reglab/housing_qa huggingface dataset:
CO Code § 25.5-6-1402 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 6 - Colorado Medical Assistance Act - Long-Term Care|Part 14 - Medicaid Buy-in|§ 25.5-6-1402. Definitions

 As used in this part 14, unless the context otherwise requires:    “Basic coverage group” means the category of eligibility under the federal “Ticket to Work and Work Incentives Improvement Act of 1999”, Pub.L. 106-170, that provides an opportunity to buy into medicaid consistent with the federal “Social Security Act”, 42 U.S.C. sec. 1396a , as amended, for each worker with disabilities who is at least sixteen years of age but less than sixty-five years of age and who, except for earnings, would be eligible for the supplemental security income program. A person who is eligible under the basic coverage group may also be a home- and community-based services waiver recipient.    “Family” means an individual, the individual's spouse, and any dependent child of the individual.    “Health insurance” means surgical, medical, hospital, major medical, or other health service coverage, including a self-insured health plan, but does not include hospital indemnity policies or ancillary coverages such as income continuation, loss of time, or accident benefits.    “Medicaid buy-in program” means a program that gives each person with disabilities the opportunity to buy into medicaid if the person meets the eligibility criteria specified in section 25.5-6-1404.    “Medical improvement group” means the category of eligibility under the federal “Ticket to Work and Work Incentives Improvement Act of 1999”, Pub.L. 106-170, that provides an opportunity to buy into medicaid consistent with the federal “Social Security Act”, 42 U.S.C. sec. 1496a , as amended, for each worker with a medically improved disability who is at least sixteen years of age but less than sixty-five years of age and who was previously in the basic coverage group and is no longer eligible for the basic coverage group due to medical improvement. A person who is eligible under the medical improvement group may also be a home- and community-based services waiver recipient.    “Work incentives eligibility group” means the category of eligibility under the federal “Balanced Budget Act of 1997”, Pub.L. 105-33, 111, as amended, for individuals with a disability who, except for assets or income, would be eligible for the supplemental security income program. This eligibility applies to individuals who are sixty-five years of age or older.     History. Source: L. 2008: Entire part added, p. 2197, § 1, effective July 1. L. 2020: (6) added,(SB 20-033), ch. 237, p. 1150, § 1, effective July 6.    Cross references:   For additional definitions applicable to this part 14, see § 25.5-4-103 .
CO Code § 25.5-6-1405 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 6 - Colorado Medical Assistance Act - Long-Term Care|Part 14 - Medicaid Buy-in|§ 25.5-6-1405. Rule-Making Authority

  The state board shall promulgate rules necessary to implement and administer the medicaid buy-in program created in this part 14, including the establishment of appropriate premium and cost-sharing charges on a sliding-fee scale based on income. The premiums and cost-sharing charges shall be based upon an actuarial study of the disabled population in this state.    Any rules adopted by the state board must be consistent with the federal “Ticket to Work and Work Incentives Improvement Act of 1999”, Pub.L. 106-170, and the “Balanced Budget Act of 1997”, Pub.L. 105-33, 111, as amended.     History. Source: L. 2008: Entire part added, p. 2200, § 1, effective July 1. L. 2020: (2) amended, (SB 20-033), ch. 237, p. 1152, § 4, effective July 6.
CO Code § 25.5-6-1406 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 6 - Colorado Medical Assistance Act - Long-Term Care|Part 14 - Medicaid Buy-in|§ 25.5-6-1406. Availability of Federal Financial Assistance Under Medical Assistance

 Notwithstanding any other provision of law, this part 14 shall be implemented only if, and to the extent that, the state department determines that federal financial participation is available under the medicaid program.   History. Source: L. 2008: Entire part added, p. 2200, § 1, effective July 1.
CO Code § 25.5-6-1601 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 6 - Colorado Medical Assistance Act - Long-Term Care|Part 16 - Home Care Employees' Compensation and Training|§ 25.5-6-1601. Definitions

 As used in this part 16, unless the context otherwise requires:    “Compensation” has the meaning set forth in section 25.5-6-406 (2)(b)(I).    “Health maintenance activities” has the meaning set forth in section 25.5-6-1202 (4).    “Home care agency” has the meaning set forth in section 25-27.5-102 3.    “Homemaker services” has the meaning set forth in section 25.5-6-303 (11).    “In-home support service agency” has the meaning set forth in section 25.5-6-1202 (5).    “In-home support services” has the meaning set forth in section 25.5-6-1202 (6); except that the term does not include health maintenance activities.    “Personal care services” has the meaning set forth in section 25-27.5-102 (6).     History. Source: L. 2019: Entire part added,(SB 19-238), ch. 319, p. 2964, § 1, effective May 28.    Cross references:   For additional definitions applicable to this part 16, see § 25.5-4-103 .
CO Code § 25.5-6-1602 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 6 - Colorado Medical Assistance Act - Long-Term Care|Part 16 - Home Care Employees' Compensation and Training|§ 25.5-6-1602. State Department to Request Increase in Reimbursement Rate for Certain Services

