reglab/housing_qa huggingface dataset:
CO Code § 25.5-4-205.5 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 4 - Colorado Medical Assistance Act - General Medical Assistance|Part 2 - Administration|§ 25.5-4-205.5. Confined Persons - Suspension of Benefits

  For purposes of this section, unless the context otherwise requires, “confined person” means a person who is:   An inmate confined to a correctional institution operated by or under contract with the department of corrections;    Confined in a jail;    Committed to a juvenile commitment facility;    Committed to a department of human services facility pursuant to part 1 of article 8 of title 16, C.R.S.; or    A patient placed in a department of human services facility pursuant to court order or certification.       Notwithstanding any other provision of law, a person who, immediately prior to becoming a confined person, was a recipient of medical assistance pursuant to this article 4 or article 5 or 6 of this title 25.5, remains eligible for medical assistance while a confined person; except that medical assistance may not be furnished pursuant to this article 4 or article 5 or 6 of this title 25.5 while the person is a confined person unless federal financial participation is available for the cost of the assistance, including but not limited to juveniles held in a facility operated by or under contract to the division of youth services established pursuant to section 19-2.5-1501 or the department of human services. Once a person is no longer a confined person, the person continues to be eligible for receipt of medical benefits pursuant to this article 4 or article 5 or 6 of this title 25.5 until the person is determined to be ineligible for the receipt of the assistance. To the extent permitted by federal law, the time during which a person is a confined person is not included in any calculation of when the person must recertify his or her eligibility for medical assistance pursuant to this article 4 or article 5 or 6 of this title 25.5.     History. Source: L. 2008: Entire section added, p. 903, § 1, effective May 20. L. 2017: (2) amended, (HB 17-1329), ch. 381, p. 1983, § 59, effective June 6. L. 2021: (2) amended, (SB 21-059), ch. 136, p. 746, § 122, effective October 1.
CO Code § 25.5-4-206 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 4 - Colorado Medical Assistance Act - General Medical Assistance|Part 2 - Administration|§ 25.5-4-206. Reimbursement to Counties - Costs of Administration

 The state department shall reimburse the county departments for costs of administration incurred by the counties under this article and articles 5 and 6 of this title in accordance with the provisions of section 26-1-122 (5) , C.R.S.   History. Source: L. 2006: Entire article added with relocations, p. 1825, § 7, effective July 1.    Editor's note:   This section is similar to former § 26-4-411 as it existed prior to 2006.
CO Code § 25.5-4-208 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 4 - Colorado Medical Assistance Act - General Medical Assistance|Part 2 - Administration|§ 25.5-4-208. County Duties - Transitional Medicaid

 County departments shall assist families in completing the reporting requirements for transitional medicaid. This shall include informing families of the transitional medicaid eligibility requirements and the required reporting calendar.   History. Source: L. 2006: Entire article added with relocations, p. 1826, § 7, effective July 1. L. 2014: Entire section amended,(SB 14-067), ch. 12, p. 116, § 11, effective February 27.    Editor's note:   This section is similar to former § 26-4-106.5 as it existed prior to 2006.
CO Code § 25.5-4-211 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 4 - Colorado Medical Assistance Act - General Medical Assistance|Part 2 - Administration|§ 25.5-4-211. Medicaid Management Information System - Appropriation in Annual General Appropriation Act - Expenditure in Next Fiscal Year

  Subject to the limitation in subsection (2) of this section, unexpended and unencumbered moneys from an appropriation in the annual general appropriation act to the state department for the medicaid management information system remain available for expenditure by the state department in the next fiscal year without further appropriation. This section applies to appropriations made by the general assembly for fiscal years beginning on and after July 1, 2013.    On or before June 30, 2014, and on or before June 30 of each year thereafter, the state department shall notify the state controller of the amount of the appropriation from the annual general appropriation act for the medicaid management information system for the current fiscal year that the state department needs to remain available for expenditure in the next fiscal year. The state department may not expend more than the amount notified under the authority granted in this section.    Repealed.     History. Source: L. 2013: Entire section added,(HB 13-1281), ch. 205, p. 851, § 1, effective May 11. L. 2017: (3) amended,(HB 17-1060), ch. 6, p. 16, § 8, effective March 1.    Editor's note:   Subsection (3)(b) provided for the repeal of subsection (3), effective January 3, 2018.(See L. 2017, p. 16 .)
CO Code § 25.5-4-300.4 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 4 - Colorado Medical Assistance Act - General Medical Assistance|Part 3 - Recovery|§ 25.5-4-300.4. Last Resort for Payment - Legislative Intent

