Entire article added with relocations, p. 1905,...

§ 25.5-5-505. Prescribed Drugs - Mail Order - Rules - (1.5) The state department shall publish on its website and...

§ 25.5-5-506. Prescribed Drugs - Utilization Review - Source: L. 2006: Entire article added with relocations, p. 1906,...

§ 25.5-5-507. Prescription Drug Information and Technical Assistance Program - Rules - There is hereby created the prescription drug information and technical...

§ 25.5-5-509. Substance Use Disorder - Prescription Drugs - Notwithstanding any provisions of this part 5 to the contrary,...

§ 25.5-5-510. Pharmacy Reimbursement - Substance Use Disorder - Injections - If a pharmacy has entered into a collaborative pharmacy practice...

§ 25.5-5-511. Reimbursement for Pharmacists' Services - Legislative Declaration - Source: L. 2021: Entire section added, (HB 21-1275), ch. 470,...

§ 25.5-5-512. Pharmacy Benefit - Mental Health and Substance Use Disorders - Legislative Declaration - Source: L. 2021: Entire section added, (HB 21-1275), ch. 470,...

Part 8 - Children and Youth Behavioral Health System Improvements

§ 25.5-5-801. Legislative Declaration - Source: L. 2019: Entire part added, (SB 19-195), ch. 190,...

§ 25.5-5-802. Definitions - As used in this part 8, unless the context otherwise...

§ 25.5-5-803. High-Fidelity Wraparound Services for Children and Youth - Federal Approval - Reporting - Source: L. 2019: Entire part added, (SB 19-195), ch. 190,...

§ 25.5-5-804. Integrated Funding Pilot - Subject to available appropriations, the state department, in conjunction with...

Article 6 - Colorado Medical Assistance Act - Long-Term Care

Part 1 - Long-Term Care Administration

§ 25.5-6-101. Spousal Protection - Protection of Income and Resources for Community Spouse - Definitions - Amounts Retained - Responsibility of State Department - Right to Appeal - Source: L. 2006: Entire article added with relocations, p. 1907,...

§ 25.5-6-102. Court-Approved Trusts - Transfer of Property for Persons Seeking Medical Assistance for Nursing Home Care - Undue Hardship - Legislative Declaration - Source: L. 2006: Entire article added with relocations, p. 1908,...

§ 25.5-6-103. Court-Approved Trusts - Transfer of Property for Persons Seeking Medical Assistance - Rule-Making Authority for Trusts Created on or After July 1, 1994 - Undue Hardship - Source: L. 2006: Entire article added with relocations, p. 1911,...

§ 25.5-6-104. Long-Term Care Placements - Comprehensive and Uniform Client Assessment Instrument - Report - Legislative Declaration - Definitions - Repeal - Source: L. 2006: Entire article added with relocations, p. 1911,...

§ 25.5-6-105. Legislative Declaration Relating to Implementation of Single Entry Point System - Repeal - Source: L. 2006: Entire article added with relocations, p. 1914,...

§ 25.5-6-106. Single Entry Point System - Authorization - Phases for Implementation - Services Provided - Repeal - (IX.5) Informing eligible persons about the benefits of participating in...

§ 25.5-6-107. Financing of Single Entry Point System - Repeal - Source: L. 2006: Entire article added with relocations, p. 1917,...

§ 25.5-6-108.5. Community Long-Term Care Studies - Authority to Implement - Alternative Care Facility Report - Source: L. 2010: Entire section added, (HB 10-1053), ch. 276,...

§ 25.5-6-110. Private-Public Partnership Education and Information Program Concerning Long-Term Care Insurance Authorized - Source: L. 2006: Entire article added with relocations, p. 1922,...

§ 25.5-6-113. Health Home - Integrated Services - Legislative Declaration - Contracting - Definitions - (b) [ Editor's note: This version of subsection (3)(b) is...

Part 2 - Nursing Facilities

§ 25.5-6-201. Special Definitions Relating to Nursing Facility Reimbursement - As used in this part 2, unless the context otherwise...

§ 25.5-6-202. Providers - Nursing Facility Provider Reimbursement - Exemption - Rules - (VI) Notwithstanding any other provision of law, for the fiscal...

