reglab/housing_qa huggingface dataset:
CO Code § 25.5-1-120 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 1 - Department of Health Care Policy and Financing|Part 1 - General Provisions|§ 25.5-1-120. Appropriations

     For carrying out the duties and obligations of the state department and county departments under the provisions of this title and for matching such federal funds or meeting maintenance of effort requirements as may be available for public assistance and welfare activities in the state, including medical assistance administration and related activities, the general assembly, in accordance with the constitution and laws of the state of Colorado, shall make adequate appropriations for the payment of such costs, pursuant to the budget prepared by the executive director.    If the federal law shall provide federal funds, in cash or in another form such as medical assistance, not otherwise provided for in this title, the state department is authorized to make such payments or offer such services in accordance with the requirements accompanying said federal funds within the limits of available state appropriations.    When the executive director determines that adequate appropriations for the payment of the costs described in paragraph (a) of this subsection (1) have not been made and that an overexpenditure of an appropriation will occur based upon the state department's estimates, the state board may take actions consistent with state and federal law to bring the rate of expenditure into line with available funds. The general assembly declares that case load and utilization based on medical necessity are legitimate reasons for supplemental funding.       The general assembly shall appropriate from the general fund to the state department moneys for the costs of administering medical assistance programs and the state's share of the costs of administering such functions by the county departments amounts sufficient for the proper and efficient performance of the duties imposed upon them by law, including a legal advisor appointed by the attorney general. The general assembly shall make two separate appropriations, one for the administrative costs of the state department and another for the administrative costs of the county departments. Any applicable matching federal funds shall be apportioned in accordance with the federal regulations accompanying such funds. Any unobligated and unexpended balances of appropriated state general funds remaining at the end of each fiscal year shall be credited to the state general fund.    The expenses of training personnel for special skills relating to medical assistance, as such expenses shall be determined and approved by the state department, may be paid from state and federal funds available for such training purposes.     History. Source: L. 2006: Entire part amended, p. 1793, § 1, effective July 1.    Editor's note:   This section was contained in a 2006 act that amended this part, resulting in the addition of this section.
CO Code § 25.5-1-123 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 1 - Department of Health Care Policy and Financing|Part 1 - General Provisions|§ 25.5-1-123. Medical Homes for Children - Legislative Declaration - Duties of the Department

  The general assembly hereby finds and declares that:   The best medical care for infants, children, and adolescents is provided through a medical home, as defined in section 25.5-1-103, and that is consistent with the joint principles of a patient-centered medical home. Those principles shall include a whole-person orientation, care that is coordinated and integrated across all elements of the complex health-care system and the patient's community, and care that provides for quality and safety of the patient where qualified health-care practitioners provide primary care and help manage and facilitate all aspects of medical care.    Infants, children, and adolescents and their families work best with a health- care practitioner who knows the family and who develops a partnership of mutual responsibility and trust;    Medical care provided through emergency departments, walk-in clinics, and other urgent-care facilities is often more costly and less effective than care given by a physician with prior knowledge of the child and his or her family; and    The state department should strive to find a medical home for each child receiving services through the state medical assistance program, articles 4, 5, and 6 of this title, or the children's basic health plan, article 8 of this title.       On or before July 1, 2008, the state department, in conjunction with the Colorado medical home initiative in the department of public health and environment, shall develop systems and standards to maximize the number of children enrolled in the state medical assistance program or the children's basic health plan who have a medical home. The systems and standards developed shall include, but need not be limited to, ways to ensure that a medical home shall offer family-centered, compassionate, culturally effective care and sensitive, respectful communication to a child and his or her family.    Repealed.     History. Source: L. 2007: Entire section added, p. 1488, § 2, effective May 31. L. 2017: (3) repealed, (HB 17-1060), ch. 6, p. 15, § 3, effective March 1.
CO Code § 25.5-1-124 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 1 - Department of Health Care Policy and Financing|Part 1 - General Provisions|§ 25.5-1-124. Early Intervention Payment System - Participation by State Department - Rules