  Not more than ninety days after May 28, 2019, the state department shall request from the federal government an increase of eight and one-tenth percent in the reimbursement rate for the following services delivered to consumers through the home- and community-based services waivers:   Homemaker;    Homemaker enhanced; and    Personal care.       For the 2019-20 fiscal year, each home care agency shall pay one hundred percent of the funding that results from the rate increase described in subsection (1) of this section as compensation for employees who provide personal care services, homemaker services, and in-home support services to consumers. This compensation shall be provided in addition to the rate of compensation that the employee was receiving as of June 30, 2019. For an employee who was hired after June 30, 2019, the home care agency shall use the lowest compensation paid to an employee of similar functions and duties as of June 30, 2019, as the base compensation to which the increase is applied.    Within sixty days after the request described in subsection (1) of this section is approved, each home care agency shall provide written notification to each nonadministrative employee of the agency who provides personal care services, homemaker services, or in-home support services of the compensation they are entitled to pursuant to subsection (2) of this section.     History. Source: L. 2019: Entire part added, (SB 19-238), ch. 319, p. 2965, § 1, effective May 28.
CO Code § 25.5-6-1604 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 6 - Colorado Medical Assistance Act - Long-Term Care|Part 16 - Home Care Employees' Compensation and Training|§ 25.5-6-1604. Training for Home Care Agency Employees - Process for Reviewing and Enforcing Training Requirements

  On or before January 1, 2020, the state department and the department of public health and environment, in consultation with stakeholders, shall establish a process for reviewing and enforcing initial and ongoing training requirements for persons who provide personal care services, homemaker services, and in-home support services for which a home care agency may receive reimbursement pursuant to the “Colorado Medical Assistance Act”, as such requirements are set forth in this section and in rules promulgated by the state board. The stakeholders must include, but are not limited to:   One or more consumer advocacy organizations;    One or more personal care workers;    One or more worker organizations;    One or more home care agencies;    One or more disability advocacy organizations;    One or more senior advocacy organizations; and    One or more children's advocacy organizations.       The stakeholders with whom the departments consult pursuant to subsection (1) of this section shall discuss and advise the departments concerning the manner in which nonadministrative employees will be notified of the compensation increases and minimum wage described in sections 25.5-6-1602 and 25.5-6-1603.     History. Source: L. 2019: Entire part added, (SB 19-238), ch. 319, p. 2967, § 1, effective May 28.
CO Code § 25.5-6-1605 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 6 - Colorado Medical Assistance Act - Long-Term Care|Part 16 - Home Care Employees' Compensation and Training|§ 25.5-6-1605. Exemptions

  Notwithstanding any provision of this part 16 to the contrary, this part 16 does not apply to services provided under:   The consumer-directed attendant support services model; or    The pediatric personal care benefit.        History. Source: L. 2019: Entire part added, (SB 19-238), ch. 319, p. 2968, § 1, effective May 28.
CO Code § 25.5-6-1701 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 6 - Colorado Medical Assistance Act - Long-Term Care|Part 17 - Case Management Services for Long-Term Services and Supports|§ 25.5-6-1701. Legislative Declaration

 The general assembly finds and declares that there is a need to ensure a high-performing statewide case management system exists that serves all populations of people who qualify for long-term services and supports. The case management system includes, but is not limited to, intake and eligibility screening and determination, outreach, and other administrative activities and case management services. The five key outcomes of the statewide case management system must include federal compliance, quality, simplicity, stability, and accountability.   History. Source: L. 2021: Entire part added, (HB 21-1187), ch. 83, p. 313, § 1, effective September 7.
CO Code § 25.5-6-1703 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 6 - Colorado Medical Assistance Act - Long-Term Care|Part 17 - Case Management Services for Long-Term Services and Supports|§ 25.5-6-1703. Case Management System - Defined Service Areas - Case Management Services - Only Willing and Qualified Provider Exemption - Rules

