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.
2024 Regulatory Efficiency Review
Public comment will be collected between 7/15/2024 - 8/15/2024 for each section of rule below. Input received will help the Department determine if these rules should be continued in their current form, modified or repealed. All identified rule modifications will go through standard Department rulemaking processes.
- 8.100.1 Medical Assistance Eligibility Definitions
- 8.100.2 Legal Basis 8.100.3 Medical Assistance General Eligibility Requirements
- 8.100.4 MAGI Medical Assistance Eligibility
- 8.100.5 Aged, Blind, and Disabled, Long Term Care, and Medicare Savings Plan Medical Assistance General Eligibility
- 8.100.6 Aged, Blind, and Disabled Medical Assistance Eligibility
- 8.100.7 Long Term Care Medical Assistance Eligibility
Please email comments to: HCPF_EligibilityRegulatory@state.co.us
Comments can also be mailed to:
Colorado Department of Health Care Policy & Financing
Attention Health Information Office - Eligibility Policy Unit
303 E. 17th Avenue
Denver, CO 80203
Important Note: Input received must include a citation to the section of rule addressed (example: 8.200). Stakeholders who wish to receive a Department response at the close of the public comment period must also provide their name, the organization they represent (if applicable), and their contact information.
2023 Regulatory Efficiency Review
Important Note: Input received must include a citation to the section of rule addressed (example: 8.408). Stakeholders must also provide their name, the organization they represent (if applicable), and their contact information. Please submit comments to hcpf_
Long Term Services and Supports
- Section 8.400 LONG TERM CARE
- Section8.401 LEVEL OF CARE SCREENING GUIDELINES
- Section8.402 ADMISSION PROCEDURES FOR LONG TERM CARE
- Section 8.403 LONG TERM CARE - SERVICES TO THE DEVELOPMENTALLY DISABLED
- Section8.404 ADMISSION CRITERIA: PROGRAMS FOR THE DEVELOPMENTALLY DISABLED
- Section8.405 ADMISSION PROCEDURES: PROGRAMS FOR THE DEVELOPMENTALLY DISABLED
- Section8.406 NURSING FACILITY CARE - LEVELS OF CARE
- Section8.407 SPECIAL PROVISION CONCERNING CLIENTS ELIGIBLE FOR SOCIAL SECURITY AGE-72 BENEFITS (PROUTY)
- Section8.408 LEVELS OF CARE DEFINED - SKILLED NURSING CARE
- Section8.409 LEVELS OF CARE DEFINED - INTERMEDIATE NURSING CARE
- Section8.415 ROLE OF COUNTIES AND NURSING FACILITIES
- Section8.420 REQUIREMENTS AND PROVISIONS FOR PARTICIPATION BY COLORADO NURSING FACILITIES
- Section8.421 RESPONSIBILITY OF COUNTY DEPARTMENT CONCERNING PARTICIPATION
- Section8.422 VISITS TO RECIPIENTS BY SOCIAL SERVICES PERSONNEL, PRIVACY FOR CONFERENCES WITH RECIPIENTS
- Section8.423 VISITS TO RECIPIENTS BY THE COLORADO LONG TERM CARE OMBUDSMAN AND DESIGNATED REPRESENTATIVES
- Section8.424 PERIODIC VISITS - NURSING HOME RECORDS TO BE MADE AVAILABLE
- Section8.430 MEDICAID CERTIFICATION OF NEW NURSING FACILITIES OR ADDITIONAL BEDS
- Section8.435 ENFORCEMENT REMEDIES
- Section8.440 NURSING FACILITY BENEFITS
- Section8.441 NURSING FACILITY COST REPORTING
- Section8.442 SUBMISSION OF COST REPORTING INFORMATION
- Section8.443 NURSING FACILITY REIMBURSEMENT
- Section8.470 HOSPITAL BACK UP LEVEL OF CARE
