CO Code § 27-10.5-708 (2021)
2021 Colorado Code|Title 27 - Behavioral Health|Article 10.5 - Care and Treatment of Persons With Intellectual and Developmental Disabilities|Part 7 - Coordinated System of Payment for Early Intervention Services for Infants and Toddlers|§ 27-10.5-708. Certified Early Intervention Service Brokers - Duties - Payment for Early Intervention Services - Fees

  [ ] For each designated service area in the state, the certified early intervention service broker for the area shall:   [ ] Establish a registry of qualified early intervention service providers to provide early intervention services to eligible children in the designated service area. The certified early intervention service broker for a designated service area may provide early intervention services directly or may subcontract the provision of services to other qualified providers on the registry.    Accept and process claims for reimbursement for early intervention services provided under this part 7 by qualified providers;    [ ] Negotiate for the payment of early intervention services provided to eligible children in the designated service area by qualified providers, to the extent permissible under federal law; and    Ensure payment to a qualified provider for early intervention services rendered by the qualified provider.       Certified early intervention service brokers shall use procedures and forms determined by the department to document the provision or purchase of early intervention services on behalf of eligible children. Invoices or insurance claims for early intervention services shall be submitted based on the available funding source for each eligible child and the reimbursement rate for the appropriate federal, state, local, or private funding sources, including public medical assistance and private health insurance.    The department shall establish a schedule of fees to be charged by certified early intervention service brokers for providing broker services under this part 7. In developing the fee schedule, the department shall obtain input from certified early intervention service brokers and shall consider the duties of brokers under this part 7, the expenses incurred by brokers, and the relevant market conditions.    Use of a certified early intervention broker is voluntary; except that private health insurance carriers that are included under section 10-16-104 (1.3), C.R.S., are required to make payment in trust under section 27-10.5-709. Nothing in this part 7 prohibits a qualified provider of early intervention services from directly billing the appropriate program of public medical assistance or a participating provider, as defined in section 10-16-102 (46), C.R.S., or from directly billing a private health insurance carrier for services rendered under this part 7 for insurance plans that are not included under section 10-16-104 (1.3), C.R.S.    To the extent requested by the department, certified early intervention service brokers shall participate in ongoing reviews of funding practices for early intervention services and the development or revision of procedures for a coordinated system of payment for early intervention services.    Editor's note: This version of the introductory portion to subsection (1) is effective until July 1, 2024.  (1) [ ] For each defined service area in the state, the certified early intervention service broker for the area shall:  Editor's note: This version of the introductory portion to subsection (1) is effective July 1, 2024. Editor's note: This version of subsection (1)(a) is effective until July 1, 2024.  (a) [ ] Establish a registry of qualified early intervention service providers to provide early intervention services to eligible children in the defined service area. The certified early intervention service broker for a defined service area may provide early intervention services directly or may subcontract the provision of services to other qualified providers on the registry.  Editor's note: This version of subsection (1)(a) is effective July 1, 2024. Editor's note: This version of subsection (1)(c) is effective until July 1, 2024.  (c) [ ] Negotiate for the payment of early intervention services provided to eligible children in the defined service area by qualified providers, to the extent permissible under federal law; and  Editor's note: This version of subsection (1)(c) is effective July 1, 2024.  History. Source: L. 2008: Entire part R&RE, p. 1465, § 11, effective August 5. L. 2009: (4) amended,(HB 09-1237), ch. 216, p. 979, § 3, effective May 2. L. 2013: (4) amended,(HB 13-1266), ch. 217, p. 994, § 68, effective May 13. L. 2021: IP(1), (1)(a), and (1)(c) amended,(HB 21-1187), ch. 83, p. 353, § 67, effective July 1, 2024.    Editor's note:   This section is similar to former § 27-10.5-705 as it existed prior to 2008.