10 Colo. Code Regs. § 2505-10-8.130.1

Current through Register Vol. 47, No. 11, June 10, 2024

Section 10 CCR 2505-10-8.130.1 - DEFINITIONS

A. "Advanced Directive" means a written instruction, such as a Living Will or Durable Power of Attorney for health care, recognized under state law, whether statutory or as recognized by the courts of the state, that relates to the provision of medical care when the individual is incapacitated.

B. "Agent" means any person who has been delegated the authority to obligate or act on behalf of a Provider.

C. "Change of Information" means any change in information contained in the Provider's current enrollment record with the Department, including, but not limited to, any change to a person or entity who holds a direct or indirect ownership interest in the Provider exceeding five percent and any change to the Provider's licensure, certification registration status, accreditation, bankruptcy status, address (including any change to location(s) where good and services are rendered), contact person, telephone number, email address, or criminal conviction disclosures within the scope of 42 CFR § 455.106.

D "Change of Ownership" means that a Provider has been issued a new tax identification number.

E. "Colorado Department of Health Care Policy and Financing" or "Department" means the Colorado State governmental agency responsible for the administration of the Medical Assistance Program,, Child Health Plan Plus, the old age pension health and medical care program, and the supplemental old age pension health and medical care program pursuant to Title XIX of the Social Security Act and Title 25.5 of the Colorado Revised Statutes.

F. "Inactivation" means a Provider's billing privileges have been stopped but can be restored upon resolution of the basis of inactivation.

G. "Provider" means any person, public or private institution, agency, or business concern enrolled under the state Medical Assistance Program to provide medical care, services, or goods, and holding, where applicable, a current valid license or certificate to provide such services or to dispense such goods.

H. "Requesting Agency" means the US Department of Health and Human Services or its designees, the Department or its designees, the Colorado Department of Human Services or its designees, or the Medicaid Fraud Control Unit or its designees, acting through their representatives who have written or other authorization to act on behalf of these agencies.

10 CCR 2505-10-8.130.1

44 CR 23, December 10, 2021, effective 1/10/2022