- Section8.482 RESIDENT INCOME AND POSSESSIONS
- Section8.482.34 THE "STATUS OF NURSING FACILITY CARE" FORM, AP-5615
- Section8.482.4 NO DUPLICATE OR ADDITIONAL PAYMENTS
- Section8.482.42 ADDITIONAL PAYMENTS
- Section8.482.5 RESIDENT\'S PERSONAL NEEDS FUNDS
- Section8.482.6 PATIENT\'S PERSONAL POSSESSIONS
- Section8.482.7 NURSING FACILITY RESPONSIBILITY FOR ESTABLISHING PERSONAL NEEDS ACCOUNT
- Section8.485 HOME AND COMMUNITY BASED SERVICES FOR THE ELDERLY, BLIND AND DISABLED (HCBS-EBD) GENERAL PROVISIONS
- Section8.485.90 STATE PRIOR AUTHORIZATION OF SERVICES
- Section8.485.200 LIMITATIONS ON PAYMENT TO FAMILY
- Section8.485.300 CLIENT RIGHTS
- Section8.486 HCBS-EBD CASE MANAGEMENT FUNCTIONS
- Section8.487 HCBS-EBD PROVIDER AGENCIES
- Section8.488 ELECTRONIC MONITORING
- Section8.489 PERSONAL CARE
- Section8.490 HOMEMAKER SERVICES
- Section8.491 ADULT DAY SERVICES
- Section8.492 RESPITE CARE
- Section8.493 HOME MODIFICATION
- Section8.494 NON-MEDICAL TRANSPORTATION
- Section8.495 ALTERNATIVE CARE FACILITIES [Eff. 03/30/2009]
- Section8.496 HOME AND COMMUNITY BASED SERVICES FOR PERSONS LIVING WITH AIDS (HCBS-PLWA) GENERAL PROVISIONS
- Section8.497 PROGRAM FOR ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE)
Important Note: Input received must include a citation to the section of rule addressed (example: 8.408). Stakeholders must also provide their name, the organization they represent (if applicable), and their contact information. Please submit comments to hcpf_
- 2022 Regulatory Efficiency Review
- 8.205 MEDICAID MANAGED CARE PROGRAM
- 8.209 MEDICAID MANAGED CARE GRIEVANCE AND APPEAL PROCESSES
- 8.212 COMMUNITY MENTAL HEALTH SERVICES
Public comment will be collected between August 15, 2022 and September 15, 2022 for each rule section below. Input received will help the Department determine if these rules should be continued in their current form, modified, or repealed. All identified rule modifications will go through standard Department rulemaking processes.
Please email comments to: hcpf_regulatoryefficiencyreview@state.co.us
Comments can also be mailed to:
Colorado Department of Health Care Policy & Financing
Attention: Health Programs Office – Operations Section
303 E. 17th Avenue
Denver, CO 80203Important Note: Input received must include a citation to the section of rule addressed (example: 8.300). Stakeholders who wish to receive a Department response at the close of the public comment period must also provide their name, the organization they represent (if applicable), and their contact information.
- 2021 Regulatory Efficiency Review
10 CCR 2505-10§ § 8.011-8.090 10 CCR 2505-10§ § 8.500-8.590 10 CCR 2505-10§ § 8.700-8.766
Please email comments to:
mailto:hcpf_hporegulatoryreview@state.co.usComments can also be mailed to:
Colorado Department of Health Care Policy & Financing
Attention Health Programs Office – Benefits Management
303 E. 17th Avenue
Denver, CO 80203Important Note: Input received must include a citation to the section of rule addressed (example: 8.300). Stakeholders who wish to receive a Department response at the close of the public comment period must also provide their name, the organization they represent (if applicable), and their contact information.
