2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › CHILDREN'S BASIC HEALTH PLAN (§§ 25.5-8-101 — 25.5-11-101) › Article 10 - COMMUNITY LIVING (§§ 25.5-10-101 — 25.5-10-403) › Part 2 - INTELLECTUAL AND DEVELOPMENTAL DISABILITIES (§§ 25.5-10-201 — 25.5-10-241) › Section 25.5-10-212 - [Effective 8/7/2024] Procedure for resolving disputes over eligibility, modification of services or supports, and termination of services or supports

(1)
Every state or local service agency receiving state money pursuant to section
25.5-10-206
shall adopt a procedure for the resolution of disputes arising between the service agency and any Member of, or applicant for, services or supports authorized pursuant to section
25.5-10-206
. Procedures for the resolution of disputes regarding early intervention services must comply with IDEA and with part 4 of article
3
of title
26.5
. The procedures must be consistent with rules promulgated by the state board pursuant to article
4
of title
24
and must apply to the following disputes:
(a)
A contested decision that the applicant is not eligible for services or supports;
(b)
A contested decision to provide, modify, reduce, or deny services or supports set forth in the individualized plan or individualized family service plan of the person receiving services;
(c)
A contested decision to terminate services or supports;
(d)
A contested decision that the person receiving services is no longer eligible for services or supports.
(2)
The state board shall promulgate rules pursuant to article
4
of title
24
, C.R.S., setting forth procedures for the resolution of disputes specified in subsection (1) of this section that must:
(a)
Require that all applicants for services and supports and the parents or guardian of a minor, the guardian, or an authorized representative be informed orally and in writing, in their native language, of the dispute resolution procedures at the time of application, at the time the individualized plan is developed, and any time changes in the plan are contemplated;
(b)
Require that a service agency keep a written record of all proceedings specified pursuant to this section;
(c)
Require that no person receiving services be terminated from such services or supports during the resolution process;
(d)
Require that utilizing the dispute resolution procedure must not prejudice the future provision of appropriate services or supports to persons; and
(e)
Require that the intended action not occur until after reasonable notice has been provided to the person, the parents or guardian of a minor, the guardian, or an authorized representative, along with an opportunity to utilize the resolution process, except in emergency situations, as determined by the state department.
(3)
The resolution process need not conform to the requirements of section
24-4-105
, C.R.S., as long as the rules adopted by the state board include provisions specifically setting forth procedures, time frames, notice, an opportunity to be heard and to present evidence, and the opportunity for impartial review of the decision in dispute by the executive director or designee, if the resolution process has failed.
Amended by 2024 Ch. 152,§ 102, eff. 8/7/2024.
Amended by 2022 Ch. 123, § 79, eff. 7/1/2022.
L. 2013: Entire article added with relocations, (HB 13-1314), ch. 323, p. 1764, § 1, effective 3/1/2014.
This section is similar to former §
27-10.5-107
as it existed prior to 2013.
2024 Ch. 152, was passed without a safety clause. See Colo. Const. art. V, § 1(3).
This section is set out more than once due to postponed, multiple, or conflicting amendments.