§ 25.5-6-203. Nursing Facilities - Provider Fees - Federal Waiver - Fund Created - Rules - Repeal - Source: L. 2006: Entire article added with relocations, p. 1926,...

§ 25.5-6-204. Providers - Reimbursement - Intermediate Care Facility for Individuals With Intellectual Disabilities - Reimbursement - Maximum Allowable - Source: L. 2006: (5)(b) amended and (6) added, p. 1615,...

§ 25.5-6-205. Collection of Penalties Assessed Against Nursing Facilities - Creation of Cash Fund - Source: L. 2006: Entire article added with relocations, p. 1933,...

§ 25.5-6-206. Personal Needs Benefits - Amount - Patient Personal Needs Trust Fund Required - Funeral and Final Disposition Expenses - Penalty for Illegal Retention and Use - (c) [ Editor's note: This version of subsection (8)(c) is...

§ 25.5-6-208. Nursing Facility Provider Reimbursement - Rules - Definition - Source: L. 2019: Entire section added, (HB 19-1210), ch. 320,...

§ 25.5-6-209. Establishment of Nursing Facility Provider Demonstration of Need - Criteria - Rules - Source: L. 2021: Entire section added, (HB 21-1227), ch. 192,...

Part 3 - Home- and Community-Based Services for the Elderly, Blind, and Disabled

§ 25.5-6-301. Short Title - This part 3 shall be known and may be cited...

§ 25.5-6-302. Legislative Declaration - The general assembly hereby finds and declares that it is...

§ 25.5-6-303. Definitions - As used in this part 3, unless the context otherwise...

§ 25.5-6-304. Administration - The provisions of this part 3 shall be administered by...

§ 25.5-6-305. Provision of Services for Elderly and Blind Individuals and Individuals With Disabilities - The provision of the services set forth in this part...

§ 25.5-6-306. Eligible Groups - Source: L. 2006: Entire article added with relocations, p. 1940,...

§ 25.5-6-307. Services for the Elderly, Blind, and Disabled - Source: L. 2006: Entire article added with relocations, p. 1940,...

§ 25.5-6-308. Cost of Services - Home- and community-based services for the elderly, blind, and disabled...

§ 25.5-6-309. Special Provisions - Post-Eligibility Treatment of Income - Persons who receive services under this part 3 shall pay...

§ 25.5-6-310. Special Provisions - Personal Care Services Provided by a Family - Source: L. 2006: Entire article added with relocations, p. 1942,...

§ 25.5-6-311. Duties of State Department - Source: L. 2006: Entire article added with relocations, p. 1942,...

§ 25.5-6-312. Gifts - Grants - The state department, acting for and on behalf of the...

§ 25.5-6-313. Rules - Federal Authorization - (1.5) The rules adopted by the state board pursuant to...

Part 4 - Home- and Community-Based Services for Persons With Intellectual and Developmental Disabilities

§ 25.5-6-401. Short Title - This part 4 shall be known and may be cited...

§ 25.5-6-402. Legislative Declaration - Prader-Willi Syndrome - Source: L. 2006: Entire article added with relocations, p. 1942,...

§ 25.5-6-403. Definitions - As used in this part 4, unless the context otherwise...

§ 25.5-6-404. Duties of the Department of Health Care Policy and Financing and the Department of Human Services - Source: L. 2006: Entire article added with relocations, p. 1944,...

§ 25.5-6-405. Relationship to Other Programs - The provisions of part 3 of this article are separate...

§ 25.5-6-406. Appropriations - Reimbursement for Services - Direct Support Professionals - Legislative Declaration - Definitions - (e) [ Editor's note: This version of subsection (2)(e) is...

§ 25.5-6-407. Gifts - Grants - The state department and the department of human services, acting...

§ 25.5-6-408. Eligibility - Fees - Source: L. 2006: Entire article added with relocations, p. 1946,...

§ 25.5-6-409. Services for Persons With Intellectual and Developmental Disabilities - (2) [ Editor's note: This version of subsection (2) is...

§ 25.5-6-409.3. Consolidated Waiver - Intellectual and Developmental Disabilities - Conflict-Free Case Management - Legislative Declaration - Repeal - (3.5) The redesigned waiver must ensure continuity of support, including...

