10 Colo. Code Regs. § 2505-10-8.310.2

Current through Register Vol. 47, No. 17, September 10, 2024

Section 10 CCR 2505-10-8.310.2 - Eligibility

8.310.2.A.Client Eligibility

1. Any Colorado Medicaid Client diagnosed with CKD, AKI or ESRD, which requires dialysis treatments to restore kidney function or maintain life shall be eligible.

8.310.2.B.Provider Eligibility

1. To provide services, a Dialysis Treatment Center must be:

a. Enrolled in the Colorado Medical Assistance Program;

b. Certified by the Centers for Medicare and Medicaid Services (CMS) to participate in the Medicare program as a dialysis treatment center;

c. Certified by the Colorado Department of Public Health and Environment

8.310.2.C.Prior Authorization

1. Prior Authorization is not required for services listed at Section 8.310.3.B.

10 CCR 2505-10-8.310.2

46 CR 11, June 10, 2023, effective 6/30/2023