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Purpose
To ensure rules are effective, efficient and essential.
Executive Order D 2012-002 (EO 2), later codified by the Colorado General Assembly in Section 24-4-103.3 CRS (2014), requires that state agencies review, on a continuing basis, all existing rules to ensure they use the best, most innovative and least burdensome tools for achieving their goals. This periodic review and evaluation of rules is a core component of the Department’s regulatory administrative process. State agencies are also required to provide an appropriate opportunity for public input. In doing so, the Department is allowed the flexibility to structure public input to fit the particular issues and circumstances of the rules under review. Specifically, the public must be given a meaningful opportunity to comment on the existing rules under review in the context of the criteria established.
2017 Regulatory Efficiency Review Plan
The following section will be reviewed
The following sections will be reviewed
2016 Regulatory Efficiency Review Plan
The Department of Health Care Policy and Financing (Department) is required by Executive Order D 2012-002 (EO2), as codified at Sections 24.4-4-103.3 CRS (2014), to review rules to ensure that they are effective, efficient, and essential. The EO2 order also requires that state agencies provide an appropriate opportunity for public input. The Department would like to receive input and perspective from stakeholders as the Program Integrity Section reviews its rules to determine whether they should continue in their current form, be amended, or repealed. The actual re-write of the rules will be conducted at a later date. The Department will also accept public comment through September 12, 2016.
Comments can be mailed to:
Colorado Department of Health Care Policy and Financing
Attention: Program Integrity Section
1570 Grant St
Denver, CO 80203
Comments can also be emailed to: katherine.quinby@state.co.us
Comments received must include the following identifying information:
Please contact Katherine Quinby at katherine.quinby@state.co.us if you have any questions.
For more information on the public comment process, contact Jami Gazerro at Jami.Gazerro@state.co.us.
If you have any questions regarding the review for these actions, please contact Jami Gazerro at Jami.Gazerro@state.co.us.
For more information on the public comment process, visit The Provider Information Page.
If you have any questions regarding the review for these actions, please contact Matthew Colussi at Matthew.Colussi@state.co.us.
For more information on the public comment process, visit TBD.
If you have any questions regarding the review for these actions, please contact TBD.
Client and Clinical Care Pharmacy
The Department of Health Care Policy and Financing (Department) is required by Executive Order D 2012-002 (EO2), as codified at Section 24.4-4-103.3 CRS (2014), to review rules to ensure that they are effective, efficient, and essential. The EO2 order also requires that state agencies provide an appropriate opportunity for public input. The Department would like to involve stakeholders in the drafting process of the Durable Medical Equipment and Disposable Medical Supplies rules that may be re-written to incorporate their perspectives and ideas where possible. The actual re-write of the rules will be conducted at a later date. The Department will also accept public comment through July 31, 2016.
Current Rule, 10 CCR 2505-10 8.590
Email comments to: January.Montano@state.co.us
Comments may be mailed to:
Colorado Department of Health Care Policy and Financing Attention: Pharmacy Unit 1570 Grant St Denver, CO 80203
Please contact January Montaño with further questions at January.Montano@state.co.us
Client and Clinical Care Quality and Health Improvements
For more information on the public comment process, visit Regulatory Efficiency Review: 8.079 Quality Improvement.
If you have any questions regarding the review for these actions, please contact Jerry Ware (Jerry.Ware@state.co.us).
Section 8.015 ELECTRONIC HEALTH RECORD INCENTIVE PAYMENT PROGRAM
Section 8.040 RECOVERIES FROM PROVIDERS
Section 8.040.1.5 NATURE OF THE DEPARTMENT’S AGREEMENTS WITH HEALTH CARE PROVIDERS
Section 8.040.2 SUBMISSION OF CLAIMS
Section 8.041 CLAIMS REIMBURSEMENT AND STATUS FOR NATIONAL CORRECT CODING INTIATIVE (NCCI)
Section 8.043 TIMELY FILING REQUIREMENTS
Section 8.049 RECONSIDERATION/APPEAL OF ADVERSE ADMINISTRATIVE ACTION
Section 8.064 DATA PROVISION AND CLAIMS REQUIREMENTS
The Department of Health Care Policy and Financing (Department) is required by Executive Order D 2012-002 (EO2), as codified at Section 24.4-4-103.3 CRS (2014), to review rules to ensure that they are effective, efficient, and essential. The EO2 order also requires that state agencies provide an appropriate opportunity for public input. The Department would like to receive input and perspective from stakeholders as the Health Information Office Provider Payment Fiscal Agent Operations Section reviews its rules to determine whether they should continue in their current form, be amended, or repealed. The actual re-write of the rules will be conducted at a later date. The Department will also accept public comment through September 15, 2016.