§ 25.5-6-409.5. Transition Plan for Youth With Intellectual and Developmental Disabilities to Adult Services - Legislative Declaration - Report - Rules - Cash Fund - (a) [ Editor's Note: This version of subsection (4)(a) is...

§ 25.5-6-410. Qualification for Federal Funding - Nothing in this part 4 shall prevent the state department...

§ 25.5-6-411. Personal Needs Trust Fund Required - All personal needs funds shall be held in trust by...

§ 25.5-6-413. Elimination of Subminimum Wage - Transition Plan for Individuals With Disabilities - Waiver - Legislative Declaration - Definition - Source: L. 2021: Entire section added, (SB 21-039), ch. 380,...

Part 6 - Home- and Community-Based Services for Persons With Major Mental Health Disorders

§ 25.5-6-601. Short Title - The short title of this part 6 is the "Home-...

§ 25.5-6-602. Legislative Declaration - No Entitlement Created - Source: L. 2006: Entire article added with relocations, p. 1951,...

§ 25.5-6-603. Definitions - As used in this part 6, unless the context otherwise...

§ 25.5-6-604. Cost of Services - Home- and community-based services for persons with major mental health...

§ 25.5-6-605. Relationship to Single Entry Point for Long-Term Care - Repeal - Source: L. 2006: Entire article added with relocations, p. 1952,...

§ 25.5-6-606. Implementation of Program for Persons With Mental Health Disorders Authorized - Federal Waiver - Duties of the Department of Health Care Policy and Financing and the Department of Human Services - Source: L. 2006: Entire article added with relocations, p. 1952,...

§ 25.5-6-607. Implementation of Part Contingent Upon Receipt of Federal Waiver - Repeal of Part - Source: L. 2006: Entire article added with relocations, p. 1953,...

Part 7 - Home- and Community-Based Services for Persons With Brain Injury

§ 25.5-6-701. Short Title - This part 7 shall be known and may be cited...

§ 25.5-6-702. Legislative Declaration - No Entitlement Created - Source: L. 2006: Entire article added with relocations, p. 1953,...

§ 25.5-6-703. Definitions - As used in this part 7, unless the context otherwise...

§ 25.5-6-704. Implementation of Home- and Community-Based Services Program for Persons With Brain Injury Authorized - Federal Waiver - Duties of the Department - Source: L. 2006: Entire article added with relocations, p. 1955,...

§ 25.5-6-705. Implementation of Part Contingent Upon Receipt of Federal Waiver - Repeal of Part - Source: L. 2006: Entire article added with relocations, p. 1957,...

§ 25.5-6-706. Rate Structure - Rules - Quality Assurance - Source: L. 2006: Entire article added with relocations, p. 1958,...

Part 8 - Home- and Community-Based Services for Children With Autism

§ 25.5-6-801. Short Title - This part 8 shall be known and may be cited...

§ 25.5-6-802. Definitions - As used in this part 8, unless the context otherwise...

§ 25.5-6-803. Federal Authorization - Budget Neutrality - Source: L. 2006: Entire article added with relocations, p. 1958,...

§ 25.5-6-804. Services - Duties of the State Department - Rules - (5) [ Editor's note: This version of subsection (5) is...

§ 25.5-6-805. Colorado Autism Treatment Fund - Source: L. 2006: Entire article added with relocations, p. 1960,...

§ 25.5-6-806. Autism Waiver - Program Evaluation - Source: L. 2012: Entire section added, (SB 12-159), ch. 203,...

Part 9 - Home- and Community-Based Service Programs for Children

§ 25.5-6-901. Disabled Children Care Program - Eligibility Criteria - Documentation Requirements - Report to the General Assembly - Source: L. 2006: Entire article added with relocations, p. 1960,...

§ 25.5-6-902. Children's Personal Assistance Services and Family Support Program - Repeal - Source: L. 2006: Entire article added with relocations, p. 1962,...

§ 25.5-6-903. Residential Child Health-Care Program - Waiver - Home- and Community-Based Services - Rules - Source: L. 2018: Entire section added, (HB 18-1328), ch. 184,...