  No later than July 1, 2024, the state board shall adopt rules providing for the establishment of a case management system that consists of case management agencies throughout the state for the purpose of enabling individuals in need of long-term care to access appropriate long-term services and supports. Members in need of specialized assistance may be referred to other services outside of long-term services and supports, as necessary for additional care coordination.    No later than December 31, 2021, the state department shall work with stakeholders to develop a timeline for the implementation of this part 17.      No later than December 31, 2022, the state department shall issue a competitive solicitation in order to select case management agencies pursuant to subsection (1) of this section. The competitive solicitation must include a reimbursement structure developed through a fiscal analysis.    No later than January 31, 2023, the state department shall provide an update on the status of the implementation of this part 17 to the joint budget committee of the general assembly as part of its annual presentation to that committee.       The state department shall utilize a stakeholder process to identify defined service areas for case management agencies across the state.    A case management agency may provide case management services to private paying individuals on a fee-for-service basis and shall provide case management services to members of publicly funded long-term services and supports programs, including but not limited to programs created pursuant to this article 6 and article 10 of this title 25.5.    Where applicable, the state department is authorized to seek a federal exemption from conflict-free case management requirements for defined service areas within the state where the only willing and qualified entity to provide case management services is also the only willing and qualified entity to provide home- and community-based services in that defined service area.    The state board shall utilize a stakeholder process when promulgating rules to implement this section.      History. Source: L. 2021: Entire part added, (HB 21-1187), ch. 83, p. 315, § 1, effective September 7.
CO Code § 25.5-6-1704 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 6 - Colorado Medical Assistance Act - Long-Term Care|Part 17 - Case Management Services for Long-Term Services and Supports|§ 25.5-6-1704. Intellectual and Developmental Disability Determination - Functional Eligibility Determination - Rules

  Intellectual and developmental disability determination. Any person may request an evaluation to determine whether the person has a developmental delay or an intellectual and developmental disability and is eligible to receive long-term services and supports pursuant to this article 6 and article 10 of this title 25.5. The person must request a developmental delay determination or intellectual and developmental disabilities determination from the case management agency or the entity in the defined service area where the person resides.    Functional eligibility determination. Pursuant to the contract with the state department, a case management agency shall determine whether a person is eligible to receive long-term services and supports pursuant to this article 6 and article 10 of this title 25.5. A case management agency or an entity shall develop a person-centered support plan for persons eligible for long-term services and supports for home- and community-based services and state general-funded programs.    The state board shall promulgate rules pursuant to article 4 of title 24 setting forth the procedure and criteria for determination of eligibility and person-centered support plan development. The procedure and criteria must be uniform in nature and applied throughout the state in a consistent manner.    Subject to available appropriations pursuant to section 25.5-10-206 and to the capacity of a service provider, the person must be provided options for long-term services and supports within the defined service area that can appropriately meet the person's identified needs, pursuant to this section.     History. Source: L. 2021: Entire part added, (HB 21-1187), ch. 83, p. 316, § 1, effective September 7.
CO Code § 25.5-6-1705 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 6 - Colorado Medical Assistance Act - Long-Term Care|Part 17 - Case Management Services for Long-Term Services and Supports|§ 25.5-6-1705. Person-Centered Support Plan

  Each member receiving services shall have a person-centered support plan, or a similar plan specified by the state department, developed and managed by a case management agency or an entity, and subject to review and approval pursuant to section 25.5-6-404. The person-centered support plan shall:   Be based on the particular service needs of the member receiving services;    Describe the services necessary to avoid institutionalization;    Ensure the member receives services in the setting of the member's choice; and    Identify the supports needed for the member to achieve personally identified goals.       Pursuant to this section, the person-centered support plan for each member receiving services must be reviewed at least annually and modified as necessary or appropriate.    A person-centered support plan is not required for a person with an intellectual and developmental disability or a developmental delay who is eligible for long-term services and supports and who is on a waiting list for enrollment into a program funded pursuant to article 10 of this title 25.5. Each case management agency shall provide information and referral services to each member on the waiting list for enrollment in a program at the time of the member's eligibility and annually thereafter, regarding long-term services and supports that are relevant to persons and are commonly used by persons with intellectual and developmental disabilities and a developmental delay as provided by rules promulgated by the state board. The criteria for information and referral must be uniform in nature and applied throughout the state in a consistent manner.     History. Source: L. 2021: Entire part added, (HB 21-1187), ch. 83, p. 316, § 1, effective September 7.
CO Code § 25.5-6-1706 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 6 - Colorado Medical Assistance Act - Long-Term Care|Part 17 - Case Management Services for Long-Term Services and Supports|§ 25.5-6-1706. Termination of Long-Term Services and Supports for Member Receiving Services

