§ 25.5-3-604 — Provider stabilization payments - eligibility

Colorado § 25.5-3-604

• Jurisdiction: Colorado
• Title 25.5: Health
• Art.: Indigent Care

Text

(1) (a) The state
department, in collaboration with the provider stabilization fund advisory board,
shall annually allocate money appropriated by the general assembly from the
provider stabilization fund as provider stabilization payments to safety net
providers in the state that comply with the requirements of subsection (2) of this
section and are determined to be eligible for a provider stabilization payment. The
state department shall allocate the provider stabilization payments in amounts
proportionate to the number of low-income, uninsured individuals served by an
eligible safety net provider relative to the total number of low-income, uninsured
individuals served by all eligible safety net providers.

(b) The state department, in consultation with the advisory board, shall
establish a schedule for allocating the money appropriated from the provider
stabilization fund for eligible safety net providers. The disbursement of money in
the provider stabilization fund to eligible safety net providers pursuant to this
section is exempt from the provisions of the Procurement Code, articles 101 to 112
of title 24.

(c) Provider stabilization payments from the provider stabilization fund
pursuant to this subsection (1) are made to supplement, not supplant, general fund
appropriations to support safety net provider reimbursements.

(2) (a) For a safety net provider to be eligible for a provider stabilization
payment pursuant to subsection (1)(a) of this section, the safety net provider shall
provide sufficient information to the state department, as specified in subsection
(2)(b) of this section, to establish that the provider provides services to low-income,
uninsured individuals:

(I) At no cost; or

(II) On a sliding-fee schedule.

(b) A safety net provider applying for a provider stabilization payment shall
annually submit to the state department information that the state department, in
consultation with the advisory board, determines necessary to establish the
provider's eligibility for a provider stabilization payment pursuant to subsection
(1)(a) of this section. The safety net provider shall provide the following:

(I) Information demonstrating that the provider is a safety net provider as
described in section 25.5-3-602 (8)(a), (8)(b), or (8)(c) or has a client caseload that
satisfies the requirements of section 25.5-3-602 (8)(d);

(II) For a safety net provider described in section 25.5-3-602 (8)(d), the total
number of patients served, the number of low-income, uninsured individuals that
the provider served, and the number of enrollees in medicaid, medicare, or the
children's basic health plan that the provider served; and

(III) Information to demonstrate that the provider provides services in
compliance with subsection (2)(a)(I) or (2)(a)(II) of this section, as applicable.

(c) For purposes of this subsection (2), the number of patients served is the
number of unduplicated users of health-care services and is not the number of
visits by a patient.

Legislative History

Source: L. 2025: Entire part added, (SB 25-290), ch. 274, p. 1425, � 2, effective May 28.