C.R.S. Section 25.5-1-303
Powers and duties of the board

  • scope of authority
  • rules

(1)

The board shall have the authority set forth in subsection (3) of this section over the following programs administered by the state department:

(a)

The “Colorado Medical Assistance Act”, as specified in articles 4, 5, and 6 of this title;

(b)

The “Colorado indigent care program”, as specified in part 1 of article 3 of this title;

(c)

Repealed.

(d)

The “Children’s Basic Health Plan Act”, as specified in article 8 of this title;

(e)

The old age pension health and medical care program, as specified in section 25.5-2-101;

(f)

Programs, services, and supports for persons with intellectual and developmental disabilities, as specified in article 10 of this title.

(2)

Nothing in this section shall be construed to affect any specific statutory provision granting rule-making authority to the board in relation to a specific program.

(3)

The board shall adopt rules in connection with the programs set forth in subsection (1) of this section governing the following:

(a)

The implementation of legislative and departmental policies and procedures for such programs; except that no rules shall be promulgated for any policy or procedure which governs the administration of the state department as specified in section 25.5-1-108 (1);

(b)

The establishment of eligibility requirements for persons receiving services from the state department;

(c)

The establishment of the type of benefits that a recipient of services may obtain if eligibility requirements are met, subject to the authorization, requirements, and availability of such benefits;

(d)

The requirements, obligations, and rights of clients and recipients;

(e)

The establishment of a procedure to resolve disputes that may arise between clients and the state department or clients and providers;

(f)

The requirements, obligations, and rights of providers, including policies and procedures related to provider payments that may affect client benefits;

(g)

The establishment of a procedure to resolve disputes that may arise between providers and between the state department and providers.

(4)

At the request of the executive director, the board shall advise the executive director as to any proposed policies or rules governing programs administered by the state department that are not set forth in subsection (1) of this section.

(5)

The board shall have no authority over the revenue of the state department.

(6)

All rules and orders of the department of human services in connection with the old age pension health and medical care program shall continue to be effective until revised, amended, repealed, or nullified pursuant to law.

(7)

The rules issued by the state board shall be binding upon the county departments. At any public hearing relating to a proposed rule-making, interested persons shall have the right to present their data, views, or arguments orally. Proposed rules of the state board shall be subject to the provisions of section 24-4-103, C.R.S.

(8)

To the extent that rules are promulgated by the state board of human services for programs or providers that receive either medicaid only or both medicaid and nonmedicaid funding, the rules shall be developed in cooperation with the state department and shall not conflict with state statutes or federal statutes or regulations.

(9)

The rules and orders of the department of human services and the state board of human services in connection with the programs, services, and supports specified in paragraph (f) of subsection (1) of this section shall continue to be effective until revised, amended, repealed, or nullified pursuant to law.

Source: Section 25.5-1-303 — Powers and duties of the board - scope of authority - rules, 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

§ 25.5-1-303’s source at colorado​.gov