Ask a question on the site
Questions
Lawyers
Blogs
Legislation
Contacts
Become a lawyer
Login Registration
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...