C.R.S. Section 25.5-1-104
Department of health care policy and financing created

  • executive director
  • powers, duties, and functions
  • report

(1)

There is hereby created the department of health care policy and financing, the head of which shall be the executive director of the department of health care policy and financing, which office is hereby created. The executive director shall be appointed by the governor, with the consent of the senate, and shall serve at the pleasure of the governor. The reappointment of an executive director after an initial election of a governor shall be subject to the provisions of section 24-20-109, C.R.S. The executive director has those powers, duties, and functions prescribed for the heads of principal departments in the “Administrative Organization Act of 1968”, article 1 of title 24, C.R.S., and any powers, duties, and functions set forth in this title.

(2)

The department of health care policy and financing shall consist of an executive director of the department of health care policy and financing, the medical services board, and such divisions, sections, and other units as shall be established by the executive director pursuant to the provisions of subsection (3) of this section.

(3)

The executive director may establish such divisions, sections, and other units within the state department as are necessary for the proper and efficient discharge of the powers, duties, and functions of the state department; except that such action by the executive director shall not conflict with the implementation requirements for the plan for restructuring the delivery of health and human services in this state, as set forth in article 1.7 of title 24, C.R.S.

(4)

The department of health care policy and financing shall be responsible for the administration of the functions and programs as set forth in this title.

(5)

Intentionally left blank —Ed.

(a)

The executive director of the state department shall appoint an internal auditor who shall have the status of a division director and, as such, shall have the authority to appoint such personnel as may be necessary to carry out the duties of the internal auditor.

(b)

The internal auditor appointed by the executive director pursuant to paragraph (a) of this subsection (5) shall:

(I)

Conduct and supervise internal audits of the state department;

(II)

Coordinate and facilitate external audits that are performed on the state department by state and federal entities;

(III)

Conduct and supervise performance audits for the purpose of determining the efficiency and effectiveness of the state department’s operation and administration of programs; and

(IV)

Conduct such other audits and perform such other duties as may be specified by the executive director.
(6)(a)(I) The state department shall collaborate with the department of education, the department of public health and environment, and the department of human services to develop an interagency resource guide pursuant to section 22-2-410 to assist facilities to become licensed or authorized as approved facility schools and to recommend changes related to the interagency resource guide to the state department’s statute, rule, or administrative procedures.

(II)

The state department shall prominently post the interagency resource guide created pursuant to subsection (6)(a)(I) of this section on the department’s website.

(b)

On or before November 1, 2023, the state department, after consulting with the facility school work group created in section 22-2-407.5, shall recommend a plan to provide guidance to approved facility schools on the eligibility standards required to request and receive medicaid reimbursement funding for therapeutic services to the maximum extent possible to reduce reliance on school district revenues for tuition payments required pursuant to section 22-20-109. The plan must include best practices from other states, recommendations on required federal or state authority changes, cost estimates, and cost-saving potentials.

Source: Section 25.5-1-104 — Department of health care policy and financing created - executive director - powers, duties, and functions - report, https://leg.­colorado.­gov/sites/default/files/images/olls/crs2023-title-25.­5.­pdf (accessed Oct. 20, 2023).

25.5‑1‑101
Short title
25.5‑1‑102
Legislative declaration
25.5‑1‑103
Definitions
25.5‑1‑104
Department of health care policy and financing created - executive director - powers, duties, and functions - report
25.5‑1‑105
Transfer of functions
25.5‑1‑105.5
Chief medical officer - qualifications
25.5‑1‑107
Final agency action - administrative law judge - authority of executive director
25.5‑1‑108
Executive director - rules
25.5‑1‑109
Department of health care policy and financing cash fund
25.5‑1‑109.5
Clinical standards - development
25.5‑1‑114
Grants-in-aid - county supervision
25.5‑1‑114.5
Medicaid fraud detection - request for information
25.5‑1‑115
Locating violators - recoveries
25.5‑1‑115.5
Medical assistance fraud - report
25.5‑1‑116
Records confidential - authorization to obtain records of assets - release of location information to law enforcement agencies - outstanding felony arrest warrants
25.5‑1‑117
County departments - district departments
25.5‑1‑118
Duties of county departments
25.5‑1‑119
County staff
25.5‑1‑120
Appropriations
25.5‑1‑121
County expenditures - advancements - procedures
25.5‑1‑122
County appropriation increases - limitations
25.5‑1‑123
Medical homes for children - legislative declaration - duties of the department
25.5‑1‑124
Early intervention payment system - participation by state department - rules - definitions
25.5‑1‑126
Discounted prices for durable medical equipment and supplies
25.5‑1‑127
Third-party benefit denials information
25.5‑1‑128
Provider payments - compliance with state fiscal requirements - definitions - rules
25.5‑1‑129
State department proposal - state option for health-care coverage - report to general assembly - waiver authorization - legislative declaration
25.5‑1‑130
Improving access to behavioral health services for individuals at risk of entering the criminal or juvenile justice system - duties of the state department
25.5‑1‑131
Insurance ombudsman - consumer advocate - duties
25.5‑1‑132
Report of medicaid reimbursement rates paid to community mental health center providers and independent providers - definition
25.5‑1‑133
Access to behavioral health services for individuals under twenty-one years of age - rules - report - repeal
25.5‑1‑134
Prescription benefits - department and pharmacy benefit manager - contracts - audit - rules
25.5‑1‑201
Programs to be administered by the department of health care policy and financing
25.5‑1‑203
Prescription drug information and technical assistance program - expansion
25.5‑1‑204
Advisory committee to oversee the all-payer health claims database - creation - members - duties - legislative declaration - rules - report
25.5‑1‑204.5
All-payer health claims database scholarship grant program - creation - definitions
25.5‑1‑204.7
All-payer health claims database - creation of tool for review of data included in the database - definitions
25.5‑1‑205
Providing for the efficient provision of health care through state-supervised cooperative action - rules
25.5‑1‑206
School-based substance abuse prevention and intervention program - creation - reporting - legislative declaration - definitions
25.5‑1‑207
Rural provider access and affordability stimulus grant program - advisory committee - fund - reporting - rules - definitions - repeal
25.5‑1‑301
Medical services board - creation
25.5‑1‑302
Medical services board - organization
25.5‑1‑303
Powers and duties of the board - scope of authority - rules
25.5‑1‑601
Legislative declaration
25.5‑1‑602
Commission created - composition - terms of office
25.5‑1‑603
Duties of commission - reporting
25.5‑1‑701
Definitions
25.5‑1‑702
Hospitals - public community meeting requirement - rules
25.5‑1‑703
Hospitals - community health needs assessments - community benefit implementation plans - reports - rules
25.5‑1‑704
Hospital community investment compliance - rules
25.5‑1‑801
Definitions
25.5‑1‑802
Medicaid transportation services - safety and oversight - rules
25.5‑1‑901
Legislative declaration
25.5‑1‑902
Definitions
25.5‑1‑903
Failure to comply with hospital price transparency laws - prohibiting collection of debt - penalty
25.5‑1‑904
Transparency - hospitals - standard charges - shoppable services - enforcement
25.5‑1‑1001
Hospital collaborative agreements - review of proposed collaborative agreements - immunity - legislative declaration - definitions - rules
Green check means up to date. Up to date

Current through Fall 2024

§ 25.5-1-104’s source at colorado​.gov