C.R.S.
Section 25.5-6-210
Additional supplemental payments
- nursing facilities
- funding methodology
- reporting requirement
- rules
- repeal
(1)
Notwithstanding any other provision of law to the contrary and subject to available appropriations, for the purposes of reimbursing a medicaid-certified class I nursing facility provider, the state department shall issue additional supplemental payments to nursing facility providers that meet the requirements outlined in this section and the state department’s subsequent regulation as follows:(a)
and (b) Repealed.(c)
A payment to a nursing facility with disproportionately high medicaid utilization or geographically critical to ensuring access to care. In determining qualifying facilities for this payment, the state department shall consider any access to care impacts to individuals not covered by medicaid, including, but not limited to, veterans administration beneficiaries, individuals without health-care coverage, and individuals pending medicaid coverage.(d)
A payment to a nursing facility admitting compassionate release individuals from the department of corrections who need additional services to ensure access to care.(2)
The state department shall establish reporting and result tracking requirements necessary to administer the funding outlined in this section. The state department may deny or recoup funding from nursing facility providers that are noncompliant with reporting requirements or if funding is used for purposes outside the intent of supporting and stabilizing nursing facility providers that are medicaid providers.(3)
The state department shall evaluate provider outcomes, including changes in capacity, associated with the payment of supplemental money to nursing facility providers. The state department shall utilize nursing facility providers’ financial statements and labor and wage records to evaluate the results of payments.(4)
Intentionally left blank —Ed.(a)
The state department shall pursue federal matching funds. If federal matching funds are unavailable for any reason, payments outlined in this section may be reduced or restricted, subject to available funding.(b)
For the purposes of federal upper payment limit calculations, the state department shall pursue federal matching funds for payments made pursuant to this section but only after securing federal matching funds for payments outlined in sections 25.5-6-203 (2) and 25.5-6-208.(5)
Intentionally left blank —Ed.(a)
Supplemental payments made to nursing facility providers pursuant to this section must be determined based on the most recent available data.(b)
Pursuant to rules promulgated by the state department, payments received pursuant to this section must be reported as revenue on the annual cost report when calculating nursing facility provider per diem reimbursement as directed by the state department.(6)
to (9) Repealed.(10)
This section is repealed, effective July 1, 2026.
Source:
Section 25.5-6-210 — Additional supplemental payments - nursing facilities - funding methodology - reporting requirement - rules - repeal, https://leg.colorado.gov/sites/default/files/images/olls/crs2023-title-25.5.pdf (accessed Oct. 20, 2023).
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