Attention Health Information Office Provider Payment and Fiscal Agent Operations
Comments can also be emailed to: Vernae.Roquemore@state.co.us
Please contact Vernae.Roquemore@state.co.us with any questions.
The Department of Health Care Policy and Financing (Department) is required by Executive Order D 2012-002 (EO2), as codified at Section 24.4-4-103.3 CRS (2014), to review rules to ensure that they are effective, efficient, and essential. The EO2 order also requires that state agencies provide an appropriate opportunity for public input. The Department would like to involve stakeholders in the drafting process of Section 8.042 UTILIZATION OF A CASH SYSTEM OF ACCOUNTING that may be re-written to incorporate their perspectives and ideas where possible. The actual re-write of the rules will be conducted at a later date. The Department will also accept public comment through August 15, 2016.
Attention Controller Division
Greg Tanner
Greg.tanner@state.co.us
(303) 866-2764
For more information on the public comment process, visit the Federally Qualified Health Centers information page.
If you have any questions regarding the review for these actions, please contact Richard Delaney (Richard.Delaney@state.co.us).
The Department of Health Care Policy and Financing (Department) is required by Executive Order D 2012-002 (EO2), as codified at Section 24.4-4-103.3 CRS (2014), to review rules to ensure that they are effective, efficient, and essential. The EO2 order also requires that state agencies provide an appropriate opportunity for public input. The Department would like to involve stakeholders in the drafting process of 10 CCR 2505-10, Section 8.065 Recovery of Medical Assistance Overpayments and Section 8.070 Misutilization, Fraud, or Abuse that may be re-written to incorporate their perspectives and ideas where possible. The actual re-write of the rules will be conducted at a later date. The Department will also accept public comment through August 5, 2016.
Attention Audit Information Management Section
Please contact Vivian Adam at vivian.adam@hcpf.state.co.us if you have questions.
The Department of Health Care Policy and Financing (Department) is required by Executive Order D 2012-002 (EO2), as codified at Section 24.4-4-103.3 CRS (2014), to review rules to ensure that they are effective, efficient, and essential. The EO2 order also requires that state agencies provide an appropriate opportunity for public input. The Department would like to involve stakeholders in the drafting process of 10 CCR 2505-10, Section 8.080 Medicaid Eligibility Quality Control that may be re-written to incorporate their perspectives and ideas where possible. The actual re-write of the rules will be conducted at a later date. The Department will also accept public comment through July 31, 2016.
Colorado Department of Health Care Policy and Financing Attention Eligibility and Claims Review Section 1570 Grant St Denver, CO 80203
Please contact Kieu Pham at bichkieu.pham@hcpf.state.co.us if you have any questions.
The Department of Health Care Policy and Financing (Department) is required by Executive Order D 2012-002 (EO2), as codified at Section 24.4-4-103.3 CRS (2014), to review rules to ensure that they are effective, efficient, and essential. The EO2 order also requires that state agencies provide an appropriate opportunity for public input. The Department would like to involve stakeholders in the drafting process of Section 8.057 Recipient Appeals that may be re-written to incorporate their perspectives and ideas where possible. Any rule deemed to require revision will be done at a later date. The Department will also accept public comment through August 15, 2016.
Colorado Department of Health Care Policy and Financing Attention Appeals Office – Regulatory Review 1570 Grant St Denver, CO 80203
Comments can also be emailed to: Christine.Nierenz@state.co.us
Please contact Christine.Nierenz@state.co.us with any questions.
