Medicaid/CHIP Data Requirements in Colorado
Medicaid/CHIP Data Requirements in Colorado
| Subtopic | Statute/Regulation | Description |
|---|
| Medicaid medical records maintenance by providers (including retention period, storage, and other recordkeeping requirements) | Benefits, Colo. Code Regs. § 10-2505-10 (§ 8.202.2) | Benefits. Identifies the dental services for children covered by Colorado’s medical assistance program. Includes two oral... |
| Early and Periodic Screening, Diagnosis and Treatment, Colo. Code Regs. § 10-2505-10(§8.280) | Early and Periodic Screening, Diagnosis, and Treatment. Classifies Medicaid enrollees aged 20 or younger as eligible for Early and... | |
| Maintenance of records, Colo. Code Regs. § 10-2505-10 (§ 8.100) | Maintenance of records Specifies the types of records that Medicaid providers must maintain (e.g., medical records, billing records, Medicaid... | |
| Physician services benefit coverage standards, Colo. Code Regs. § 10-2505-10 (§ 8.200.3D) | Physician Services Benefit Coverage Standards Identifies the language and hearing services covered by Colorado’s Medicaid program.... |
| Mandatory reporting by Medicaid providers (cost/utilization information) | Cross-system response for behavioral health crises pilot program, Colo. Rev. Stat. § 25.5-6-412 | Cross-system response for behavioral health crises pilot program - legislative declaration - creation - criteria - recommendations - fund - repeal... |
| Medicaid payment reform and innovation pilot program, Colo. Rev. Stat. § 25.5-5-415 | Medicaid payment reform and innovation pilot program - legislative declaration - creation - selection of payment projects - report - rules ... | |
| Medicaid payment reform and innovation pilot program, Colo. Rev. Stat. § 25.5-5-415 | Medicaid payment reform and innovation pilot program - legislative declaration - creation - selection of payment projects - report - rules ... |
| Medicaid/CHIP Data Requirements | Medicaid managed care grievance and appeal processes, Colo. Code Regs. § 10-2505-10 (§ 8.209) | Medicaid Managed Care Grievance and Appeal Processes Establishes the Medicaid Managed Care Grievance and Appeal Systems as a means of handling... |
| Medical homes for children, Colo. Rev. Stat. § 25.5-1-123 | Medical homes for children - legislative declaration - duties of the department Declares the medical homes as the best care delivery model for... |
| Access to Medicaid data (by patients, providers, and government agencies) | Periodic Visits - Nursing Home Records To Be Made Available, Colo. Code Regs. § 10-2505-10(§ 8.424) | Periodic Visits-- Nursing home records to be made available. Requires nursing homes to make records available to the Department of Health and... |
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