Part 11 - Consumer-Directed Care

§ 25.5-6-1101. Definitions - As used in this part 11, unless the context otherwise...

§ 25.5-6-1102. Service Model - Consumer-Directed Care - (3) [ Editor's note: This version of subsection (3) is...

§ 25.5-6-1103. Reporting - Source: L. 2006: Entire article added with relocations, p. 1969,...

Part 12 - In-Home Support Services

§ 25.5-6-1201. Legislative Declaration - Source: L. 2006: Entire article added with relocations, p. 1970,...

§ 25.5-6-1202. Definitions - As used in this part 12, unless the context otherwise...

§ 25.5-6-1203. In-Home Support Services - Eligibility - Licensure Exclusion - In-Home Support Service Agency Responsibilities - Rules - (1.5) Repealed. (5) [ Editor's note: This version of subsection...

§ 25.5-6-1204. Provision of Services - Duties of State Department - Gifts - Grants - Source: L. 2006: Entire article added with relocations, p. 1972,...

§ 25.5-6-1205. Accountability - Rate Structure - Rules - Source: L. 2006: Entire article added with relocations, p. 1972,...

§ 25.5-6-1206. Report - The state department shall report annually to the joint budget...

§ 25.5-6-1207. Repeal of Part - This part 12 is repealed, effective September 1, 2028. Prior...

Part 13 - Complementary and Alternative Medicine for a Person With a Spinal Cord Injury

§ 25.5-6-1301. Legislative Declaration - Source: L. 2009: Entire part added, (HB 09-1047), ch. 395,...

§ 25.5-6-1302. Definitions - As used in this part 13, unless the context otherwise...

§ 25.5-6-1303. Pilot Program - Complementary or Alternative Medicine - Rules - Source: L. 2009: Entire part added, (HB 09-1047), ch. 395,...

§ 25.5-6-1304. Repeal of Part - This part 13 is repealed, effective September 1, 2025. Source:...

Part 14 - Medicaid Buy-in

§ 25.5-6-1401. Legislative Declaration - The general assembly hereby declares its support for the full...

§ 25.5-6-1402. Definitions - As used in this part 14, unless the context otherwise...

§ 25.5-6-1403. Waivers and Amendments - Source: L. 2008: Entire part added, p. 2198, § 1,...

§ 25.5-6-1404. Medicaid Buy-in Program - Eligibility - Premiums - Medicaid Buy-in Cash Fund - Report - Source: L. 2008: Entire part added, p. 2199, § 1,...

§ 25.5-6-1405. Rule-Making Authority - Source: L. 2008: Entire part added, p. 2200, § 1,...

§ 25.5-6-1406. Availability of Federal Financial Assistance Under Medical Assistance - Notwithstanding any other provision of law, this part 14 shall...

Part 15 - Transition Services

§ 25.5-6-1501. Community Transition Services and Supports - Legislative Declaration - Rules - Source: L. 2018: Entire part added, (HB 18-1326), ch. 183,...

Part 16 - Home Care Employees' Compensation and Training

§ 25.5-6-1601. Definitions - As used in this part 16, unless the context otherwise...

§ 25.5-6-1602. State Department to Request Increase in Reimbursement Rate for Certain Services - Source: L. 2019: Entire part added, (SB 19-238), ch. 319,...

§ 25.5-6-1603. Minimum Wage - Wage Pass-Through Requirement for Certain Home Care Agencies - Applicability - Reports - Recovery - Source: L. 2019: Entire part added, (SB 19-238), ch. 319,...

§ 25.5-6-1604. Training for Home Care Agency Employees - Process for Reviewing and Enforcing Training Requirements - Source: L. 2019: Entire part added, (SB 19-238), ch. 319,...

§ 25.5-6-1605. Exemptions - Source: L. 2019: Entire part added, (SB 19-238), ch. 319,...

Part 17 - Case Management Services for Long-Term Services and Supports

§ 25.5-6-1701. Legislative Declaration - The general assembly finds and declares that there is a...

§ 25.5-6-1702. Definitions - As used in this part 17, unless the context otherwise...

§ 25.5-6-1703. Case Management System - Defined Service Areas - Case Management Services - Only Willing and Qualified Provider Exemption - Rules - Source: L. 2021: Entire part added, (HB 21-1187), ch. 83,...

