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

251 8.125.14 TEMPORARY MORATORIA 8.125.14.A. In consultation with the Centers for Medicare and Medicaid Services (CMS) and the United States Department of Health and Human Services (HHS), the Department may impose temporary moratoria on the enrollment of new providers or provider types, or impose numerical caps or other limits on providers that the Department and the Secretary of HHS identify as being a significant potential risk for fraud, waste, or abuse, unless the Department determines that such an action would adversely impact Medicaid members’ access to medical assistance. 8.125.14.B. Before imposing any moratoria, caps, or other limits on provider enrollment, the Department shall notify the Secretary of the United States Department of Health and Human Services (HHS) in writing and include all details of the moratoria. 8.125.14.C. The Department shall obtain the Secretary of the United States Department of Health and Human Services (HHS) concurrence with imposition of the moratoria, caps, or other limits on provider enrollment, before such limits shall take effect. 8.125.15 DISCLOSURES BY MEDICAID PROVIDERS, MANAGED CARE ENTITIES, MEDICARE PROVIDERS AND FISCAL AGENTS 8.125.15.A. All providers, disclosing entities, fiscal agents, and managed care entities must provide the following federally required disclosures to the Department: 1. The name and address of any entity (individual or corporation) with an ownership or control interest in the disclosing entity, fiscal agent, or managed care entity having direct or indirect ownership of 5 percent or more. The address for corporate entities must include, as applicable, primary business address, every business location, and P.O. Box address. 2. For individuals: Date of birth and Social Security number 3. For business entities: Other tax identification number for any entity with an ownership or control interest in the disclosing entity (or fiscal agent or