 It is the intent of the general assembly that medicaid be the last resort for payment for medically necessary goods and services furnished to recipients and that all other sources of payment are primary to medical assistance provided by medicaid.   History. Source: L. 2008: Entire section added, p. 1771, § 2, effective June 2.
CO Code § 25.5-4-300.7 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 4 - Colorado Medical Assistance Act - General Medical Assistance|Part 3 - Recovery|§ 25.5-4-300.7. Prevention of Coding Errors - Prepayment Review of Claims

  The state department shall implement and maintain a system for reducing medical services coding errors in medicaid claims submitted to the state department for reimbursement. The system shall include automatic, prepayment review of medicaid claims through the use of nationally recognized correct coding methods in the medicaid management information system, in accordance with 42 U.S.C. sec. 1396b (r) and regulations thereunder, as amended by Pub.L. 111-148, and any other subsequent acts of congress. The state department shall acquire and maintain any information technology necessary to implement the automated, prepayment review of medicaid claims.    Repealed.     History. Source: L. 2010: Entire section added,(SB 10-167), ch. 296, p. 1379, § 8, effective May 26. L. 2016: (2) repealed,(HB 16-1081), ch. 22, p. 50, § 2, effective August 10.    Cross references:   For the legislative declaration in SB 10-167, see section 1 of chapter 296, Session Laws of Colorado 2010.
CO Code § 25.5-4-303 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 4 - Colorado Medical Assistance Act - General Medical Assistance|Part 3 - Recovery|§ 25.5-4-303. State Income Tax Refund Intercept - Garnishment of Earning - Failure to Provide Medical Support for Child

     At any time prescribed by the department of revenue, but not less frequently than annually, the state department may certify to the department of revenue information regarding any person who:   Is obligated to the state agency responsible for administering medical assistance in this state for medical support based on medical assistance provided to the obligor's dependent child; and    Has received payment from a third party to cover the health-care costs of the child but has neither applied such payment to cover the child's health-care costs nor to reimburse the state department, the custodial parent of the child, or the provider of medical care.       The information provided to the department of revenue shall include the name and the social security number of the person described in paragraph (a) of this subsection (1), the amount of medical assistance provided to the child during the period for which medical support was ordered but not provided as described in subparagraph (II) of paragraph (a) of this subsection (1), and any other identifying information required by the department of revenue.       Prior to a final certification of the information described in subsection (1) of this section to the department of revenue, the state department shall notify the obligated person, in writing, that the state intends to refer the person's name to the department of revenue in an attempt to offset the person's medical support obligation against the person's state income tax refund. Such notification shall include information on the parent's right to object to the offset.    Upon notification by the department of revenue of amounts deposited with the state treasurer pursuant to section 39-21-108 (3), C.R.S., the state department may recover the amount of the medical assistance described in paragraph (b) of subsection (1) of this section.    The state department may garnish the wages and other earnings of a person described in paragraph   of subsection (1) of this section. The garnishment of wages and earning shall be in accordance with articles 54 and 54.5 of title 13, C.R.S.       The state board shall adopt rules as are necessary for the implementation of this section.     History. Source: L. 2006: Entire article added with relocations, p. 1838, § 7, effective July 1.    Editor's note:   This section is similar to former § 26-4-403.4 as it existed prior to 2006.
CO Code § 25.5-4-303.3 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 4 - Colorado Medical Assistance Act - General Medical Assistance|Part 3 - Recovery|§ 25.5-4-303.3. Provider Fraud - Attorney General Report

  No later than October 1, 2017, and no later than October 1 each year thereafter, the attorney general shall submit a written report to the state department for inclusion in a single, comprehensive report to the general assembly concerning medicaid fraud pursuant to section 25.5-1-115.5. The attorney general shall provide information relating to medicaid provider fraud including, at a minimum:   Investigations of provider fraud during the year;    Criminal complaints requested, cases dismissed, cases acquitted, convictions, and confessions of judgment;    Recoveries, including fines and penalties, restitution ordered, and restitution collected;    Civil claims;    Trends in methods used to commit provider fraud, excluding law enforcement-sensitive information; and    An estimate of the total savings, total cost, and net cost-effectiveness of fraud detection and recovery efforts.        History. Source: L. 2012: Entire section added, (SB 12-060), ch. 166, p. 578, § 2, effective August 8. L. 2017: IP(1), (1)(d), and (1)(e) amended and (1)(f) added, (SB 17-295), ch. 298, p. 1637, § 2, effective August 9.
CO Code § 25.5-4-303.5 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 4 - Colorado Medical Assistance Act - General Medical Assistance|Part 3 - Recovery|§ 25.5-4-303.5. Short Title