§ 25.5-6-1704. Intellectual and Developmental Disability Determination - Functional Eligibility Determination - Rules - Source: L. 2021: Entire part added, (HB 21-1187), ch. 83,...

§ 25.5-6-1705. Person-Centered Support Plan - Source: L. 2021: Entire part added, (HB 21-1187), ch. 83,...

§ 25.5-6-1706. Termination of Long-Term Services and Supports for Member Receiving Services - Source: L. 2021: Entire part added, (HB 21-1187), ch. 83,...

§ 25.5-6-1707. Records and Confidentiality of Information - Source: L. 2021: Entire part added, (HB 21-1187), ch. 83,...

§ 25.5-6-1708. Performance Audits - Colorado Local Government Audit Law - Public Disclosure of Board Administration and Operations - Source: L. 2021: Entire part added, (HB 21-1187), ch. 83,...

§ 25.5-6-1709. Community-Centered Board Designation - Rules - The state department shall develop a process to designate local...

Part 18 - Colorado Medical Assistance Program Requirements for Disbursement of Federal Funds Under the Federal "American Rescue Plan Act of 2021"

§ 25.5-6-1801. Legislative Declaration - Source: L. 2021: Entire part added, (SB 21-286), ch. 395,...

§ 25.5-6-1802. Definitions - As used in this part 18, unless the context otherwise...

§ 25.5-6-1803. Development of Spending Plan - Source: L. 2021: Entire part added, (SB 21-286), ch. 395,...

§ 25.5-6-1804. Spending Plan - Approval by Joint Budget Committee - Reporting - Source: L. 2021: Entire part added, (SB 21-286), ch. 395,...

§ 25.5-6-1805. Home- and Community-Based Services Improvement Fund - Creation - Transfer - Expenditures - Source: L. 2021: Entire part added, (SB 21-286), ch. 395,...

§ 25.5-6-1806. Repeal of Part - This part 18 is repealed, effective July 1, 2025. Source:...

Article 8 - Children's Basic Health Plan

§ 25.5-8-101. Short Title - This article shall be known and may be cited as...

§ 25.5-8-102. Legislative Declaration - Source: L. 2006: Entire article added with relocations, p. 1973,...

§ 25.5-8-103. Definitions - As used in this article 8, unless the context otherwise...

§ 25.5-8-104. Children's Basic Health Plan - Rules - The medical services board is authorized to adopt rules to...

§ 25.5-8-105. Trust - Created - Source: L. 2006: (3) amended, p. 1040, § 10, effective...

§ 25.5-8-107. Duties of the Department - Schedule of Services - Premiums - Copayments - Subsidies - Purchase of Childhood Immunizations - Source: L. 2006: (1)(a)(I) amended, p. 1505, § 51, effective...

§ 25.5-8-108. Financial Management - Cash System of Accounting - Source: L. 2006: Entire article added with relocations, p. 1980,...

§ 25.5-8-109. Eligibility - Children - Pregnant Women - Source: L. 2006: (5)(a) amended, p. 1121, § 1, effective...

§ 25.5-8-109.5. Telehealth - Interim Therapeutic Restorations - Reimbursement - Definitions - Source: L. 2015: Entire section added, (HB 15-1309), ch. 326,...

§ 25.5-8-110. Participation by Managed Care Plans - Source: L. 2006: Entire article added with relocations, p. 1982,...

§ 25.5-8-111. Department - Administration - Outsourcing - Source: L. 2006: Entire article added with relocations, p. 1984,...

§ 25.5-8-112. Authority to the Department to Apply for Federal Waivers - The department is hereby authorized and required to apply for...

Article 10 - Community Living

Part 1 - Office of Community Living

§ 25.5-10-101. Office of Community Living - Creation - Transfer of Duties and Functions - Rules - Legislative Declaration - Source: L. 2013: Entire article added with relocations, (HB 13-1314),...

Part 2 - Intellectual and Developmental Disabilities

§ 25.5-10-201. Legislative Declaration - Source: L. 2013: Entire article added with relocations, (HB 13-1314),...

§ 25.5-10-202. Definitions - Repeal - As used in this article 10, unless the context otherwise...

