10 Colo. Code Regs. § 2505-10-8.126.4

Current through Register Vol. 47, No. 11, June 10, 2024
Section 10 CCR 2505-10-8.126.4 - Organization Health Care Provider Requirements to Obtain and Use an NPI
A. Each Organization Health Care Provider and each Subpart of an Organization Health Care Provider that is required or eligible to obtain an NPI pursuant to 45 C.F.R. § 162.410 must enroll using a unique NPI.
1. Each Organization Health Care Provider must enroll using its unique NPI for each Site at which the Organization Health Care Provider delivers medical care, services, or goods authorized under the Medical Assistance Program.
a. A Hospital must enroll in the Medical Assistance Program with a unique NPI for:
(1) Its Campus; and
(2) Each Off-Campus Location.
2. Each Organization Health Care Provider must enroll in the Medical Assistance Program using a unique NPI for each Provider Type at each Site from which the Organization Health Care Provider delivers medical care, services, or goods authorized under the Medical Assistance Program.
a. A Hospital must enroll with a unique NPI for each Provider Type at each Site at its Campus and at each Off-Campus Location at which it delivers medical care, services, or goods authorized under the Medical Assistance Program.
3. An Organization Health Care Provider that is a School Health Services provider type must enroll once per School District and not each individual Site.

10 CCR 2505-10-8.126.4

42 CR 21, November 10, 2019, effective 11/30/2019
46 CR 01, January 10, 2023, effective 1/1/2023
46 CR 07, April 10, 2023, effective 4/30/2023