Colorado § 25.5-3-606 - Provider stabilization fund report.

§ 25.5-3-606. Provider stabilization fund report.

(1) Beginning September 1, 2026, and by each September 1 thereafter, the state department, with assistance from the advisory board, shall prepare and submit an annual report concerning the provider stabilization fund to:

(a) The health and human services committee of the house of representatives and the health and human services committee of the senate, or their successor committees;

(b) The joint budget committee;

(c) The governor; and

(d) The state board.

(2) At a minimum, the report must include:

(a) The number of low-income, uninsured individuals and the number of medicaid, medicare, and children's basic health plan enrollees served by eligible safety net providers that received provider stabilization payments in the immediately preceding fiscal year;

(b) The allocation of money to eligible safety net providers, including an itemization of the total amount of provider stabilization payments allocated to each eligible safety net provider; and

(c) Any other information that the state department, in consultation with the advisory board, deems necessary or appropriate.

(3) Notwithstanding the requirement in section 24-1-136 (11)(a)(I), the requirement to submit the report required in this section continues indefinitely.

Source: L. 2025: Entire part added, (SB 25-290), ch. 274, p. 1427, § 2, effective May 28.

COLORADO MEDICAL ASSISTANCE ACT

ARTICLE 4

Colorado Medical Assistance Act - General Medical Assistance

PART 1

GENERAL PROVISIONS

25.5-4-101. Short title.

25.5-4-102. Legislative declaration.

25.5-4-103. Definitions.

25.5-4-104. State medical assistance program - single state agency.

25.5-4-105. Federal requirements under Title XIX.

25.5-4-106. Cooperation with federal government - grants-in-aid - cooperation with the state department of human services in delivery of services.

25.5-4-107. Retaliation definition.

PART 2

ADMINISTRATION

25.5-4-201. Cash system of accounting - financial administration of medical services premiums - medical programs administered by department of human services - federal contributions - rules.

25.5-4-202. Comprehensive plan for other services and benefits. (Repealed)

25.5-4-203. Advisory council established. (Repealed)

25.5-4-204. Automated medical assistance administration.

25.5-4-205. Application - verification of eligibility - demonstration project - rules.

25.5-4-205.5. Confined persons - suspension of benefits.

25.5-4-206. Reimbursement to counties - costs of administration.

25.5-4-207. Appeals - rules - applicability.

25.5-4-208. County duties - transitional medicaid.

25.5-4-209. Payments by third parties - copayments by members - review - appeal - children's waiting list reduction fund - rules.

25.5-4-210. Purchase of health insurance for members.

25.5-4-211. Medicaid management information system - appropriation in annual general appropriation act - expenditure in next fiscal year.

25.5-4-212. Medicaid member correspondence improvement process - legislative declaration - definition.

25.5-4-213. Audit of medicaid member correspondence - definition.

25.5-4-214. Feasibility study - residential and inpatient substance use disorder treatment - report - repeal. (Repealed)

25.5-4-215. Study - benefits for persons on work release - repeal. (Repealed)

25.5-4-216. Report on impact of hospital facility fees in Colorado - definitions - steering committee - repeal. (Repealed)

25.5-4-217. Federal reimbursement for public expenditures - excess to general fund - notice to revisor of statutes - repeal.

25.5-4-218. Multiple procedure payment reductions for outpatient therapy - prohibition - definitions.

25.5-4-219. Community engagement requirements for medicaid eligibility - notice to revisor of statutes - rules - reporting - repeal.

PART 3

RECOVERY

25.5-4-300.4. Last resort for payment - legislative intent.

25.5-4-300.7. Prevention of coding errors - prepayment review of claims.

25.5-4-300.9. Explanation of benefits - medicaid members - legislative declaration.

25.5-4-301. Recoveries - overpayments - penalties - interest - adjustments - liens - review or audit procedures - cash fund - rules - definitions - repeal.

25.5-4-302. Recovery of assets.

25.5-4-303. State income tax refund intercept - garnishment of earning - failure to provide medical support for child.

25.5-4-303.3. Provider fraud - attorney general report.

25.5-4-303.5. Short title.

25.5-4-304. Definitions.

25.5-4-305. False medicaid claims - liability for certain acts - false medicaid claims recovery fund.

25.5-4-306. Civil actions for false medicaid claims.

25.5-4-307. False medicaid claims procedures - statute of limitations.

25.5-4-308. False medicaid claims jurisdiction.

25.5-4-309. False medicaid claims civil investigation demands.

25.5-4-310. Medicaid false claims report.

PART 4

PROVIDERS - REIMBURSEMENT

25.5-4-401. Providers - payments - rules.

25.5-4-401.2. Performance-based payments - reporting.

25.5-4-401.5. Review of provider rates - advisory committee - recommendations - repeal.

25.5-4-402. Providers - hospital reimbursement - hospital review program - rules.

