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

246 contractors, the State Attorney General’s Medicaid Fraud Control Unit or the Department to conduct unannounced on-site inspections of any and all provider locations 8.125.11.D. All site visits shall verify the following information: 1. Basic Information including business name, address, phone number, on- site contact person, National Provider Identifier (NPI) number and Employer Identification Number, business license, provider type, owner’s name(s), and owner’s interest in other medical businesses. 2. Location including appropriate signage, utilities that are turned on, the presence of furniture and applicable equipment, and disability access where applicable and where clients are served at the business location. 3. Employees with relevant training, designated employees who are trained to handle Medicaid billing, where applicable, and resources the provider uses to train employees in Medicaid billing where applicable. 4. Appropriate inventory necessary to provide services for specific provider type. 5. Other information as designated by the Department. 8.125.11.E. The Department shall give the provider a report detailing the discrepancies or insufficiencies in the information disclosed by the provider and the criteria the provider failed to meet during the site visit. 8.125.11.F. Providers that are found in full compliance shall be recommended for approval of enrollment or revalidation, subject to other enrollment or revalidation requirements. 8.125.11.G. Providers who meet the vast majority of criteria in Section 8.125.11.D but have small number of minor discrepancies or insufficiencies shall have 60 days from the date of the issuance of the report in Section 8.125.11.E to submit documentation to the Department attesting that the provider has corrected the issues identified during the site visit.