C.R.S. Section 24-31-801
Definitions


As used in this part 8, unless the context otherwise requires:

(1)

“Abuse” means willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical or financial harm or pain or mental anguish, including any acts or omissions that constitute a criminal violation under state law.

(2)

“Beneficiary” means any individual who receives goods or services from a provider under the medicaid program.

(3)

“Benefit” means any benefit authorized under the “Colorado Medical Assistance Act”.

(4)

“Claim” means any communication submitted to the medicaid program or to a person that has contracted with the medicaid program, whether oral, written, electronic, or magnetic, that identifies a good, item, or service as reimbursable under the medicaid program; is used to authorize the provision of services under the medicaid program; serves as an invoice for services provided under contract with the medicaid program; or states income or expense and is or may be used to determine a rate of payment under the medicaid program.

(5)

“Colorado Medical Assistance Act” means articles 4 to 6 of title 25.5.

(6)

“Exploitation” means the wrongful taking or use of funds or property of a patient residing in a health-care facility or board and care facility that constitutes a criminal violation under state law.

(7)

“Knowingly” and “willfully” have the same meaning as set forth in section 18-1-501 (6).

(8)

“Material information” means an assertion or information directly pertaining to a claim, record, statement, or representation that a reasonable person knows or should know will affect the action, conduct, or decision of the person who receives or is intended to receive the asserted information in a manner that would directly or indirectly benefit the person making the assertion.

(9)

“Medicaid fraud and waste” means any act, by commission or omission, as described in section 24-31-808.

(10)

“Medicaid program” means the medical assistance program authorized by Title XIX of the federal “Social Security Act” and implemented by the “Colorado Medical Assistance Act”.

(11)

“Neglect” means willful failure to provide goods and services necessary to avoid physical harm, mental anguish, or mental illness, including any neglect that constitutes a criminal violation under state law.

(12)

“Person” means an individual, public or private institution, corporation, partnership, association, or managed care entity.

(13)

“Provider” means any person, employee, agent, representative, contractor, or subcontractor of a person:

(a)

Who has entered into a provider agreement with the department of health care policy and financing to provide goods or services pursuant to the medicaid program;

(b)

Who has entered into an agreement with a party to such a provider agreement under which the person agrees to provide goods or services that are reimbursable under the medicaid program;

(c)

Who is reimbursed or receives compensation for delivering, purporting to deliver, or arranging for the delivery of health-care goods or services from the medicaid program;

(d)

Who is defined as such in section 25.5-4-103 (19); or

(e)

Who is defined as such in section 25.5-4-416 (1).

(14)

“Records” means any medical, professional, or business records relating to the treatment or care of any beneficiary, to goods or services provided to any beneficiary, or to rates paid for goods or services provided to any beneficiary and any records that are required to be kept by the rules of the medicaid program.

(15)

“Statement or representation” means any oral, written, or electronic communication that is used to identify an item of goods or a service for which reimbursement may be made under the medicaid program or that states income and expense and is or may be used to determine a rate of reimbursement under the medicaid program, that may serve as the basis for the calculation of a payment to a provider, or that may serve as a basis for receiving payment.

(16)

“Unit” means the medicaid fraud control unit created in section 24-31-802.

Source: Section 24-31-801 — Definitions, https://leg.­colorado.­gov/sites/default/files/images/olls/crs2023-title-24.­pdf (accessed Oct. 20, 2023).