25.5-4-402.3. Providers - hospital - provider fees - legislative declaration - federal waiver - fund created - rules - advisory board - repeal. (Repealed)

25.5-4-402.4. Hospitals - healthcare affordability and sustainability hospital provider fee - healthcare affordability and sustainability nursing facility provider fee - healthcare affordability and sustainability intermediate care facility fee - receipt of public funds - Colorado healthcare affordability and sustainability enterprise - federal waiver - funds created - reports - rules - legislative declaration - definitions - repeal.

25.5-4-402.5. Providers - state university teaching hospitals.

25.5-4-402.7. Unexpended hospital provider fee cash fund - creation - transfer from hospital provider fee cash fund - use of fund - repeal. (Repealed)

25.5-4-402.8. Hospital transparency report and requirements - definitions.

25.5-4-403. Providers - behavioral health safety net providers - reimbursement.

25.5-4-403.1. Providers - comprehensive community behavioral health providers - cost reporting.

25.5-4-403.2. Certified community behavioral health clinic - application - repeal. (Repealed)

25.5-4-404. Payments for clinic services - restrictions on use.

25.5-4-405. Mental health managed care service providers - requirements.

25.5-4-406. Rate setting - medicaid residential treatment service providers - monitoring and auditing - report.

25.5-4-407. Services by licensed psychologists without a doctor's referral.

25.5-4-408. Services provided by licensed psychologists - cost containment program.

25.5-4-409. Authorization of services - nurse anesthetists - advanced practice registered nurses.

25.5-4-410. Services of audiologists and speech pathologists without supervision.

25.5-4-411. Authorization of services provided by dental hygienists.

25.5-4-412. Family planning services - family-planning-related services - rules - definitions.

25.5-4-413. Certain providers to inform patients of rights concerning advance medical directives.

25.5-4-414. Providers - physicians - prohibition of certain referrals - definitions.

25.5-4-415. No public funds for abortion - exception - definitions - repeal. (Repealed)

25.5-4-416. Providers - medical equipment and supplies - requirements.

25.5-4-417. Provider fee - medicaid providers - state plan amendment - rules - definitions.

25.5-4-418. Integration of physical and behavioral health services - department review - report - repeal. (Repealed)

25.5-4-419. Supplemental state payment to qualified providers - office-administered drugs - no federal financial participation - definition - rules - repeal. (Repealed)

25.5-4-420. Providers to obtain unique NPI - service site - provider type - definitions.

25.5-4-421. Supplemental state payment to qualified durable medical equipment providers - no federal financial participation - definition - rules - repeal. (Repealed)

25.5-4-422. Cost control - legislative intent - use of technology - stakeholder feedback - reporting - rules.

25.5-4-423. Targets for investments in primary care.

25.5-4-424. State payments to qualified hospice providers - dually eligible persons - no federal financial participation - rules - legislative declaration - definitions - repeal. (Repealed)

25.5-4-425. Providers - health-care services related to labor and delivery - reimbursement.

25.5-4-426. Supplemental state payment to urban Indian organizations - definition - repeal. (Repealed)

25.5-4-427. State payment to the Denver health and hospital authority.

25.5-4-428. Prior authorization for a step-therapy exception - rules - definition.

25.5-4-429. Hospital and provider billing requirements - description of service provided - rules.

25.5-4-430. Increasing access to behavioral health care for children and youth - directed payment authority - fee schedule rates. (Repealed)

25.5-4-431. Preauthorization for treatment - request to share with insurance carrier.

25.5-4-432. Reimbursement guidance for screening, brief intervention, and referral to treatment.

25.5-4-433. Rural hospital cash fund - creation - definition.

25.5-4-434. Workplace violence in hospital settings - policy - verification of reporting requirements.

25.5-4-435. Reimbursement for sixty-day stay.

25.5-4-436. Transportation by ambulance or other vehicle - treatment on scene of a medical emergency - evaluation by telemedicine - definitions.

25.5-4-437. Registered behavior technicians - reimbursement - definitions.

PART 5

STATE PLAN AMENDMENTS - WAIVER AUTHORITY

25.5-4-501. State plan amendment - federal authorization - repeal. (Repealed)

25.5-4-502. Federal authorization - repeal. (Repealed)

25.5-4-503. Waiver applications - authorization.

25.5-4-504. Federal authorization - repeal. (Repealed)

25.5-4-505. Federal authorization related to persons involved in the criminal justice system - assessment - report - repeal. (Repealed)

25.5-4-505.5. Federal authorization related to persons involved in the criminal justice system - report - rules - legislative declaration.

25.5-4-505.7. Reentry services for justice-involved individuals reinvestment cash fund - creation - definitions.

25.5-4-506. Coverage for doula services - stakeholder process - federal authorization - scholarship program - training - report - definitions.

PART 1

GENERAL PROVISIONS