The following sections will be reviewed:
SECTION 8.061 USE OF OTHER RESOURCES IN THE PROVISION OF MEDICAL ASSISTANCE BENEFITS
SECTION 8.062 SOCIAL SECURITY MEDICARE BENEFITS
SECTION 8.063 MEDICAL ASSISTANCE ESTATE RECOVERY
SECTION 8.064 DATA PROVISION AND CLAIMS REQUIREMENTS
SECTION 8.066 HEALTH INSURANCE BUY-IN
SECTION 8.090 MEDICAID CLAIMS PROCESSING AND THIRD PARTY LIABILITY QUALITY CONTROL
The Department of Health Care Policy and Financing (Department) is required by Executive Order D 2012-002 (EO2), as codified at Section 24.4-4-103.3 CRS (2015), to review rules to ensure that they are effective, efficient, and essential. The EO2 order also requires that state agencies provide an appropriate opportunity for public input. The Department would like to receive input and perspective from stakeholders as the Benefits Coordination Section reviews its rules to determine whether they should continue in their current form, be amended, or repealed. The actual re-write of the rules will be conducted at a later date. The Benefits Coordination Section will also accept public comment through September 15, 2016.
Colorado Department of Health Care Policy and Financing Attention Benefits Coordination Section – Regulatory Review 1570 Grant St Denver, CO 80203
Comments can also be emailed to: Eujenia.Renfroe@state.co.us
Please use the subject line "Rule Review"
Please contact eujenia.renfroe@state.co.us with any questions.
The Department invites stakeholders to provide their ideas and perspectives for the above Long-Term Services and Supports Benefits Management Regulations through Monday, August 15, 2016.
Send written comments, suggestions, or questions by August 15, 2016 to:Email: Cassandra.Keller@state.co.usUS Mail: 1570 Grant Street, Denver, CO 80203, Attention: HCBS Operations Unit c/o Cassandra KellerFAX: 303-866-2786, Attention: HCBS Operations Unit c/o Cassandra KellerPhone: (Questions Only): 303-866-5181
The Department of Health Care Policy and Financing (Department) is required by Executive Order D 2012-002 (EO2), as codified in Section 24.4-4-103.3 CRS (2014), to review rules to ensure that they are effective, efficient, and essential. The EO2 order also requires that state agencies provide an appropriate opportunity for public input.
The Department would like to involve stakeholders in the drafting process of Section 8.553 COMMUNITY TRANSITION SERVICES, Section 8.555 COLORADO CHOICE TRANSITION (CCT), A MONEY FOLLOWS THE PERSON DEMONSTRATION that may be re-written to incorporate their perspectives and ideas where possible. The actual re-write of the rules will be conducted at a later date.
The Department invites stakeholders to provide their ideas and perspectives for the above Long-Term Services and Supports Community Options Rules through Monday, August 15, 2016. Each can be found using the following links:
Provide comments or suggestions in person at the quarterly CCT Advisory Council meeting held on: Thursday, July 28, 2016 1:00 - 4:00 pm. 303 E. 17th Ave., Denver, CO 80203, Conference Room 7D Call-in information: (720) 279-0026 or (877) 820-7831 Participant Code is 516148#.
Send written comments, suggestions, or questions by Monday August 15, 2016 to:Email: Sam.Murillo@state.co.usUS Mail: 1570 Grant Street, Denver, CO, 80203, Attention: Community Options Section c/o Sam MurilloFax: 303-866-2786, Attention: Community Options Section c/o Sam MurilloPhone: (Questions Only): 303-866-6554
2015 Regulatory Efficiency Review Plan
For more information on the public comment process, visit the Hospital Services information page.
If you have any questions regarding the review for these actions, please contact the Department at HCPF_HospitalRegulatory@state.co.us.
For more information on date, time and location visit the Provider Information Page
If you have any questions regarding the public comment process, please contact Karen Talley at karen.talley@state.co.us or 303-866-3170.
The Provider Fee Financing Unit within the Special Finance Division, will be reviewing the following rules and categories of rules from 10 CCR 2505-10:
For more information on date, time and location visit the Hospital Provider Fee Oversight and Advisory Board Stakeholder Page
If you have any questions regarding the public comment process, please contact Matt Haynes at Matt.Haynes@state.co.us or 303.866.6305
For more information on date, time and location please refer to this document
If you have any questions regarding the public comment process, please contact Shawn Bodiker at shawn.bodiker@state.co.us or 303-866-3584.
If you have any question regarding the public comment process, please contact Cathy Traugott at cathy.traugott@state.co.us or 303-866-6338.
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