2020 Colorado Revised Statutes
Title 25.5 - Health Care Policy And Financing
Article 4. Colorado Medical Assistance Act - General Medical Assistance
Section 25.5-4-416. Providers - medical equipment and supplies - requirements.
(1) As used in this section, unless the context otherwise requires, "provider" means a person or entity that delivers disposable medical supplies or durable medical equipment products or services directly to a recipient.
(2) On and after January 1, 2007, the state board rules for the payment for disposable medical supplies and durable medical equipment, including but not limited to prosthetic and orthotic devices, shall prohibit a provider from being reimbursed unless the provider:
(a) (I) Has one or more physical locations within the state of Colorado or within fifty miles of a border of Colorado with a street address, a local business telephone number, an inventory, and a sufficient staff to service or repair products; except that the requirements of this paragraph (a) shall not apply to durable medical equipment or disposable medical supplies that are medically necessary and cannot be purchased from a provider meeting the requirements of this paragraph (a);
Complies with all state and local licensing, insurance, and regulatory requirementsfor operating the provider's business;
Is responsible for the delivery of and instructing the recipient on the proper use ofthe equipment; and
Provides repairs, replacements, or adjustments to the provider's products pursuantto rules of the state board; or
(b) Contracts with a provider who meets the criteria established in paragraph (a) of this subsection (2).
(3) The provisions of this section shall apply to fee-for-service and primary care physician program recipients.
Source: L. 2006: Entire section added, p. 525, § 1, effective August 7.
Editor's note: This section was originally numbered as § 26-4-410.7 in House Bill 061299. Section 2 of the act provided for the renumbering and relocation of § 26-4-410.7 to this section. (See L. 2006, p. 526.)