 This section and sections 25.5-4-304 to 25.5-4-310 shall be known and may be cited as the “Colorado Medicaid False Claims Act”.   History. Source: L. 2010: Entire section added,(SB 10-167), ch. 296, p. 1379, § 10, effective May 26.    Cross references:   For the legislative declaration in SB 10-167, see section 1 of chapter 296, Session Laws of Colorado 2010.   ANNOTATION   Law reviews. For article, “Overview of the New Colorado Medicaid False Claims Act”, see 39 Colo. Law. 27 (Oct. 2010).
CO Code § 25.5-4-304 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 4 - Colorado Medical Assistance Act - General Medical Assistance|Part 3 - Recovery|§ 25.5-4-304. Definitions

 As used in sections 25.5-4-303.5 to 25.5-4-309 , unless the context otherwise requires:       “Claim” means a request or demand for money or property, whether under a contract or otherwise, and regardless of whether the state has title to the money or property, under the “Colorado Medical Assistance Act” that is:   Presented to an officer, employee, or agent of the state; or    Made to a contractor, grantee, or other recipient if the money or property is to be spent or used on the state's behalf or to advance a program or interest of the state and if the state:   Provides or has provided any portion of the money or property requested or demanded; or    Will reimburse the contractor, grantee, or other recipient for any portion of the money or property that is requested or demanded.          “Claim” does not include a request or demand for money or property that the state has paid to an individual as compensation for employment by the state or as an income subsidy with no restriction on that individual's use of the money or property.       “Colorado Medical Assistance Act” means this article and articles 5 and 6 of this title.      “Knowing” or “knowingly” means that a person, with respect to information:   Has actual knowledge of the information;    Acts in deliberate ignorance of the truth or falsity of the information; or    Acts in reckless disregard of the truth or falsity of the information.       “Knowing” or “knowingly” does not require proof of specific intent to defraud.       “Material” means having a natural tendency to influence, or be capable of influencing, the payment or receipt of money or property.    “Obligation” means a fixed or contingent duty arising from an express or implied contractual, quasi-contractual, grantor-grantee, licensor-licensee, statutory, fee-based, or similar relationship, or the retention of overpayment.      History. Source: L. 2006: Entire article added with relocations, p. 1838, § 7, effective July 1. L. 2010: Entire section R&RE,(SB 10-167), ch. 296, p. 1379, § 11, effective May 26. L. 2013: (5) amended,(SB 13-205), ch. 276, p. 1441, § 3, effective August 7.    Editor's note:   This section is similar to former §§ 26-4-1102 and 26-4-1103 (3) as they existed prior to 2006.   Cross references:   For the legislative declaration in SB 10-167, see section 1 of chapter 296, Session Laws of Colorado 2010.
CO Code § 25.5-4-307 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 4 - Colorado Medical Assistance Act - General Medical Assistance|Part 3 - Recovery|§ 25.5-4-307. False Medicaid Claims Procedures - Statute of Limitations

  A civil action under section 25.5-4-306 (1) or (2) may not be brought after the later of:   More than six years after the date on which the violation of section 25.5-4-305 is committed; or    More than three years after the date when facts material to the right of action are known or reasonably should have been known by the official of the state charged with responsibility to act in the circumstances, but in no event more than ten years after the date on which the violation of section 25.5-4-305 is committed.       If the state elects to intervene and proceed with an action brought under section 25.5-4-306, the state may file its own complaint or amend the relator's complaint to clarify or add detail to the claims in which the state is intervening and to add any additional claims with respect to which the state contends it is entitled to relief. For statute of limitations purposes, any such pleadings by the state shall relate back to the filing date of the relator's complaint, to the extent that the state's claim arises out of the conduct, transactions, or occurrences set forth, or attempted to be set forth, in the prior complaint of the relator.    In an action brought under section 25.5-4-306, the state or relator must prove all essential elements of the cause of action, including damages, by a preponderance of the evidence.    Notwithstanding any other provision of law, the Colorado rules of criminal procedure, or the Colorado rules of evidence, a final judgment rendered in favor of the state in a criminal proceeding charging fraud or false statements, whether upon a verdict after trial or upon a plea of guilty or nolo contendere, shall estop the defendant from denying the essential elements of the offense in any action that involves the same transaction as in the criminal proceeding and that is brought under section 25.5-4-306.    A private action for retaliation under section 25.5-4-306 (7) may not be brought more than three years after the date when the retaliation occurred.     History. Source: L. 2010: Entire section added,(SB 10-167), ch. 296, p. 1386, § 14, effective May 26. L. 2013: (5) added,(SB 13-205), ch. 276, p. 1442, § 6, effective August 7.    Cross references:   For the legislative declaration in SB 10-167, see section 1 of chapter 296, Session Laws of Colorado 2010.
CO Code § 25.5-4-308 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 4 - Colorado Medical Assistance Act - General Medical Assistance|Part 3 - Recovery|§ 25.5-4-308. False Medicaid Claims Jurisdiction