  The state department shall participate in the development and implementation of the coordinated system of payment for early intervention services authorized pursuant to part 7 of article 10.5 of title 27, C.R.S., and Part C of the federal “Individuals with Disabilities Education Act”, 20 U.S.C. sec. 1400 et seq., as amended.    The state department shall ensure that the early intervention services and payments for recipients of medical assistance under this title are integrated into the coordinated early intervention payment system developed pursuant to part 7 of article 10.5 of title 27, C.R.S. To the extent necessary to achieve the coordinated payment system and coverage of those early intervention services under this title, the state department shall amend the state plan for medical assistance or seek the necessary federal authorization, promulgate rules, and modify the billing system for medical assistance to facilitate the coordinated payment system.    The state department shall also make any modifications necessary to the “Children's Basic Health Plan Act”, article 8 of this title, including promulgating rules, to ensure that the children's basic health plan is integrated into the coordinated early intervention payment system developed pursuant to part 7 of article 10.5 of title 27, C.R.S.    Repealed.      As used in this section, unless the context otherwise requires, “early intervention services” means those services defined as early intervention services by the department of human services in accordance with section 27-10.5-702 (7), C.R.S., that are determined, through negotiation between the state department and the department of human services, to be medically necessary under medical assistance and cost-effective. After negotiating the scope of early intervention services to be covered under medical assistance, the state department and the department of human services shall submit to the joint budget committee of the general assembly, as part of each department's annual budget request, a proposal for the scope of coverage of early intervention services under medical assistance, including the anticipated costs of such coverage and whether the payment of such costs through medical assistance is cost-effective.    “Early intervention services” shall not include the following:   Nonemergency medical transportation;    Respite care;    Service coordination, as defined in 34 CFR 303.12 (d)(11); and    (A) Assistive technology.           History. Source: L. 2007: Entire section added, p. 888, § 2, effective July 1. L. 2008: (5)(a) amended, p. 1468, § 14, effective August 5. L. 2012: (4) repealed, (HB 12-1247), ch. 53, p. 196, § 6, effective March 22.
CO Code § 25.5-1-126 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 1 - Department of Health Care Policy and Financing|Part 1 - General Provisions|§ 25.5-1-126. Discounted Prices for Durable Medical Equipment and Supplies

  The state department shall work with one or more nonprofit organizations to develop a link of approved vendors who are willing to sell durable medical equipment and medical supplies at discounted prices to persons who have applied for, but are not yet receiving, benefits under the “Colorado Medical Assistance Act”. The state department shall provide the exclusive criteria for a nonprofit organization to use to approve a vendor for placement on the approved vendor list.    The state department shall maintain a link of approved vendors developed pursuant to this section and shall:   Make the link available on the state department's website; and    Provide copies of the list to county departments and to sites authorized to accept medical assistance applications pursuant to section 25.5-4-205 (1), through the survey given to applicants.        History. Source: L. 2010: Entire section added, (HB 10-1029), ch. 219, p. 958, § 1, effective May 10.
CO Code § 25.5-1-127 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 1 - Department of Health Care Policy and Financing|Part 1 - General Provisions|§ 25.5-1-127. Third-Party Benefit Denials Information

 The state department shall provide information to recipients of benefits under this title concerning their right to appeal a denial of benefits by a third party and shall post information on the state department's website concerning recipients' abilities to appeal a third party's denial of benefits, including but not limited to providing a link to information on the insurance commissioner's website regarding such appeals.   History. Source: L. 2010: Entire section added,(SB 10-002), ch. 366, p. 1727, § 2, effective June 7.    Cross references:   For the legislative declaration in the 2010 act adding this section, see section 1 of chapter 366, Session Laws of Colorado 2010.
CO Code § 25.5-1-128 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 1 - Department of Health Care Policy and Financing|Part 1 - General Provisions|§ 25.5-1-128. Provider Payments - Compliance With State Fiscal Requirements - Definitions - Rules

     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.    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:   The “Colorado Medical Assistance Act”, articles 4 to 6 of this title;    The “Children's Basic Health Plan Act”, article 8 of this title;    The “Colorado Indigent Care Program”, part 1 of article 3 of this title;    The school health services program authorized by section 25.5-5-318;    Programs that are funded through the primary care fund, created in section 24-22-117 (2)(b), C.R.S.; and    The state-funded old age pension health and medical care program pursuant to article 2 of this title.          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.     History. Source: L. 2012: Entire section added, (HB 12-1054), ch. 14, p. 36, § 1, effective March 15.
CO Code § 25.5-1-130 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 1 - Department of Health Care Policy and Financing|Part 1 - General Provisions|§ 25.5-1-130. Improving Access to Behavioral Health Services for Individuals at Risk of Entering the Criminal or Juvenile Justice System - Duties of the State Department