24‑31‑101
Powers and duties of attorney general
24‑31‑102
Offices, boards, and divisions
24‑31‑103
Chief deputy attorney general - powers
24‑31‑103.5
Solicitor general - creation - powers
24‑31‑104.5
Funding for insurance fraud investigations and prosecutions - creation of fund
24‑31‑106
Rights of crime victims - victims’ services coordinator
24‑31‑107
Applications for licenses - authority to suspend licenses - rules
24‑31‑108
Receipt of money - subject to appropriation - exception for custodial money - legal services cash fund - creation - definition
24‑31‑108.5
Use of funds for unanticipated legal needs
24‑31‑111
Legal services to state agencies - definitions
24‑31‑112
No limitations on common law authority
24‑31‑113
Public integrity - patterns and practices
24‑31‑115
Housing unit - powers of attorney general or district attorney - subpoenas - document production - remedies - injunctive relief - penalties
24‑31‑301
Definitions
24‑31‑302
Creation of board
24‑31‑303
board - definition
24‑31‑304
Applicant for training - fingerprint-based criminal history record check
24‑31‑305
Certification - issuance - renewal - revocation - rules - definition
24‑31‑307
Enforcement
24‑31‑308
Reciprocity - provisional certificate
24‑31‑309
Profiling - officer identification - training - definition
24‑31‑310
Resources for the training of peace officers - peace officers in rural jurisdictions - legislative declaration
24‑31‑311
DNA evidence - collection - retention
24‑31‑312
School resource officer training
24‑31‑313
Training concerning abuse and exploitation of at-risk elders
24‑31‑313.5
Training concerning abuse and exploitation of at-risk adults with intellectual and developmental disabilities
24‑31‑314
Advanced roadside impaired driving enforcement training
24‑31‑315
Annual in-service training requirements
24‑31‑316
Attorney general to provide identification cards to retired peace officers upon request - definitions
24‑31‑317
Training requirements concerning peace officer interactions with persons with disabilities
24‑31‑318
Administrative law judge appointment
24‑31‑319
Training related to missing indigenous persons - development - basic and in-service training required
24‑31‑320
Persons with deferred action for childhood arrivals status - rules - definition
24‑31‑401
Definitions
24‑31‑402
Enforcement by attorney general
24‑31‑403
Funding
24‑31‑601
Short title
24‑31‑602
Legislative declaration
24‑31‑603
Definitions
24‑31‑604
Administration of article
24‑31‑605
Delegation of duties
24‑31‑606
Safe2tell program - creation - duties
24‑31‑607
In camera review - confidentiality of materials - criminal penalty
24‑31‑608
Transfer of property
24‑31‑609
License of intellectual property
24‑31‑610
Safe2tell cash fund - creation
24‑31‑611
Annual report
24‑31‑701
Definitions
24‑31‑702
Colorado domestic violence fatality review board - creation - membership - purpose - duties
24‑31‑703
Local and regional domestic violence fatality review teams - creation - membership - purpose - duties
24‑31‑704
Access to records - confidentiality - public access - immunity
24‑31‑706
Repeal of part
24‑31‑801
Definitions
24‑31‑802
Medicaid fraud control unit - creation - duties
24‑31‑803
Medicaid fraud reporting
24‑31‑804
Medicaid fraud control unit - displayed information
24‑31‑805
Medicaid fraud control unit authority and responsibilities
24‑31‑806
Civil investigative demands and subpoenas
24‑31‑807
Provider applications - false statements - penalties
24‑31‑808
Medicaid fraud and waste - penalties - definition
24‑31‑809
Unlawful remuneration - penalties
24‑31‑810
Other remedies available
24‑31‑811
Limitation of action - three years
24‑31‑901
Definitions
24‑31‑902
Incident recordings - release - tampering - fine
24‑31‑903
Division of criminal justice report
24‑31‑904
Peace officer certification discipline
24‑31‑905
Prohibited law enforcement action in response to protests
24‑31‑906
Retaliation against whistleblower officers prohibited
24‑31‑1001
Definitions
24‑31‑1002
Commission - membership - duties
24‑31‑1003
Study of training concerning interactions with persons with disabilities - report
24‑31‑1004
Recommend training curriculum for peace officers
24‑31‑1005
Report
24‑31‑1006
Funding
24‑31‑1007
Repeal of part
24‑31‑1101
Financial empowerment office - creation - director
24‑31‑1102
Financial empowerment office - purpose - duties
24‑31‑1201
Short title
24‑31‑1202
Definitions
24‑31‑1203
False claims - civil liability for certain acts - penalty - exception
24‑31‑1204
Civil actions for false claims - claims for retaliation - definitions
24‑31‑1205
False claims action procedures - limitation on action - standard of proof
24‑31‑1206
Jurisdiction
24‑31‑1207
False claims civil investigation demands
24‑31‑1208
Rule-making
24‑31‑1209
Use of recoveries - false claims recovery cash fund - creation
24‑31‑1210
No limitations on common law authority - medicaid fraud control
24‑31‑1211
False claims act report
24‑31‑1301
Definitions
24‑31‑1302
Worker and employee protection unit - creation - duties
24‑31‑1303
Worker misclassification - wage determinations - investigation and enforcement by the unit - coordination with department of labor and employment
Green check means up to date. Up to date

Current through Fall 2024

§ 24-31-801’s source at colorado​.gov