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

245 8.125.10 REVALIDATION 8.125.10.A. Actively enrolled providers must complete all requirements for revalidation at least every 5 years as established by the Department, or upon request from the Department for an off-cycle review. 8.125.10.B. The date of revalidation shall be considered the date that the provider’s application was initially approved plus 5 years, or by an off-cycle request from the Department. 8.125.10.C. If a provider fails to comply with any requirement for revalidation by the deadlines established by Sections 8.125.10.A. or 8.125.10.B., the provider agreement may be terminated. In the event that the provider agreement is terminated pursuant to this section, any claims for dates of service submitted after deadlines established by Sections 8.125.10.A. or 8.125.10.B., are not reimbursable beginning on the day after the date indicated by Section 8.125.10.B. 8.125.11 SITE VISITS 8.125.11.A. All providers designated as “moderate” or “high” categorical risks to the Medicaid program must consent to and pass a site visit before they may be enrolled or re-validated as Colorado Medicaid providers. The purpose of the site visit is to verify that the information submitted to the state department is accurate and to determine compliance with federal and state enrollment requirements. 8.125.11.B. All enrolled providers who are designated as “moderate” or “high” categorical risks must consent to and pass an additional site visit after enrollment or revalidation. The purpose of the site visit is to verify that the information submitted to the state department is accurate and to determine compliance with federal and state enrollment requirements. Post-enrollment or post-revalidation site visits may occur anytime during the five-year period after enrollment or revalidation. 8.125.11.C. All providers enrolled in the Colorado Medicaid program must permit the Centers for Medicare and Medicaid Services (CMS), its agents, its designated