  On or before March 1, 2020, the state department shall develop measurable outcomes to monitor efforts to prevent medicaid recipients from becoming involved in the criminal or juvenile justice system.    On or before July 1, 2021, the state department shall work collaboratively with managed care entities to create incentives for behavioral health providers to accept medicaid recipients with severe behavioral health disorders. The incentives may include, but need not be limited to, higher reimbursement rates, quality payments to managed care entities for adequate networks, establishing performance measures and performance improvement plans related to network expansion, transportation solutions to incentivize medicaid recipients to attend health-care appointments, and incentivizing providers to conduct outreach to medicaid recipients to ensure that they are engaged in needed behavioral health services, including technical assistance with billing procedures. The state department may seek any federal authorization necessary to create the incentives described in this subsection (2).     History. Source: L. 2019: Entire section added,(SB 19-222), ch. 226, p. 2265, § 2, effective May 20. L. 2020: (2) amended,(SB 20-136), ch. 70, p. 300, § 56, effective September 14.    Cross references:   For the legislative declaration in SB 19-222, see section 1 of chapter 226, Session Laws of Colorado 2019. For the legislative declaration in SB 20-136, see section 1 of chapter 70, Session Laws of Colorado 2020.
CO Code § 25.5-1-131 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 1 - Department of Health Care Policy and Financing|Part 1 - General Provisions|§ 25.5-1-131. Insurance Ombudsman - Consumer Advocate - Duties

  There is hereby created in the state department the office of the insurance ombudsman to act as the advocate for consumer interests in matters related to access to and the affordability of the standardized health benefit plan created pursuant to section 10-16-1304. The ombudsman shall:   Interact with consumers regarding their access to, the affordability of, and coverage issues with the standardized plan;    Evaluate data to assess the standardized plan's network and affordability; and    Represent the interests of consumers in public hearings held pursuant to section 10-16-1306.       In the performance of the ombudsman's duties, the ombudsman shall act independently of the state department. Any recommendations made or positions taken by the ombudsman do not reflect those of the state department.     History. Source: L. 2021: Entire section added, (HB 21-1232), ch. 241, p. 1294, § 7, effective June 16.
CO Code § 25.5-1-201 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 1 - Department of Health Care Policy and Financing|Part 2 - Programs to Be Administered by the Department|§ 25.5-1-201. Programs to Be Administered by the Department of Health Care Policy and Financing

  The department of health care policy and financing shall administer the following programs and perform the following functions:   The “Colorado Medical Assistance Act”, as specified in articles 4, 5, and 6 of this title;    The “Colorado Indigent Care Program”, as specified in part 1 of article 3 of this title;    Effective July 1, 1996, school entry immunization, as specified in part 9 of article 4 of title 25, C.R.S. Commencing on and after the fiscal year beginning July 1, 1996, the state department is authorized to contract with the department of public health and environment for the purpose of enforcing the school entry immunization requirements.    Repealed.    The “Children's Basic Health Plan Act”, as specified in article 8 of this title;    The old age pension health and medical care program, as specified in section 25.5-2-101;  (f.5) The reproductive health-care program that provides contraceptive methods and counseling services, as specified in section 25.5-2-103 ;     Programs, services, and supports for persons with intellectual and developmental disabilities, as specified in article 10 of this title 25.5; and    Any program concerning the wholesale importation of prescription drugs pursuant to part 2 of article 2.5 of this title 25.5.        History. Source: L. 93: Entire title added, p. 1102, § 15, effective July 1, 1994. L. 94: (1)(f) and (1)(g) amended and (1)(h) added, p. 1669, § 4, effective July 1. L. 95: (1)(g) and (1)(h)(II) amended and (1)(j) added, p. 511, § 4, effective May 16; (1)(j) added, p. 916, § 15, effective May 25. L. 96: (1)(b) and (1)(h)(I) repealed, p. 1474, § 27, effective June 1; (1)(i) and (1)(j) amended and (1)(k) added, p. 1437, § 7, effective July 1. L. 99: (1)(l) added, p. 700, § 6, effective July 1. L. 2001: (1)(m) added, p. 916, § 11, effective August 8. L. 2002: (1)(h) repealed, p. 427, § 5, effective July 1. L. 2003: (1)(l) and (1)(m) amended and (1)(n) added, p. 2583, § 3, effective July 1. L. 2005: (1)(a) repealed, p. 772, § 51, effective June 1. L. 2006: Entire part amended, p. 1796, § 2, effective July 1. L. 2007: (1)(d) repealed, p. 2042, § 70, effective June 1. L. 2011: (1)(f) amended,(SB 11-210), ch. 187, p. 721, § 7, effective July 15, 2012. L. 2013: (1)(e) and (1)(f) amended and (1)(g) added,(HB 13-1314), ch. 323, p. 1808, § 42, effective March 1, 2014. L. 2019: IP(1), (1)(f), and (1)(g) amended and (1)(h) added,(SB 19-005), ch. 184, p. 2065, § 2, effective August 2. L. 2021: (1)(f.5) added,(SB 21-009), ch. 430, p. 2847, § 4, effective September 7.    Cross references:   For the legislative declaration in SB 19-005, see section 1 of chapter 184, Session Laws of Colorado 2019. For the legislative declaration in SB 21-009, see section 1 of chapter 430, Session Laws of Colorado 2021.
CO Code § 25.5-1-203 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 1 - Department of Health Care Policy and Financing|Part 2 - Programs to Be Administered by the Department|§ 25.5-1-203. Prescription Drug Information and Technical Assistance Program - Expansion

