10 Colo. Code Regs. § 2505-10-8.125.4
Current through Register Vol. 47, No. 9, May 10, 2024
Section 10 CCR 2505-10-8.125.4 - PROVIDERS DESIGNATED AS HIGH CATEGORICAL RISK8.125.4.A. Enrolling DME Suppliers8.125.4.B. Enrolling Home Health Agencies8.125.4.C. Enrolling Personal Care Agencies providing services under the state plan8.125.4.D. Enrolling providers of the following services for HCBS waiver members:2. Personal Care/Homemaker Services3. Specialized Medical Equipment and Supplies4. In-Home Support Services8.125.4.E. Medicare Only Providers 1. Enrolling Medicare Diabetes Prevention Program Supplier2. Enrolling Opioid Treatment Program that has not been fully and continuously certified by SAMHSA since October 24, 2018.8.125.4.F. Enrolling and revalidating providers for which the Department has suspended payments during an investigation of a credible allegation of fraud, for the duration of the suspension of payments.8.125.4.G. Enrolling and revalidating providers which have a delinquent debt owed to the State arising out of Medicare, Colorado Medical Assistance or other programs administered by the Department, not including providers which are current under a settlement or repayment agreement with the State.8.125.4.H. Providers that were excluded by the HHS Office of Inspector General or had their provider agreement terminated for cause by the Department, its contractors or agents or another State's Medicaid program at any time within the previous 10 years.8.125.4.I. Providers applying for enrollment within six (6) months from the time that the Department or CMS lifts a temporary enrollment moratorium on the provider's enrollment type.38 CR 11, June 10, 2015, effective 7/1/201543 CR 11, June 10, 2020, effective 6/30/202046 CR 01, January 10, 2023, effective 1/1/202346 CR 07, April 10, 2023, effective 4/30/202347 CR 03, February 10, 2024, effective 1/12/2024, exp. 5/11/2024 (Emergency)