C.R.S. Section 26.5-3-408
Certified early intervention service brokers

  • duties
  • payment for early intervention services
  • fees
  • repeal

(1)(a)(I) Prior to July 1, 2024, for each designated service area in the state, the certified early intervention service broker for the area shall:

(A)

Establish a registry of qualified early intervention service providers to provide early intervention services to eligible children in the designated service area. The certified early intervention service broker for a designated service area may provide early intervention services directly or may subcontract the provision of services to other qualified providers on the registry.

(B)

Accept and process claims for reimbursement for early intervention services provided pursuant to this part 4 by qualified providers;

(C)

Negotiate for the payment of early intervention services provided to eligible children in the designated service area by qualified providers, to the extent permissible pursuant to federal law; and

(D)

Ensure payment to a qualified provider for early intervention services rendered by the qualified provider.

(II)

This subsection (1)(a) is repealed, effective July 1, 2024.

(b)

On and after July 1, 2024, for each defined service area in the state, the certified early intervention service broker for the area shall:

(I)

Establish a registry of qualified early intervention service providers to provide early intervention services to eligible children in the defined service area. The certified early intervention service broker for a defined service area may provide early intervention services directly or may subcontract the provision of services to other qualified providers on the registry.

(II)

Accept and process claims for reimbursement for early intervention services provided pursuant to this part 4 by qualified providers;

(III)

Negotiate for the payment of early intervention services provided to eligible children in the defined service area by qualified providers, to the extent permissible under federal law; and

(IV)

Ensure payment to a qualified provider for early intervention services rendered by the qualified provider.

(2)

Certified early intervention service brokers shall use procedures and forms determined by the department to document the provision or purchase of early intervention services on behalf of eligible children. Invoices or insurance claims for early intervention services must be submitted based on the available funding source for each eligible child and the reimbursement rate for the appropriate federal, state, local, or private funding sources, including public medical assistance and private health insurance.

(3)

The department shall establish a schedule of fees to be charged by certified early intervention service brokers for providing broker services pursuant to this part 4. In developing the fee schedule, the department shall obtain input from certified early intervention service brokers and shall consider the duties of brokers pursuant to this part 4, the expenses incurred by brokers, and the relevant market conditions.

(4)

Use of a certified early intervention broker is voluntary; except that private health insurance carriers that are included pursuant to section 10-16-104 (1.3) are required to make payment in trust pursuant to section 26.5-3-409. Nothing in this part 4 prohibits a qualified provider of early intervention services from directly billing the appropriate program of public medical assistance or a participating provider, as defined in section 10-16-102 (46), or from directly billing a private health insurance carrier for services rendered pursuant to this part 4 for insurance plans that are not included pursuant to section 10-16-104 (1.3).

(5)

To the extent requested by the department, certified early intervention service brokers shall participate in ongoing reviews of funding practices for early intervention services and the development or revision of procedures for a coordinated system of payment for early intervention services.

Source: Section 26.5-3-408 — Certified early intervention service brokers - duties - payment for early intervention services - fees - repeal, https://leg.­colorado.­gov/sites/default/files/images/olls/crs2023-title-26.­5.­pdf (accessed Oct. 20, 2023).

26.5‑3‑101
Legislative declaration
26.5‑3‑102
Definitions
26.5‑3‑103
Program created - repeal
26.5‑3‑104
Selection of centers - grants
26.5‑3‑201
Short title
26.5‑3‑202
Legislative declaration
26.5‑3‑203
Definitions
26.5‑3‑204
Colorado child abuse prevention board - creation - members - terms - vacancies - reimbursement for expenses
26.5‑3‑205
Powers and duties of the board
26.5‑3‑206
Colorado child abuse prevention trust fund - creation - source of funds
26.5‑3‑207
Disbursement of grants from the trust fund - restrictions
26.5‑3‑208
Report - repeal of part
26.5‑3‑301
Definitions
26.5‑3‑302
Child care services and substance use disorder treatment pilot program - created - purposes - eligibility - evaluation - funding - rules
26.5‑3‑303
Repeal of part
26.5‑3‑401
Legislative declaration
26.5‑3‑402
Definitions - repeal
26.5‑3‑403
Early intervention services - administration - duties of department - rules - repeal
26.5‑3‑404
Child find - responsibilities - interagency operating agreements
26.5‑3‑405
Authorized services - conditions of funding - purchases of services - rules - repeal
26.5‑3‑406
Coordinated system of payment for early intervention services - duties of departments - repeal
26.5‑3‑407
Cooperation among state agencies - implementing coordinated payment system - revisions to rules
26.5‑3‑408
Certified early intervention service brokers - duties - payment for early intervention services - fees - repeal
26.5‑3‑409
Payment from private health insurance for early intervention services - trust fund
26.5‑3‑410
Annual report - cooperation from certified early intervention service brokers and qualified providers
26.5‑3‑501
Short title
26.5‑3‑502
Legislative declaration
26.5‑3‑503
Definitions
26.5‑3‑504
Nurse home visitor program - created - rules
26.5‑3‑505
Health sciences facility - duties
26.5‑3‑506
Program applications - requirements
26.5‑3‑507
Selection of entities to administer the program - grants - nurse home visitor program fund - created
26.5‑3‑508
Annual program review - audit
26.5‑3‑601
Legislative declaration
26.5‑3‑602
Definitions
26.5‑3‑603
Social-emotional learning programs grant program - created - implementation partner - application - selection - funding - rules
26.5‑3‑701
Definitions
26.5‑3‑702
Early childhood mental health consultation - statewide program - creation - purpose - rules
26.5‑3‑703
Model of early childhood mental health consultation - standards and guidelines - qualifications
26.5‑3‑704
Statewide professional development plan for early childhood mental health consultants
26.5‑3‑705
Statewide qualifications and competencies for early childhood mental health consultants
26.5‑3‑706
Data collection - reporting
26.5‑3‑707
Funding support
26.5‑3‑801
Legislative declaration
26.5‑3‑802
Child care sustainability grant program - created - timeline and criteria - grant awards - funding - definitions
26.5‑3‑803
Emerging and expanding child care grant program - created - timeline and criteria - grant awards - funding - definitions - repeal
26.5‑3‑804
Employer-based child care facility grant program - created - timeline and criteria - eligibility - grant awards - reports - funding - definitions - repeal
26.5‑3‑805
Early care and education recruitment and retention grant and scholarship program - created - criteria and eligibility - grant and scholarship awards - reports - funding - rules - definitions - repeal
26.5‑3‑806
Child care teacher salary grant program - created - timeline - criteria and eligibility - grant awards - reports - definitions
26.5‑3‑807
Community innovation and resilience for care and learning equity (CIRCLE) grant program - created - criteria - definitions
26.5‑3‑808
Family, friend, and neighbor support programs - advisory group - training and support program - funding - definitions - repeal
26.5‑3‑901
Legislative declaration
26.5‑3‑902
Definition
26.5‑3‑903
Family-strengthening grant programs - authorized requirements - implementation partner - rules
26.5‑3‑904
Home visiting grant program - authorized requirements - implementation partner - rules - definition - repeal
Green check means up to date. Up to date

Current through Fall 2024

§ 26.5-3-408’s source at colorado​.gov