Colorado law requires Medicaid ride and care cost reporting

Transportation brokers report ride and provider information to the state. Reports cover each broker’s contracted transportation providers, member requests for nonemergency medical rides, and complaints about providers. Brokers report by December 1, 2026, and each December 1 after that. The state includes the information in its legislative presentation beginning January 1, 2027.

The state provides notice and a provider meeting before applying certain new outpatient therapy payment reductions. Outpatient therapy means occupational, physical, or speech-language therapy provided outside a hospital. The steps apply if the state plans to implement, apply, or enforce a new payment reduction based only on the number, order, or combination of services. The state gives notice at least six months before implementing the specified reduction.

The state board adopts rules for federal Medicaid community engagement requirements, and the state department posts enrollment data. The rules and reports concern Medicaid applicants and members and the effects of federal community engagement requirements on eligibility and enrollment. The board’s rulemaking authority and the department’s posting duty end if the federal community engagement requirements are repealed. The board adopts rules by January 1, 2027. Monthly website reporting begins March 1, 2027, and ends if the federal requirements are repealed.

The law sets Medicaid benefit rules for qualified noncitizens based on when they entered the United States. These rules cover qualified noncitizens seeking benefits under the listed Colorado Medicaid programs. A pregnant person or child under 19 who entered on or after August 22, 1996, may receive benefits during the five-year period if they meet other eligibility rules. Federal financial support must be available, unless Colorado specifically sets aside state money for coverage where federal support is unavailable. For people who entered on or after August 22, 1996, the five-year period runs from their date of entry.

The state collects cost and workforce information from certain home- and community-based service agencies and reports it to lawmakers. The information covers Medicaid home- and community-based service agencies, direct care costs, worker pay and benefits, and related workforce expenses. The state must collect information from agencies serving more than 30 members that are subject to state base-wage rules; it may collect it from agencies serving 30 or fewer members. The information is for legislative purposes and is not subject to public disclosure under the Colorado Open Records Act. Agencies submit information by September 30, 2027. The state reports it to legislative committees by December 31, 2027.