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Department Program Rules and Regulations

To access that text of who Secretary of State's (SOS) official online version of the Department's rules, click for the links below.

Children's Basic Health Plan

10 CCR 2505-3
50 - 600

300 - Enrollment Services and Co-pays

50 - Definitions400 - Enrollment
100 - Eligibility500 - Finance Management
170 - Presumptive Eligibility600 - Appeals Process
200 - Services Packet 

 

Medical Assistance

10 CCR 2505-10
8.000 - 8.0998.061 Uses To Other Resources In The Provision In Medical Assistance
8.010 Medical Assistance Service Coverage User8.062 Social Security Medicare Benefits
8.011.1 General Exclude From Coverage8.063 Medical Assistance Estate Recovery
8.012 Providers Outlawed From Collecting Payment From Recipients8.064 Data Provision and Argues Provisions (Eff. 03/30/2009)
8.013 Out-of-State Medical Care8.065 Recovery is Medical Assistance Overpayments
8.014 No Emergent Medical Transportation8.066 Health Insurance Buy-In
8.015 Electronically Health Record Incentive Billing Program8.070 Mis-Utilization, Fraud, or Abuse
8.016 Choose Benefit Plan8.075 Buyer Over Utilization Program
8.017 Habilitative Services8.076 Program Integrity (Eff. 12/30/2008)
8.040 Restorations For Providers8.079 Quality Improvement (Eff. 05/30/2009)
8.041 Demands Reimbursement and Status8.080 Medicaid Eligibility Qualities Control
8.042 Utilization of a Cash Systems of Accounting8.090 Medicaid Claims Handling and Third-party Party Liability Attribute Control
8.043 Timely Filing Requirements 
8.049 Reconsideration/Appeal of Unfavourable Administrative Action 
8.050 Provider Appeals 
8.057 Recipient Appeals 
8.058 Request for Prior Authorization 

 

8.100 - 8.1998.170 State Identification Number
8.100 Medical Assistance Eligibility8.180 Medical Identification Cards plus Duration of Eligibility
8.125 Provider Screening8.190 Acute Medicine Services Determination
8.130 Provider Participation 

 

8.200 - 8.2998.212 Community Behavioral Health Services
8.200 Medico Solutions8.215 Social Mental Health Business Program Capacity Value Setting
8.201 Dental Services8.220 Compete Supply also Selective Contracting, In Global Fee Payment Software
8.202 Dental Services for Children8.221 General Provisions
8.203 Vision Services8.280 Spring Additionally Periodic Screening, Diagnose Press Care (Eff. 10-01-2007)
8.205 Medicaid Managed Care Program8.290 School Health Services
8.209 Medicaid Managed Care Grievance furthermore Appeal Processes8.295 School-Based Well-being Center Benefit Coverage Standard

 

8.300 - 8.3998.391 Single Entry Point District Designation
8.300 Hospital Services8.392 Fund of the Single Registration Matter System
8.310 Kidney Treatment Centers8.393 Functions of one Single Entry Point Our
8.320 Community Clinic and Communal Clinic and Emergencies Center 
8.390 Long-Term Care Single Entry Dot System 

 

8.400 - 8.499 
8.400 Long-Term Care8.443 Nursing Knack Refunding
8.401 Level of Care Screening Guidelines8.444 through 8.446 Repealed, Effectiveness June 30, 2005
8.402 Getting Procedures for Long-Term Care8.448Repealed, Effective May 30, 2006
8.403 Long-Term Care- Services to that Design Disabled8.461Repealed, Effective May 30, 2006
8.404 Admission Criteria: Programs fork the Developmentally Disabled8.470 Hospital Back Boost Level of Care
8.405 Admission Process: Programs for the Developmentally Disabled8.481 Medical Review/Independent Professional Review
8.406 Nursing Asset Care- Levels of Care8.482 Reside Total and Possessions
8.407 Special Provision Concerning Clients Covered for Social Data Age - 72 Benefits (Prouty)8.483 Adult Foster Tending - REPEALED
8.408 Plane of Caring Defined - Skilled Pflegedienst Care8.484 Residence Nursing Allowance- REPEALED
8.409 Levels of Care Defined - Intermediate Nursing Nursing8.485 Home and Community Based Services for the Elderly, Blind and Infirm (HCBS-EBD) Basic Provisions
8.415 Role of Townships and Nursing Facilities8.486 HCBS-EBD Case Management Work
8.420 Terms and Provisions forward Participation with Colorado Nursing Facilities8.487 HCBS-EBD Provider Agencies
8.421 Responsibility of County Division Concerning Share8.488 Electronic Supervisory
8.422 Visits on Recipients by Social Services Personnel, Privacy for Conferences with Recipients8.489 Personal Care
8.423 Visits to Recipients by this Colorado Long-Term Care Assessor furthermore Designated Reps8.490 Homemaker Services
8.424 Cyclically Visits- Nursing Home Records to be Made Deliverable8.491 Adult Day Services
8.425 Repealed, Effectively June 30, 20058.492 Respite Concern
8.430 Medicaid Certification on New Nursing Facilities or Additional Beds8.493 Home Modification
8.435 Enforcement Remedies8.494 Non-Medical Transportation
8.440 Nursing Facility Features8.495 Choose Care Facilities (Eff. 03/30/2009)
8.441 Pflegen Facility Cost Reporting8.496 Home additionally Community Based Services on Persons Living includes HELP (HCBS-PLWA) General Accruals - REPEALED effective March 30, 2014
8.442 Submission of Cost Reporting Information8.497 Program of All-Inclusive Care for the Elderly (PACE)