  A member receiving long-term services and supports pursuant to this article 6 or article 10 of this title 25.5 must be terminated from long-term services and supports upon a determination, made pursuant to the person-centered support planning process, that the long-term services and supports are no longer necessary. Prior to the effective date of the termination, notification of termination must be given to the member receiving services, the parents or guardian of a minor receiving services, and the person's legal guardian or other legal representative when applicable. A member terminated from services pursuant to this subsection (1) has a right to challenge the termination in accordance with state department rules.    When a member receiving services notifies the case management agency that the member no longer wishes to receive long-term services and supports, the member must be terminated from long-term services and supports unless the member is subject to a petition to impose a legal disability or to remove a legal right, filed pursuant to section 25.5-10-216, or the member has a legal guardian or other legal representative appointed affecting the member's ability to voluntarily terminate long-term services and supports. The parents of a minor who is receiving long-term services and supports and the minor's guardian must be notified of the minor's wish to terminate long-term services and supports, but no minor's long-term services and supports will be terminated without the consent of the minor's parent or legal guardian.     History. Source: L. 2021: Entire part added, (HB 21-1187), ch. 83, p. 317, § 1, effective September 7.
CO Code § 25.5-6-1709 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 6 - Colorado Medical Assistance Act - Long-Term Care|Part 17 - Case Management Services for Long-Term Services and Supports|§ 25.5-6-1709. Community-Centered Board Designation - Rules

 The state department shall develop a process to designate local or regional organizations as community-centered boards. The state department shall promulgate rules outlining the designation process no later than July 1, 2024. Any contracts or agreements entered into pursuant to this section are exempt from the “Procurement Code”, articles 101 to 112 of title 24.   History. Source: L. 2021: Entire part added, (HB 21-1187), ch. 83, p. 323, § 1, effective September 7.
CO Code § 25.5-6-1801 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 6 - Colorado Medical Assistance Act - Long-Term Care|Part 18 - Colorado Medical Assistance Program Requirements for Disbursement of Federal Funds Under the Federal “American Rescue Plan Act of 2021”|§ 25.5-6-1801. Legislative Declaration

  The general assembly finds and declares that Colorado has a long-standing commitment to serving older adults and people with disabilities through home- and community-based services that enable them to stay in their homes in their communities.    Therefore, the general assembly declares that Colorado is committed to maximizing the impact of the one-time, ten-percentage-point increase in the federal matching rate for medicaid home- and community-based services, as outlined in section 9817 of the federal “American Rescue Plan Act of 2021”, to implement or supplement the implementation of one or more activities to enhance, expand, and strengthen medicaid-funded home- and community-based services.     History. Source: L. 2021: Entire part added, (SB 21-286), ch. 395, p. 2621, § 1, effective June 30.
CO Code § 25.5-6-1802 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 6 - Colorado Medical Assistance Act - Long-Term Care|Part 18 - Colorado Medical Assistance Program Requirements for Disbursement of Federal Funds Under the Federal “American Rescue Plan Act of 2021”|§ 25.5-6-1802. Definitions

 As used in this part 18, unless the context otherwise requires:    “American Rescue Plan Act” means the federal “American Rescue Plan Act of 2021”, Pub.L. 117-2, as amended.    “Home- and community-based services” means any of the following:   Home health-care services authorized pursuant to paragraph (7) of section 1905(a) of the “Social Security Act”, 42 U.S.C. 1396d(a);    Personal care services authorized pursuant to paragraph (24) of section 1905(a) of the “Social Security Act”, 42 U.S.C. 1396d(a);    PACE services authorized pursuant to paragraph (26) of section 1905(a) of the “Social Security Act”, 42 U.S.C. 1396d(a);    Home- and community-based services authorized pursuant to subsections (b), (c), (i), (j), and (k) of section 1915 of the “Social Security Act”, 42 U.S.C. 1396n; services authorized pursuant to a waiver under section 1115 of the “Social Security Act”, 42 U.S.C. 1315; and services through coverage authorized under section 1937 of the “Social Security Act”, 42 U.S.C. 1396u-7;    Case management services authorized under section 1905(a)(19) of the “Social Security Act”, 42 U.S.C. 1396d(a)(19), and section 1915(g) of the “Social Security Act”, 42 U.S.C. 1396n(g);    Rehabilitative services, including those related to behavioral health, described in section 1905(a)(13) of the “Social Security Act”, 42 U.S.C. 1396d(a)(13); and    Such other services specified by the United States secretary of health and human services.       “Social Security Act” means the federal “Social Security Act”, as amended.     History. Source: L. 2021: Entire part added, (SB 21-286), ch. 395, p. 2622, § 1, effective June 30.