C.R.S. Section 25.5-4-423
Targets for investments in primary care


The state department shall adopt appropriate targets for investments in primary care to support value-based health-care delivery in alignment with the affordability standards developed in accordance with section 10-16-107 (3.5). The state department shall consider the recommendations of the primary care payment reform collaborative created in section 10-16-150. Targets established under this section do not apply in the case of a nonprofit, nongovernmental health maintenance organization with respect to managed care plans that provide a majority of covered professional services through a single contracted medical group.

Source: Section 25.5-4-423 — Targets for investments in primary care, https://leg.­colorado.­gov/sites/default/files/images/olls/crs2023-title-25.­5.­pdf (accessed Dec. 24, 2024).

25.5–4–101
Short title
25.5–4–102
Legislative declaration
25.5–4–103
Definitions
25.5–4–104
Program of medical assistance - 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
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
25.5–4–203
Advisory council established
25.5–4–204
Automated medical assistance administration
25.5–4–205
Application - verification of eligibility - demonstration project - rules - repeal
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 recipients - review - appeal - children’s waiting list reduction fund - rules - repeal
25.5–4–210
Purchase of health insurance for recipients
25.5–4–211
Medicaid management information system - appropriation in annual general appropriation act - expenditure in next fiscal year
25.5–4–212
Medicaid client correspondence improvement process - legislative declaration - definition
25.5–4–213
Audit of medicaid client correspondence - definition
25.5–4–215
Study - benefits for persons on work release - repeal
25.5–4–216
Report on impact of hospital facility fees in Colorado - definitions - steering committee - repeal
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 recipients - legislative declaration
25.5–4–301
Recoveries - overpayments - penalties - interest - adjustments - liens - review or audit procedures - 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
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
25.5–4–401
Providers - payments - rules
25.5–4–401.2
Performance-based payments - reporting - repeal
25.5–4–401.5
Review of provider rates - advisory committee - recommendations - repeal
25.5–4–402
Providers - hospital reimbursement - hospital review program - rules
25.5–4–402.4
Hospitals - healthcare affordability and sustainability fee - legislative declaration - Colorado healthcare affordability and sustainability enterprise - federal waiver - fund created - rules - reports - repeal
25.5–4–402.5
Providers - state university teaching hospitals
25.5–4–402.8
Hospital transparency report - definitions
25.5–4–403
Providers - behavioral health safety net providers - reimbursement
25.5–4–403.1
Providers - community mental health centers - cost reporting
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
25.5–4–416
Providers - medical equipment and supplies - requirements
25.5–4–417
Provider fee - medicaid providers - state plan amendment - rules - definitions
25.5–4–420
Providers to obtain unique NPI - service site - provider type - definitions
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
25.5–4–425
Providers - health-care services related to labor and delivery - reimbursement
25.5–4–427
Supplemental state payment to the Denver health and hospital authority - repeal
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
25.5–4–503
Waiver applications - authorization
25.5–4–505
Federal authorization related to persons involved in the criminal justice system - assessment - report - repeal
25.5–4–506
Coverage for doula services - stakeholder process - federal authorization - scholarship program - training - report - definitions - repeal
Green check means up to date. Up to date

Current through Fall 2025

§ 25.5-4-423’s source at colorado​.gov