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

275 N. The definitions in Subsection 8.126.1 apply only to Section 8.126. 8.126.2 Enrollment of Health Care Providers A. Health Care Providers must enroll in the Medical Assistance Program through the Department’s Fiscal Agent, if they: 1. deliver medical care, services, or goods authorized under the Medical Assistance Program; and 2. are required to submit a Claim. 8.126.3 Health Care Provider Requirements to Obtain and Use a National Provider Identifier (NPI) A. A Health Care Provider that is required or eligible to obtain a National Provider Identifier (NPI) pursuant to 45 C.F.R. § 162.410 must: 1. Enroll with a unique National Provider Identifier (NPI) that identifies the Health Care Provider that delivers medical care, services, or goods authorized under the Medical Assistance Program; and 2. Utilize the Health Care Provider’s unique National Provider Identifier (NPI) for all Claims. a. A Health Care Provider that is not enrolled as of January 1, 2020, must submit every Claim using the unique National Provider Identifier (NPI) used for enrollment that identifies both the Provider Type and Site effective for date-of-services on or after January 1, 2020. b. All Off Campus Locations must submit every Claim using the unique National Provider Identifier (NPI) used for enrollment that identifies both the Provider Type and Site effective for date-of- services on or after January 1, 2020. c. All Health Care Providers must submit every Claim using the unique National Provider Identifier (NPI) used for enrollment that