Current through Acts effective through 6/7/2024 of the 2024 Legislative Session
Section 25.5-1-128 - [Effective until 7/1/2025] Provider payments - compliance with state fiscal requirements - definitions - rules(1)(a) Notwithstanding any provision of law to the contrary, when the state department has regulatory authority over a program and when the provider has already signed a state department-approved provider application to provide a service or to bill the state department or its authorized contractor for a service, the state department-approved provider application shall serve to fulfill the requirements of a commitment voucher and the fiscal requirements of section 24-30-202 (1), C.R.S.(b) The executive director may promulgate rules to exempt a provider who provides services through a program as described in paragraph (a) of this subsection (1) for any program the state department is authorized by law to administer, including but not limited to: (I) The "Colorado Medical Assistance Act", articles 4 to 6 of this title;(II) The "Children's Basic Health Plan Act", article 8 of this title;(III) The "Colorado Indigent Care Program", part 1 of article 3 of this title;(IV) The school health services program authorized by section 25.5-5-318;(V) Programs that are funded through the primary care fund, created in section 24-22-117 (2)(b), C.R.S.; and(VI) The state-funded old age pension health and medical care program pursuant to article 2 of this title.(2) As used in this section, unless the context otherwise provides, "provider" means a health-care provider, a mental health-care provider, a pharmacist, a home health agency, a general provider as defined in section 25.5-3-103 (3), school district as defined in section 25.5-5-318 (1)(a), or any other entity that provides health care, health-care coordination, outreach, enrollment, or administrative support services to recipients through fee-for-service, the primary care physician program, a managed care entity, a behavioral health organization, a medical home, or any system of care that coordinates health care or services as defined and authorized through rules promulgated by the state board or by the executive director.L. 2012: Entire section added, (HB 12-1054), ch. 14, p. 36, § 1, effective March 15.This section is set out more than once due to postponed, multiple, or conflicting amendments.