§ 25.5-10-203. Division of Intellectual and Developmental Disabilities - Creation - Functions - Reporting - Legislative Declaration - Source: L. 2013: Entire article added with relocations, (HB 13-1314),...

§ 25.5-10-204. Duties of the Executive Director - State Board Rules - Definition - Repeal - (a) [ Editor's note: This version of subsection (1)(a) is...

§ 25.5-10-205. Community-Centered Boards and Service Agencies - Local Public Procurement Units - [ Editor's note: This version of this section is effective...

§ 25.5-10-205. Case Management Agencies - Local Public Procurement Units - [ Editor's note: This version of this section is effective...

§ 25.5-10-206. Authorized Long-Term Services and Supports - Conditions of Funding - Purchase of Services and Supports - Adult Protective Services Data System Check - Boards of County Commissioners - Appropriation - (1) [ Editor's note: This version of the introductory portion...

§ 25.5-10-207. Long-Term Services and Supports - Waiting List Reduction - Cash Fund - Repeal - (1.5) The state treasurer shall transfer to the intellectual and...

§ 25.5-10-207.5. Strategic Plan for Long- Term Services and Supports - Joint Hearing - Appropriation - Reporting - Legislative Declaration - Rules - (2) [ Editor's note: This version of subsection (2) is...

§ 25.5-10-208. Service Agencies and Case Management Agencies - Money - Rules - Repeal - (2) [ Editor's note: This version the introductory portion to...

§ 25.5-10-209. Community-Centered Boards - Designation - Purchase of Services and Supports - Performance Audits - Colorado Local Government Audit Law - Public Disclosure of Board Administration and Operations - Repeal - Source: L. 2013: Entire article added with relocations, (HB 13-1314),...

§ 25.5-10-209.3. Cross-System Behavioral Health Crisis Response - Comprehensive Care Coordination and Treatment Model - Training - Legislative Declaration - Source: L. 2021: Entire section added, (HB 21-1166), ch. 234,...

§ 25.5-10-209.5. Case Management Agencies - Certification - Purchase of Services and Supports - Rules - Repeal - Source: L. 2017: Entire section added, (HB 17-1343), ch. 320,...

§ 25.5-10-210. Revocation of Designation - Repeal - Source: L. 2013: Entire article added with relocations, (HB 13-1314),...

§ 25.5-10-211. Eligibility Determination - Individualized Plan - Periodic Review - Rules - Repeal - (2.5) The state board shall promulgate rules pursuant to article...

§ 25.5-10-211.5. Conflict-Free Case Management - Implementation - Legislative Declaration - Definition - Repeal - Source: L. 2017: Entire section added, (HB 17-1343), ch. 320,...

§ 25.5-10-212. Procedure for Resolving Disputes Over Eligibility, Modification of Services or Supports, and Termination of Services or Supports - Source: L. 2013: Entire article added with relocations, (HB 13-1314),...

§ 25.5-10-213. Discharge - Repeal - Source: L. 2013: Entire article added with relocations, (HB 13-1314),...

§ 25.5-10-214. Community Residential Home - Licenses - Rules - Source: L. 2013: Entire article added with relocations, (HB 13-1314),...

§ 25.5-10-215. Compliance With Local Government Zoning Regulations - Notice to Local Governments - Provisional Licensure - Source: L. 2013: Entire article added with relocations, (HB 13-1314),...

§ 25.5-10-216. Imposition of Legal Disability - Removal of Legal Right - Source: L. 2013: Entire article added with relocations, (HB 13-1314),...

§ 25.5-10-217. Conduct of Court Proceedings - All court proceedings arising under section 25.5-10-216 shall be conducted...

§ 25.5-10-218. Persons' Rights - (3) [ Editor's note: This version of subsection (3) is...

§ 25.5-10-219. Right to Individualized Plan or Individualized Family Service Plan - Repeal - Source: L. 2013: Entire article added with relocations, (HB 13-1314),...

§ 25.5-10-220. Right to Medical Care and Treatment - Source: L. 2013: Entire article added with relocations, (HB 13-1314),...

§ 25.5-10-221. Right to Humane Treatment - Source: L. 2013: Entire article added with relocations, (HB 13-1314),...

