Colorado § 25.5-3-604 - Provider stabilization payments - eligibility.

§ 25.5-3-604. Provider stabilization payments - eligibility.

(1) (a) The state department, in collaboration with the provider stabilization fund advisory board, shall annually allocate money appropriated by the general assembly from the provider stabilization fund as provider stabilization payments to safety net providers in the state that comply with the requirements of subsection (2) of this section and are determined to be eligible for a provider stabilization payment. The state department shall allocate the provider stabilization payments in amounts proportionate to the number of low-income, uninsured individuals served by an eligible safety net provider relative to the total number of low-income, uninsured individuals served by all eligible safety net providers.

(b) The state department, in consultation with the advisory board, shall establish a schedule for allocating the money appropriated from the provider stabilization fund for eligible safety net providers. The disbursement of money in the provider stabilization fund to eligible safety net providers pursuant to this section is exempt from the provisions of the "Procurement Code", articles 101 to 112 of title 24.

(c) Provider stabilization payments from the provider stabilization fund pursuant to this subsection (1) are made to supplement, not supplant, general fund appropriations to support safety net provider reimbursements.

(2) (a) For a safety net provider to be eligible for a provider stabilization payment pursuant to subsection (1)(a) of this section, the safety net provider shall provide sufficient information to the state department, as specified in subsection (2)(b) of this section, to establish that the provider provides services to low-income, uninsured individuals:

(I) At no cost; or

(II) On a sliding-fee schedule.

(b) A safety net provider applying for a provider stabilization payment shall annually submit to the state department information that the state department, in consultation with the advisory board, determines necessary to establish the provider's eligibility for a provider stabilization payment pursuant to subsection (1)(a) of this section. The safety net provider shall provide the following:

(I) Information demonstrating that the provider is a safety net provider as described in section 25.5-3-602 (8)(a), (8)(b), or (8)(c) or has a client caseload that satisfies the requirements of section 25.5-3-602 (8)(d);

(II) For a safety net provider described in section 25.5-3-602 (8)(d), the total number of patients served, the number of low-income, uninsured individuals that the provider served, and the number of enrollees in medicaid, medicare, or the children's basic health plan that the provider served; and

(III) Information to demonstrate that the provider provides services in compliance with subsection (2)(a)(I) or (2)(a)(II) of this section, as applicable.

(c) For purposes of this subsection (2), the number of patients served is the number of unduplicated users of health-care services and is not the number of visits by a patient.

Source: L. 2025: Entire part added, (SB 25-290), ch. 274, p. 1425, § 2, effective May 28.