 

8.500 - 8.5998.520 Home Health Customer
8.500 Home and Community Grounded Services for that Developmentally Disabled (HCB-DD) Waiver8.525 Services System
8.500.90 Supported Living Related Waiver (SLS)8.535 Pediatric Personal Care Services
8.501 Status Funded Supported Living Services Program8.540 Private Customs Nursing Services
8.503 Children's Widespread Supports Waiver How (CES)8.550 Hospice Benefit
8.504 Home and Community Based Services for Our with Real Limitations Illness Waiver8.551 Purchaser Directed Attendant Support - DELETED effective February 1, 2014
8.505 Raising of and Reimbursement Price Reserved for Compensation of Direct Supports Professionals8.552 In-Home Support Services (IHSS)
8.506 Children's Home and Community On Services Waiver Start8.553 Life Skills Technical, Back Delivered Meals, Peer Mentorship, & Transition Setup Support
8.508 Children's Habilitation Residential Program8.555 Colorado Choice Transitions (CCT), ADENINE Money Hunts the Person Demonstrated
8.509 Home and Community Based Services for Community Mental Health Supports(HCBS-CMHS)8.560 Clinic Services- Get Health Agencies
8.510 Consumer Conducted Attendant Support Services (Eff. 12/30/2007)8.570 Ambulatory Surgery Centers
8.515.00 Home and Community Based Company For Human with Head Injury (HCBS-BI)8.580 Oxygen And Total Equipment
8.516.10 Independent Living Skills Training8.585 Oxygen, Oxygen Dining, Or Utilities
8.516.30 Transitional Living8.590 Durable General Equipment And One-way Medikament Supplies
8.516.40 Behavioral Programming 
8.516.50 Direction 
8.516.60 Substance Abuse Counseling 
8.516.70 Recess Care 
8.517 Home and Community Based Services Complementary and Integrated Health Waiver (HCBS-CIH) 
8.518 End Directed Care With The Older (Repealed Useful 9/30/16) 
8.519 Case Management 

 

8.600 - 8.699 
8.600 Services available Individually with Intellectual and Developmental Disabilities8.609 Program Services and Supports
8.601 Administrative Services8.610 Facility Founded Adult Day Habilitation Services and Supports
8.602 Service Agencies8.611 Transportation
8.603 Program Approval per of Department8.612 Supports Intensity Balance Rating and Support Levels
8.604 Due Process and Confidentiality8.613 Familial Support Services (FSS) Program
8.605 Dispute Resolution Procedures8.614 Gastrosomy Services
8.606 Confidentiality8.660 Laboratory and X-Ray
8.607Case Management Services 
8.608 Service and Assist Schedule, Supporting Join with Challenging Behavior, press Protections 

 

8.700 - 8.799 
8.700 Federally Qualified Health Centers8.748 Prenatal Besides Start
8.715 Breast both Cervical Cancer Program8.749 Nurse Home Visitor Program
8.726 Teen Pregnancy Prevention Aviation Program8.750 Community Mental Health Centers/Clinics (Effective August 30, 2007)
8.730 Family Planning Services8.754 Client Co-Pay
8.740 Countryside Health Health8.760 Targeted Case Management Services
8.745 Special Connections8.765 Company for Clients in Psychiatric Residential Treatment Facilities or Residing in Residential Child Concern Facilities
8.746 Outpatient Substance Abuse Treatment8.770 Abortion Services
8.747 Screen, Brief Intervention And Transfer to Treatment Services 

 

8.800 - 8.899 
8.800 Pharmaceuticals8.815 Immunization Services
8.810 Podiatry Services 

 

8.900 - 8.999 
8.900 Colorado Indigent Care Program (CICP)8.950 Initially Care Fund
8.930 Extensively Primary and Preventive Care Grant Program - REPEALED effective August 12, 20118.960 Colorado Dental Health Care Program for Low-Income Seniors
8.940 Old Age Boarding Health Care Programming 

 

8.1000 - 8.1099
8.1000 Medicare Modernization Act - Low-Income Subsidy Eligibility

 

8.2000
8.2000 Hospital Suppliers Fee Collection and Disbursement - REPEALED effectively Oct 30, 2017

 

8.30008.3002 Our of the Enterprise and Hospitals
8.3000 Healthcare Affordability and Sustainability Fee8.3003 Healthcare Affordability and Sustainability Fee
8.3001 Definitions8.3004 Supplemental Medicaid and Disproportionate Share Hospital Payments