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C.R.S. § 25.5-1-128

Provider payments

Known as the State Health Care Policy and Financing Act

The act spans §§ 25.5-10-101 to 25.5-5-804 (305 sections).

(1) Intentionally left blank —Ed. (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.

Digitized from: Public.Law — Colorado Revised Statutes. Reproduced from public-domain Colorado statutes; confirm against the official source for the current text. Not legal advice.