 The state department may expand the prescription drug information and technical assistance program created in section 25.5-5-507 to include persons receiving drug benefits pursuant to any program that is administered by the state department.   History. Source: L. 2008: Entire section added, p. 231, § 1, effective August 5.
CO Code § 25.5-1-204.5 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 1 - Department of Health Care Policy and Financing|Part 2 - Programs to Be Administered by the Department|§ 25.5-1-204.5. All-Payer Health Claims Database Scholarship Grant Program - Creation - Definitions

  As used in this section, unless the context otherwise requires:   “Advisory committee” means the advisory committee to oversee the all-payer health claims database created pursuant to section 25.5-1-204.    “Governmental entity” means a state or local governmental entity, including a state-supported institution of higher education, but does not include the state department.    “Program” means the all-payer health claims database scholarship grant program established pursuant to this section.       There is created in the state department the all-payer health claims database scholarship grant program to defray the costs of nonprofit and governmental entities in accessing the all-payer health claims database to conduct research.    The state department shall:   In consultation with the advisory committee, develop a grant application under the program consistent with the rules of the executive director;    Accept applications for scholarship grants from any nonprofit or governmental entity needing access to the all-payer health claims database to conduct research;    After considering the recommendations of the advisory committee, determine which grant applications to approve and the amount of each grant; and    Distribute approved scholarship grants to nonprofit or governmental entities.       The executive director shall, following recommendations of the state department and the advisory committee, adopt rules pursuant to section 24-4-103 governing the program, including procedures, criteria, and standards for awarding scholarship grants.    The advisory committee shall:   Consult with the state department on the development of a grant application form; and    Review applications for scholarship grants and recommend which scholarship grants to approve and the amount of each recommended grant.        History. Source: L. 2018: Entire section added, (HB 18-1327), ch. 150, p. 942, § 2, effective April 23.
CO Code § 25.5-1-205 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 1 - Department of Health Care Policy and Financing|Part 2 - Programs to Be Administered by the Department|§ 25.5-1-205. Providing for the Efficient Provision of Health Care Through State-Supervised Cooperative Action - Rules

  Cooperation among health-care payors, including both private sector entities and federal and state-administered health-care programs, has the potential to eliminate needless and costly complexity in the administration of the programs and to benefit patients, payors, and the government. Further, alignment of financial incentives among private and public entities may accelerate and reinforce improvements in health-care quality and patient outcomes.    The executive director shall facilitate departmental oversight of collaboration among providers, medicaid clients and advocates, and payors that is designed to improve health outcomes and patient satisfaction and support the financial sustainability of the medicaid program.    The executive director may promulgate rules relating to the collaborative process set forth in this section.     History. Source: L. 2012: Entire section added, (HB 12-1281), ch. 246, p. 1182, § 1, effective June 4.