- Current rule 8.527 PRIOR AUTHORIZATION
- Current rule 8.528 REIMBURSEMENT
- Current rule 8.529 POST-PAYMENT REVIEW
- Current rule 8.530 DENIAL, TERMINATION, OR REDUCTION IN SERVICES
- Current rule 8.535 PEDIATRIC PERSONAL CARE SERVICES
- Current rule 8.540 PRIVATE DUTY NURSING SERVICES
- Current rule 8.550 HOSPICE BENEFIT
- Current rule 8.560 CLINIC SERVICES – CERTIFIED HEALTH AGENCIES
- Current rule 8.561 REQUIREMENTS FOR CERTIFICATION
- Current rule 8.562 REQUIREMENTS FOR PARTICIPATION
- Current rule 8.563 BENEFITS AND LIMITATIONS
- Current rule 8.564 BILLING PROCEDURES
- Current rule 8.565 REIMBURSEMENT
- Current rule 8.566 APPEALS
- Current rule 8.567 CERTIFIED HEALTH AGENCY/PHYSICIAN RELATIONSHIP
- Current rule 8.570 AMBULATORY SURGERY CENTERS
- Current rule 8.580 OXYGEN AND OXYGEN EQUIPMENT
- Current rule 8.585 OXYGEN, OXYGEN EQUIPMENT, AND SUPPLIES
- Current rule 8.590 DURABLE MEDICAL EQUIPMENT AND DISPOSABLE MEDICAL SUPPLIES
- Current rule 8.726 TEEN PREGNANCY PREVENTION PILOT PROGRAM
- Current rule 8.730 FAMILY PLANNING SERVICES
- Current rule 8.731 WOMEN'S HEALTH SERVICES
- Current rule 8.732 MATERNITY SERVICES
- Current rule 8.733 EPISODE BASED PAYMENTS
- Current rule 8.735 TRANSGENDER SERVICES Current rule 8.740 RURAL HEALTH CLINICS
- Current rule 8.745 SPECIAL CONNECTIONS
- Current rule 8.746 OUTPATIENT SUBSTANCE ABUSE TREATMENT
- Current rule 8.747 SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT SERVICES
- Current rule 8.748 PRENATAL PLUS PROGRAM
- Current rule 8.749 NURSE HOME VISITOR PROGRAM
- Current rule 8.754 CLIENT CO-PAYMENT
- Current rule 8.765 SERVICES FOR CLIENTS IN PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES OR RESIDING IN RESIDENTIAL CHILD CARE FACILITIES AS DEFINED BELOW
- Current rule 8.770 ABORTION SERVICES
- Current rule 8.079 QUALITY IMPROVEMENT
- Current rule 8.520 HOME HEALTH SERVICES
- Current rule 8.525 SERVICES REQUIREMENTS
- Current rule 8.526 PROVIDER AGENCY REQUIREMENTS
Public comment will be collected between September 8, 2021 and September 30, 2021 for each section of rule below. Input received will help the Department determine if these rules should be continued in their current form, modified or repealed. All identified rule modifications will go through standard Department rulemaking processes.
- 2020 Regulatory Efficiency Review
Public comment will be collected between9/1/2020-9/30/2020for each section of rule below. Input received will help the Department determine if these rules should be continued in their current form, modified or repealed. All identified rule modifications will go through standard Department rulemaking processes.
Public comment will be collected between July 31-August 31, 2020 for the section of rule below. Input received will help the Department determine if these rules should be continued in their current form, modified or repealed. All identified rule modifications will go through standard Department rulemaking processes.Please email comments to: Kristina.Gould@state.co.usImportant Note: Input received must include a citation to the section of rule addressed (example: 8.800). Stakeholders who wish to receive a Department response at the close of the public comment period must also provide their name, the organization they represent (if applicable), and their contact information.Finance Office Special Finance
Finance Office Special Finance
The following section will be reviewed
- Section 8.900 COLORADO INDIGENT CARE PROGRAM Section
- 8.930 COMPREHENSIVE PRIMARY AND PREVENTIVE CARE GRANT PROGRAM Section
- 8.940 OLD AGE PENSION HEALTH CARE PROGRAM AND OLD AGE PENSION HEALTH CARE SUPPLEMENTAL PROGRAM Section
- 8.950 PRIMARY CARE FUND Section
- 8.3000 HEALTHCARE AFFORDABILITY AND SUSTAINABILITY FEE Section
- 8.4000 HOSPITAL EXPENDITURE REPORT DATA COLLECTION Section
- 8.5000 HOSPITAL COMMUNITY BENEFIT ACCOUNTABILITY
Pharmacy Office
Pharmacy Office
The following section will be reviewed
Finance Office Rates]Finance Office Rates
The following section will be reviewed
Section 8.300.6 OUTPATIENT HOSPITAL REIMBURSEMENT
Community Living Office Case Management and Quality Performance
Community Living Office Case Management and Quality Performance
The following section will be reviewed
Section 8.390 LONG TERM CARE SINGLE ENTRY POINT SYSTEM Section 8.392 FINANCING OF THE SINGLE ENTRY POINT SYSTEM Section 8.393 FUNCTION OF A SINGLE ENTRY POINT AGENCY
Health Programs Office Benefits Management]Health Programs Office Benefits Management
The following section will be reviewed
- Section 8.300 HOSPITAL SERVCES Section
- 8.300.2 HOSPITAL CHANGE OF OWNERSHIP Section
- 8.310 DIALYSIS TREATMENT CENTER BENEFIT COVERAGE STANDARD Section
- 8.300 HOSPITAL SERVCES
Please email comments to: Janelle.Gonzalez@state.co.us
Comments can also be mailed to:
Colorado Department of Health Care Policy & Financing
Attention: Medicaid Operations Office - Eligibility Policy
303 E. 17th Avenue
Denver, CO 80203Important Note: Input received must include a citation to the section of rule addressed (example: 8.200). Stakeholders who wish to receive a Department response at the close of the public comment period must also provide their name, the organization they represent (if applicable), and their contact information.
