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

17 the household has requested on the Application for Public Assistance and all other Medical Assistance Programs. Referrals to other community agencies and organizations shall be made for the applicant whenever available or requested. 5. The applicant must sign the application form, give declaration in lieu of a signature by telephone, or may opt to use an electronic signature in order to receive Medical Assistance. 6. A family member, adult in the applicant’s Medical Assistance Required Household or authorized representative may submit an application and request assistance on behalf of an applicant. 7. If the applicant is not able to participate in the completion of the application forms because they are a minor (as defined in C.R.S. § 13-22-101) or due to physical or mental incapacity, the spouse, other relative, friend, or representative acting responsibly on behalf of the applicant may complete the forms. When no such person is available to assist in these situations, the eligibility site shall assist the applicant in the completion of the necessary forms. This type of situation should be identified clearly in the case record. 8. For the purpose of Medical Assistance, when an applicant is incompetent or incapacitated and unable to sign an application, or in case of death of the applicant, the application shall be signed, under penalty of perjury, by someone acting responsibly on behalf of the applicant either: a. A parent, or other specified relative, or legally appointed guardian or conservator, or b. For a person in a medical institution for whom none of the above in 8.a. are available, an authorized official of the institution may sign the application. 9. Application interviews or requested visits to the eligibility site for Medical Assistance shall not be required. All correspondence may occur by mail, email or telephone.