C.R.S. Section 27-10.5-104.5
Case management agencies when acting as a service agency

money
rules
repeal

(1)

(a)

A service agency, including a community centered board when acting as a service agency, shall comply with the requirements set forth in this article and the rules promulgated thereunder.

(b)

This subsection (1) is repealed, effective July 1, 2024.

(2)(Deleted by amendment, L. 92, p. 1363, § 5, effective July 1, 1992.)(3) [Editor’s note:

This version of the introductory portion to subsection (3) is effective until July 1, 2024.]

The department shall promulgate rules to implement the purchase of services and supports from a community-centered board or a service agency. The rules shall include, but need not be limited to:

(3)

[Editor’s note:

This version of the introductory portion to subsection (3) is effective July 1, 2024.]

The department shall promulgate rules to implement the purchase of long-term services and supports from a case management agency or a service agency. The rules must include, but need not be limited to:

(a)

Terms and conditions necessary to promote the effective delivery of services and supports;

(b)

[Editor’s note:

This version of subsection (3)(b) is effective until July 1, 2024.]

Procedures for obtaining an annual audit of designated community-centered boards and service agencies not affiliated with a designated community-centered board to provide financial information deemed necessary by the department to establish costs of services and supports and to ensure proper management of moneys received pursuant to section 27-10.5-104;

(b)

[Editor’s note:

This version of subsection (3)(b) is effective July 1, 2024.]

Procedures for obtaining an annual audit of case management agencies and service agencies not affiliated with a case management agency to provide financial information deemed necessary by the department to establish costs of long-term services and supports and to ensure proper management of money received pursuant to section 27-10.5-104;

(c)

Intentionally left blank —Ed.

(I)

Delineation of a system to resolve contractual disputes between the department and designated community-centered boards or service agencies and between designated community-centered boards and service agencies, including the contesting of any rates that the designated community-centered boards charge to service agencies based upon a percentage of the rates that service agencies charge for services and supports;

(II)

This subsection (3)(c) is repealed, effective July 1, 2024.

(d)

[Editor’s note:

This version of subsection (3)(d) is effective until July 1, 2024.]

Specification of what services and supports are to be reimbursed by the department and secondarily by the community-centered board, the source of reimbursement, actual service or support costs, incentives, and program service objectives which affect reimbursement;

(d)

[Editor’s note:

This version of subsection (3)(d) is effective July 1, 2024.]

Specification of what long-term services and supports are to be reimbursed by the department and secondarily by the case management agencies, the source of reimbursement, actual long-term service or support costs, incentives, and program service objectives which affect reimbursement;

(e)

The methods of coordinating the purchase of services and supports, including, but not limited to, service and support coordination, with other federal, state, and local programs which provide funding for authorized services and supports;

(f)(Deleted by amendment, L. 92, p. 1363, § 5, effective July 1, 1992.)(g) and (h)(Deleted by amendment, L. 2008, p. 2219, § 2, effective June 5, 2008.)(i) [Editor’s note:

This version of subsection (3)(i) is effective until July 1, 2024.]

Criteria for and limitations on any rates that designated community-centered boards charge to service agencies based upon a percentage of the rates that service agencies charge for services and supports.

(i)

[Editor’s note:

This version of subsection (3)(i) is effective July 1, 2024.]

Criteria for and limitations on any rates that case management agencies charge to service agencies based upon a percentage of the rates that service agencies charge for long-term services and supports.

(3.5)

[Editor’s note:

This version of subsection (3.5) is effective until July 1, 2024.]

Any incorporated service agency which is registered in Colorado as a foreign corporation shall organize a local advisory board consisting of individuals who reside within the designated service area. Such advisory board shall be representative of the community at large and persons receiving services and their families.

(3.5)

[Editor’s note:

This version of subsection (3.5) is effective July 1, 2024.]

Any incorporated service agency which is registered in Colorado as a foreign corporation shall organize a local advisory board consisting of individuals who reside within the defined service area. The advisory board must be representative of the community at large and persons receiving services and their families.

(4)

[Editor’s note:

This version of subsection (4) is effective until July 1, 2024.]

Upon a determination by the executive director that services or supports have not been provided in accordance with the program or financial administration standards specified in this article and the rules and regulations promulgated thereunder, the executive director may reduce, suspend, or withhold payment to a designated community centered board, service agency under contract with a designated community centered board, or service agency from which the department of human services purchased services or supports directly. When the executive director decides to reduce, suspend, or withhold payment, the executive director shall specify the reasons therefor and the actions which are necessary to bring the service agency into compliance.

(4)

[Editor’s note:

This version of subsection (4) is effective July 1, 2024.]

Upon a determination by the executive director that long-term services or supports have not been provided in accordance with the program or financial administration standards specified in this article 10.5 and the rules and regulations promulgated thereunder, the executive director may reduce, suspend, or withhold payment to a case management agency, service agency under contract with a case management agency, or service agency from which the department of human services purchased long-term services or supports directly. When the executive director decides to reduce, suspend, or withhold payment, the executive director shall specify the reasons therefor and the actions which are necessary to bring the service agency into compliance.

(5)

Nothing in this article or in any rules or regulations promulgated pursuant thereto and no actions taken by the executive director pursuant to this article shall be construed to affect the obtaining of funds from local authorities, including those funds obtained from a mill levy assessed by a county or municipality for the purpose of purchasing services or supports for persons with developmental disabilities, or to require that such funds from local authorities be used to supplant state or federal funds available for purchasing services and supports for persons with developmental disabilities.

(6)(Deleted by amendment, L. 92, p. 1363, § 5, effective July 1, 1992.)

Source: Section 27-10.5-104.5 — Case management agencies when acting as a service agency - money - rules - repeal, https://leg.colorado.gov/sites/default/files/images/olls/crs2023-title-27.pdf (accessed Oct. 20, 2023).

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C.R.S. Section 27-10.5-104.5 Case management agencies when acting as a service agency

(1)

(a)

(b)

(3)

(a)

(b)

(b)

(c)

(I)

(II)

(d)

(d)

(e)

(i)

(3.5)

(3.5)

(4)

(4)

(5)

C.R.S. Section 27-10.5-104.5
Case management agencies when acting as a service agency