2023 Colorado Revised Statutes › Title 25.5 - HEALTH CARE POLICY AND FINANCING (§§ 25.5-1-101 — 25.5-11-101) › COLORADO MEDICAL ASSISTANCE ACT (§§ 25.5-4-101 — 25.5-6-2001) › Article 6 - COLORADO MEDICAL ASSISTANCE ACT - LONG-TERM CARE (§§ 25.5-6-101 — 25.5-6-2001) › Part 14 - MEDICAID BUY-IN (§§ 25.5-6-1401 — 25.5-6-1406) › Section 25.5-6-1403 - Waivers and amendments

(1)
Repealed.
(2)
If approved by the joint budget committee and subject to available appropriations, the state department shall submit to the federal centers for medicare and medicaid services an amendment to the state medical assistance plan, and shall request any necessary waivers from the secretary of the federal department of health and human services, to permit the state department to expand medical assistance eligibility as provided in this part 14 for the purpose of implementing a medicaid buy-in program for people with disabilities who are in the basic coverage group or the medical improvement group. In addition, the state department shall apply to the secretary of the federal department of health and human services for a medicaid infrastructure grant, if available, to develop and implement the federal "Ticket to Work and Work Incentives Improvement Act of 1999", Pub.L. 106-170.
(3)
If the state medical assistance plan amendment and all necessary waivers are approved, the state department shall implement the medicaid buy-in program provided in this part 14 not later than three months after receiving full federal approval, whichever is later.
(4)
The state department shall seek federal authorization to implement a medicaid buy-in program for adults who are eligible to receive home- and community-based services pursuant to the supported living services waiver; the developmental disabilities waiver or its successor, part 4 of this article 6; the persons with brain injury waiver, part 7 of this article 6; and the spinal cord injury waiver pilot program, part 13 of this article 6. The state department shall prepare and submit any requests necessary for federal approval not later than January 1, 2023, and shall implement the medicaid buy-in program pursuant to this subsection (4) not later than three months after receiving federal approval.
(5)
(a)
Except as provided in subsection (5)(b) of this section:
(I)
The state department shall seek federal authorization through an amendment to the state medical assistance plan to implement the federal "Balanced Budget Act of 1997", Pub.L. 105-33, 111, as amended, which provides individuals an opportunity to buy into medicaid consistent with the federal "Social Security Act",
42 U.S.C. sec. 1396a (a)(10)(A)(ii)
(XIII), as amended, to permit the state department to provide medical assistance eligibility to individuals in the work incentives eligibility group, age sixty-five and older, after they are no longer eligible under the federal "Ticket to Work and Work Incentives Improvement Act of 1999", Pub.L. 106-170.
(II)
In addition to submitting an amendment to the state medical assistance plan pursuant to subsection (5)(a)(I) of this section, the state department shall submit a state plan amendment pursuant to section 1902(r)(2) of the federal "Social Security Act" to use less restrictive income and resource methodologies to match the income, household, and asset levels of the medicaid buy-in program for implementation no later than July 1, 2022.
(b)
The state department shall not prepare and submit the amendments to the state medical assistance plan pursuant to this subsection (5) if there are insufficient revenues from the healthcare affordability and sustainability fee cash fund, created in section
25.5-4-402.4
, for the administrative expenses associated with preparing and submitting the state plan amendments. If there are insufficient revenues from the healthcare affordability and sustainability fee cash fund, the state department may accept and expend gifts, grants, or donations for this purpose.
Amended by 2021 Ch. 380, § 7, eff. 7/1/2021.
Amended by 2020 Ch. 237, § 2, eff. 7/6/2020.
Amended by 2016 Ch. 22, § 7, eff. 8/10/2016.
Amended by 2016 Ch. 344, § 1, eff. 6/10/2016.
L. 2008: Entire part added, p. 2198, § 1, effective July 1. L. 2009: (2) amended, (HB 09-1293), ch. 152, p. 649, § 7, effective July 1. L. 2016: (4) added, (HB 16-1321), ch. 344, p. 1398, § 1, effective June 10; (1) repealed and (2) amended, (HB 16 -1081), ch. 52, p. 52, § 7, effective August 10. L. 2020: (5) added, (SB 20-033), ch. 1150, p. 1150, § 2, effective July 6. L. 2021: (4) amended, (SB 21-039), ch. 2549, p. 2549, § 7, effective July 1.
Section 9 of chapter 380 (SB 21-039), Session Laws of Colorado 2021, provides that the act changing this section applies to wages paid on or after July 1, 2021.