Page 161

CODE OF COLORADO REGULATIONS 10 CCR 2505-10 8.100 Medical Services Board

161 of the family’s adjusted gross income. For families whose income exceeds 200% of FPL but does not exceed 300% of FPL, the amount of premiums and cost-sharing charges cannot exceed 7.5% of the family’s adjusted gross income. ii) Premiums are charged beginning the month after determination of eligibility. Any premiums for the months prior to the determination of eligibility will be waived. iii) For households with two or more children eligible for the Medicaid Buy-In Program for Children with Disabilities, the total premium shall be the amount due for one eligible child. iv) Premium amounts are as follows: 1) There is no monthly premium for households with income at or below 133% of FPL. 2) A monthly premium of $70 is applied to households with income above 133% of FPL but at or below 185% of FPL. 3) A monthly premium of $90 is applied to individuals with income above 185% of FPL but at or below 250% of FPL. 4) A monthly premium of $120 is applied to individuals with income above 250% of FPL but at or below 300% of FPL. v) The premium amounts will be updated at the beginning of each State fiscal year based on the annually revised FPL if the revised FPL would cause the premium amount (based on percentage of income) to increase by $10 or more. vi) A change in household net income may impact the monthly premium amount due. Failure to pay premium payments in full within 60 days from the premium due date will result in a member’s assistance being terminated prospectively. The effective date of the termination will be the last day of the month following the 60 days from the date on which the premium