 An action under section 25.5-4-306 may be brought in any judicial district in which the defendant or, in the case of multiple defendants, any one defendant can be found, resides, or transacts business or in which an act proscribed by section 25.5-4-305 occurred. A summons as required by the Colorado rules of civil procedure shall be issued by the appropriate district court and served at any place.   History. Source: L. 2010: Entire section added,(SB 10-167), ch. 296, p. 1387, § 14, effective May 26.    Cross references:   For the legislative declaration in SB 10-167, see section 1 of chapter 296, Session Laws of Colorado 2010.
CO Code § 25.5-4-310 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 4 - Colorado Medical Assistance Act - General Medical Assistance|Part 3 - Recovery|§ 25.5-4-310. Medicaid False Claims Report

  Notwithstanding section 24-1-136 (11)(a)(I), on or before January 15, 2012, and on or before each January 15 thereafter, the attorney general shall submit a written report to the health and human services committees of the senate and the house of representatives, or any successor committees, and to the joint budget committee of the general assembly concerning claims brought under the “Colorado Medicaid False Claims Act” during the previous fiscal year. The report shall include, but not be limited to:   The number of actions filed by the attorney general;    The number of actions filed by the attorney general that were completed;    The amount that was recovered in actions filed by the attorney general through settlement or through a judgment and, if known, the amount recovered for damages, penalties, and litigation costs;    The number of actions filed by a person other than the attorney general;    The number of actions filed by a person other than the attorney general that were completed;    The amount that was recovered in actions filed by a person other than the attorney general through settlement or through a judgment and, if known, the amount recovered for damages, penalties, and litigation costs, and the amount recovered by the state and the person; and    The amount expended by the state for investigation, litigation, and all other costs for claims related to the “Colorado Medicaid False Claims Act”.        History. Source: L. 2010: Entire section added,(SB 10-167), ch. 296, p. 1399, § 14, effective May 26. L. 2017: IP(1) amended,(SB 17-233), ch. 175, p. 637, § 3, effective August 9.    Cross references:    For the “Colorado Medicaid False Claims Act”, see section 25.5-4-303.5.    For the legislative declaration in SB 10-167, see section 1 of chapter 296, Session Laws of Colorado 2010.
CO Code § 25.5-4-402.5 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 4 - Colorado Medical Assistance Act - General Medical Assistance|Part 4 - Providers - Reimbursement|§ 25.5-4-402.5. Providers - State University Teaching Hospitals

 Subject to appropriations by the general assembly, the state department shall make payments to state university teaching hospitals for providing care under the state's medical assistance program established pursuant to this article and articles 5 and 6 of this title.   History. Source: L. 2008: Entire section added, p. 1185, § 3, effective May 22.
CO Code § 25.5-4-403 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 4 - Colorado Medical Assistance Act - General Medical Assistance|Part 4 - Providers - Reimbursement|§ 25.5-4-403. Providers - Community Mental Health Center and Clinics - Reimbursement

 For the purpose of reimbursing community mental health center and clinic providers, the state department shall establish a price schedule annually with the department of human services in order to reimburse each provider for its actual or reasonable cost of services.   History. Source: L. 2006: Entire article added with relocations, p. 1844, § 7, effective July 1.    Editor's note:   This section is similar to former § 26-4-409 as it existed prior to 2006.
CO Code § 25.5-4-404 (2021)
2021 Colorado Code|Title 25.5 - Health Care Policy and Financing|Article 4 - Colorado Medical Assistance Act - General Medical Assistance|Part 4 - Providers - Reimbursement|§ 25.5-4-404. Payments for Clinic Services - Restrictions on Use

 All payments received by county or district public health agencies or boards of health for clinic services, as defined in section 25.5-5-301 (3) , furnished to patients shall be used only to offset costs incurred for provision of services by such county or district public health agencies or boards of health or to cash fund health-care services in the county where the services were provided.   History. Source: L. 2006: Entire article added with relocations, p. 1844, § 7, effective July 1. L. 2010: Entire section amended,(HB 10-1422), ch. 419, p. 2110, § 142, effective August 11.    Editor's note:   This section is similar to former § 26-4-515 as it existed prior to 2006.