Client and Clinical Care Office]Client and Clinical Care Office
The following section will be reviewed
Section 8.190 ACUTE MEDICAL BENEFITS DETERMINATION
Medicaid Operations Office Eligibility
Medicaid Operations Office Eligibility
Public comment will be collected between 8/1/2020- 8/31/2020for the section of rule below. Input received will help the Department determine if these rules should be continued in their current form, modified or repealed. All identified rule modifications will go through standard Department rulemaking processes.
The following section will be reviewed
Please email comments to: raine.henry@state.co.us
Comments can also be mailed to:
Colorado Department of Health Care Policy & Financing
Attention Health Information Office - Hospital and Specialty Care Unit, Raine Henry
303 E. 17th Avenue
Denver, CO 80203Important Note: Input received must include a citation to the section of rule addressed (example: 8.300). Stakeholders who wish to receive a Department response at the close of the public comment period must also provide their name, the organization they represent (if applicable), and their contact information.
Medicaid Operations Office Provider and Fiscal Agent
Medicaid Operations Office Provider and Fiscal Agent
The following section will be reviewed
- Section 8.130 PROVIDER PARTICIPATION
- Section 8.170 STATE IDENTIFICATION NUMBER
- Section 8.180 MEDICAL IDENTIFICATION CARDS AND DURATION OF ELIGIBILITY
- 2019 Regulatory Efficiency Review
Public comment will be collected between 6/13/2019 - 7/11/2019 for each section of rule below. Input received will help the Department determine if these rules should be continued in their current form, modified or repealed. All identified rule modifications will go through standard Department rulemaking processes.
- 8.100.1 Medical Assistance Eligibility Definitions
- 8.100.2 Legal Basis 8.100.3 Medical Assistance General Eligibility Requirements
- 8.100.4 MAGI Medical Assistance Eligibility
- 8.100.5 Aged, Blind, and Disabled, Long Term Care, and Medicare Savings Plan Medical Assistance General Eligibility
- 8.100.6 Aged, Blind, and Disabled Medical Assistance Eligibility
- 8.100.7 Long Term Care Medical Assistance Eligibility
Please email comments to: HCPF_EligibilityRegulatory@state.co.us
Comments can also be mailed to:
Colorado Department of Health Care Policy & Financing
Attention Health Information Office - Eligibility Policy Unit
303 E. 17th Avenue
Denver, CO 80203Important Note: Input received must include a citation to the section of rule addressed (example: 8.200). Stakeholders who wish to receive a Department response at the close of the public comment period must also provide their name, the organization they represent (if applicable), and their contact information.
Review Schedule
2023
- 10 CCR 2505-10§ § 8.400-8.499
2024
- 10 CCR 2505-10§ § 8.100-8.129
2025
- 10 CCR 2505-10§ § 8.130-8.190
- 10 CCR 2505-10§ § 8.300-8.393
- 10 CCR 2505-10§ § 8.800-8.800
- 10 CCR 2505-10§ § 8.900-8.950
- 10 CCR 2505-10§ § 8.1000-8.2000
2026
- 10 CCR 2505-10§ § 8.011-8.090
- 10 CCR 2505-10§ § 8.500-8.590
- 10 CCR 2505-10§ § 8.700-8.766
2027
- 10 CCR 2505-10§ § 8.200-8.295
- 10 CCR 2505-10§ § 8.600-8.660
- 10 CCR 2505-5 § § 1.010-1.200
- 10 CCR 2505-3§ § 50-600