§ 25.5-10-222. Right to Religious Belief, Practice, and Worship - No person receiving services is required to perform any act...

§ 25.5-10-223. Rights to Communications and Visits - Source: L. 2013: Entire article added with relocations, (HB 13-1314),...

§ 25.5-10-224. Right to Fair Employment Practices - Source: L. 2013: Entire article added with relocations, (HB 13-1314),...

§ 25.5-10-225. Right to Vote - Each person receiving services who is eligible to vote according...

§ 25.5-10-226. Records and Confidentiality of Information Pertaining to Eligible Persons or Their Families - Repeal - Source: L. 2013: Entire article added with relocations, (HB 13-1314),...

§ 25.5-10-227. Right to Personal Property - Source: L. 2013: Entire article added with relocations, (HB 13-1314),...

§ 25.5-10-228. Right to Influence Policy - The persons receiving services of a service agency are entitled...

§ 25.5-10-229. Right to Notification - Each person receiving services has the right to read or...

§ 25.5-10-230. Discrimination - No person who has received services or supports under any...

§ 25.5-10-231. Sterilization Rights - Source: L. 2013: Entire article added with relocations, (HB 13-1314),...

§ 25.5-10-232. Competency to Give Consent to Sterilization - Source: L. 2013: Entire article added with relocations, (HB 13-1314),...

§ 25.5-10-233. Court-Ordered Sterilization - Source: L. 2013: Entire article added with relocations, (HB 13-1314),...

§ 25.5-10-234. Confidentiality of Sterilization Proceedings - All records, hearings, and proceedings pursuant to sections 25.5-10-231 to...

§ 25.5-10-235. Limitations on Sterilization - Source: L. 2013: Entire article added with relocations, (HB 13-1314),...

§ 25.5-10-236. Civil Action and Attorney Fees - A violation of any provision of this article gives rise...

§ 25.5-10-237. Terminology - Source: L. 2013: Entire article added with relocations, (HB 13-1314),...

§ 25.5-10-238. Federal Funds - The state department is authorized to accept, on behalf of...

§ 25.5-10-239. Evaluations to Determine Whether a Defendant Is Mentally Retarded or Has an Intellectual and Developmental Disability for Purposes of Class 1 Felony Trials - Upon request of the court, the executive director, or his...

§ 25.5-10-240. Retaliation Prohibited - [ Editor's note: This version of this section is effective...

Part 3 - Family Support Services

§ 25.5-10-301. Legislative Declaration - Source: L. 2013: Entire article added with relocations, (HB 13-1314),...

§ 25.5-10-302. Purpose - The purpose of the family support services program created in...

§ 25.5-10-303. Administration - Duties of Department - (2) [ Editor's note: This version of subsection (2) is...

§ 25.5-10-304. Family Support Councils - (1) [ Editor's note: This version of subsection (1) is...

§ 25.5-10-305. Authorized Family Support Services - Source: L. 2013: Entire article added with relocations, (HB 13-1314),...

§ 25.5-10-305.5. Family Support Services Fund - Creation - Source: L. 2017: Entire section added, (HB 17-1078), ch. 27,...

§ 25.5-10-306. Rules - Source: L. 2013: Entire article added with relocations, (HB 13-1314),...

Article 11 - Health Care Cost Savings Act

§ 25.5-11-101. Short Title - The short title of this article 11 is the "Health...

§ 25.5-11-102. Definitions - As used in this article 11, unless the context otherwise...

§ 25.5-11-103. Health Care Cost Analysis Task Force - Creation - Membership - Duties - Reports - Source: L. 2019: Entire article added, (HB 19-1176), ch. 381,...

§ 25.5-11-104. Analyst - Duties - Source: L. 2019: Entire article added, (HB 19-1176), ch. 381,...

§ 25.5-11-105. Appropriation - Gifts, Grants, and Donations - Source: L. 2019: Entire article added, (HB 19-1176), ch. 381,...

§ 25.5-11-106. Repeal of Article - This article 11 is repealed, effective September 1, 2022. Source:...

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Colorado Code Title 25.5 - Health Care Policy and Financing

Colorado Code
Title 25.5 - Health Care Policy and Financing