MEDICAID PROGRAMS Clause Samples
MEDICAID PROGRAMS. 1.7.1. Rules, Regulations and References
1.7.1.1. The Contractor shall abide by and perform its duties and obligations in conformity with relevant federal law, all pertinent federal regulations, State law, rules and regulations of the Department of Health Care Policy and Financing and the Colorado Department of Public Health and Environment which include but are not limited to: Colorado Revised Statute, Title 25.5, Article 10. Colorado Department of Health Care Policy and Financing, Division for Intellectual and Developmental Disabilities written communications. Colorado Department of Public Health and Environment at 6 CCR 1011-1.
1.7.1.2. The Contractor shall comply with all State Medicaid regulations promulgated by the Department. These regulations include, but are not limited to, Department regulations regarding: The HCBS-DD waiver, 10 CCR 2505-10, Section 8.500 to 8.500.80, The HCBS-SLS waiver, 10 CCR 2505-10, Sections 8.500.90 to 8.500.102, The HCBS-CES waiver, 10 CCR 2505-10, Section 8.503, et seq., Long Term Care, 10 CCR 2505-10, Sections 8.400 to 8.401, and Recipient Appeals, 10 CCR 2505-10, Section 8.507.
1.7.1.3. The Contractor shall comply with all applicable regulations promulgated by the Department. Without limitation, these regulations include 10 CCR 2505-10, Sections 8.600, et seq.
MEDICAID PROGRAMS. The restriction, suspension, or revocation of the Practitioner’s participation in Medicare and/or Medicaid programs;
MEDICAID PROGRAMS. Plans or Products operated and/or administered by Company pursuant to a State Contract.
MEDICAID PROGRAMS. 1.5.1. Rules, Regulations and References
1.5.1.1. The Contractor shall comply with all State Medicaid regulations promulgated by the Department as currently in effect and as they may hereafter be amended. These regulations include, but are not limited to Department regulations regarding the HCBS-DD waiver, 10 CCR 2505-10, Section 8.500 to 8.500.80, the HCBS-SLS waiver, 10 CCR 2505-10, Sections 8.500.90 to 8.500.102, the HCBS-CES waiver, 10 CCR 2505-10, Section 8.503, et seq., Long Term Care, 10 CCR 2505-10, Sections 8.400 to 8.401, and Recipient Appeals, 10 CCR 2505-10, Section 8.507. The Contractor shall comply with all applicable regulations promulgated by the Department of Human Services as currently in effect and as they may hereafter be amended. Without limitation these regulations include 10 CCR 2505-10, Sections 8.600, et seq.
1.5.1.2. The Contractor shall perform its obligations in conformity with the provisions of Title XIX of the Social Security Act and other applicable federal and state laws and regulations.
1.5.1.3. The Contractor shall perform the functions of Targeted Case Management for Medicaid eligible Clients enrolled in the HCBS-DD, HCBS-SLS, and HCBS-CES waivers.
1.5.1.4. The Contractor shall ensure applicant and Client rights are protected in accordance with Title XIX of the Social Security Act, other applicable federal and state laws, and Department regulations.