10 Colo. Code Regs. § 2505-10-8.126.5
Current through Register Vol. 48, No. 1, January 10, 2025
Section 10 CCR 2505-10-8.126.5 - Health Care Provider Requirements Not Eligible to Receive an NPIA. A Health Care Provider that is not eligible pursuant to 45 C.F.R. § 162.410 to receive an NPI shall: 1. Enroll without submitting an NPI. The Health Care Provider must obtain a unique identification number assigned by the Department through its Fiscal Agent, that identifies both the unique Provider Type at each Site at which the Health Care Provider delivers medical care, services or goods authorized under the Medical Assistance Program; and2. Use the unique identification number assigned by the Department through its Fiscal Agent on every Claim.a. A Health Care Provider that is not eligible to obtain an NPI that is not enrolled as of January 1, 2020, must submit every Claim using the unique identification number used for enrollment that identifies both the Provider Type and Site, effective January 1, 2020.b. All Health Care Providers that are not eligible to obtain an NPI must submit every Claim using the unique identification number used for enrollment that identifies both the Provider Type and Site, effective January 1, 2021.42 CR 21, November 10, 2019, effective 11/30/201946 CR 01, January 10, 2023, effective 1/1/202346 CR 07, April 10, 2023, effective 4/30/2023