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§ 25.5-1-101. Short Title

This title shall be known and may be cited as the “State Health Care Policy and Financing Act”. Source: L. 93: Entire title added, p. 1097, § 15, effective July 1, 1994. L. 2006: Entire part amended, p. 1781, § 1, effective July 1.

§ 25.5-1-102. Legislative Declaration

The general assembly declares that state and local policymakers and health and human services administrators recognize that the management of and the delivery system for health and human services have become complex, fragmented, and costly and that the health and human services delivery system in this state should be restructured to adequately address the needs […]

§ 25.5-1-103. Definitions

As used in this title 25.5, unless the context otherwise requires: “County board” means the county or district board of human or social services; except that, in the city and county of Denver, “county board” means the department or agency with the responsibility for public assistance and welfare activities, and, in the city and county […]

§ 25.5-1-105. Transfer of Functions

The state department shall, on and after July 1, 1994, execute, administer, perform, and enforce the rights, powers, duties, functions, and obligations vested prior to July 1, 1994, in the Colorado health data commission within the department of local affairs, the department of social services concerning the “Colorado Medical Assistance Act”, and the university of […]

§ 25.5-1-105.5. Chief Medical Officer – Qualifications

The executive director shall appoint a chief medical officer who shall: Have a degree of doctor of medicine or doctor of osteopathy and be licensed to practice medicine in the state of Colorado; Have at least two years of postgraduate experience in primary care; and Have at least two years of experience in an administrative […]

§ 25.5-1-108. Executive Director – Rules

The executive director shall have authority to promulgate rules in connection with the policies and procedures governing the administration of the department including, but not limited to, rules concerning the following: Matters of internal administration of the department, including organization, staffing, records, reports, systems, and procedures; Fiscal and personnel administration for the department; Accounting and […]

§ 25.5-1-109. Department of Health Care Policy and Financing Cash Fund

All moneys collected by the state department as fees or otherwise shall be transmitted to the state treasurer, who shall credit the same to the department of health care policy and financing cash fund, which fund is hereby created in the state treasury. Moneys in the fund shall be subject to annual appropriation by the […]

§ 25.5-1-109.5. Clinical Standards – Development

The general assembly finds that: It is important to collect and analyze objective clinical standards to maximize the scarce dollars available for medical care; and The development of an ongoing, transparent measurement of health outcomes is essential to ensure quality health care for Coloradans. The state department, following consultation with external clinical advisors, shall develop […]

§ 25.5-1-114. Grants-in-Aid – County Supervision

The state department shall consult with and coordinate with the counties before making any changes that affect county operations in the implementation of this section, when possible under state statutes and federal statutes and regulations. In administering any funds appropriated or made available to the state department for medical assistance administration, the state department has […]

§ 25.5-1-114.5. Medicaid Fraud Detection – Request for Information

In enacting this section, the general assembly intends to: Implement waste, fraud, and abuse detection, prevention, and recovery solutions to improve program integrity in the state’s medicaid program and create efficiency and cost savings through a shift from a retrospective “pay and chase” model to a prospective prepayment model; and Invest in the most cost-effective […]

§ 25.5-1-115. Locating Violators – Recoveries

The executive director of the state department, or district attorneys may request and shall receive from departments, boards, bureaus, or other agencies of the state or any of its political subdivisions, and the same are authorized to provide, such assistance and data as will enable the state department and county departments properly to carry out […]

§ 25.5-1-115.5. Medical Assistance Fraud – Report

Notwithstanding the provisions of section 24-1-136 (11)(a)(I), on or before November 1, 2017, and on or before November 1 each year thereafter, the state department shall submit a written report to the joint budget committee; the judiciary committee and the public health care and human services committee of the house of representatives, or their successor […]

§ 25.5-1-116. Records Confidential – Authorization to Obtain Records of Assets – Release of Location Information to Law Enforcement Agencies – Outstanding Felony Arrest Warrants

The state department may establish reasonable rules to provide safeguards restricting the use or disclosure of information concerning applicants, recipients, and former and potential recipients of medical assistance to purposes directly connected with the administration of such medical assistance and related state department activities and covering the custody, use, and preservation of the records, papers, […]

§ 25.5-1-117. County Departments – District Departments

Except as provided in subsection (2) of this section, there is established in each county of the state a county department of human or social services that consists of a county board of human or social services, a county director of human or social services, and any additional employees as may be necessary for the […]

§ 25.5-1-118. Duties of County Departments

The county departments or other state designated agencies, where applicable, shall serve as agents of the state department and shall be charged with the administration of medical assistance and related activities in the respective counties in accordance with the rules of the state department. The county departments or other state designated agencies, where applicable, shall […]