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

248 a. for a revalidating provider, the Department shall immediately suspend the provider until a subsequent site visit demonstrates provider is in compliance. b. for an enrolling provider, deny the application and require the provider to restart the enrollment process. 8.125.11.I. The Department shall deny or terminate enrollment or revalidation of any provider who refuses to allow a site visit, unless the Department determines the provider or the provider’s staff refused the on-site inspection in error. The provider must provide credible evidence to the Department that it refused the on- site inspection in error within in 7 days of the date of the issuance of the report in Section 8.125.11.E. Any provider who does not provide credible evidence to the Department that it refused the on-site inspection in error shall be denied or terminated from enrollment or revalidation. 8.125.11.J. The Department shall deny an application or terminate a provider’s enrollment when an on-site inspection provides credible evidence that the provider has committed Medicaid fraud. 8.125.11.K. The Department shall refer providers in Section 8.125.11.J to the State Attorney General. 8.125.12 CRIMINAL BACKGROUND CHECKS AND FINGERPRINTING 8.125.12.A. As a condition of provider enrollment, any person with an ownership or control interest in a provider designated as “high” categorical risk to the Medicaid program, must consent to criminal background checks and submit a set of fingerprints, in a form and manner to be determined by the Department. 8.125.12.B. Any provider, and any person with an ownership or control interest in the provider, must consent to criminal background checks and submit a set of fingerprints, in a form and manner designated by the Department, within 30 days upon request from the Centers for Medicare and Medicaid Services (CMS), the Department, the Department’s agents, or the Department’s designated contractors.