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

276 identifies both the Provider Type and Site effective for date-of- services on or after January 1, 2021. d. On every Claim, including Coordination of Benefits Agreement (COBA) automatic crossover Claims, the Organization Health Care Provider shall use the Service Facility Location Field to represent the most specific Site with a National Provider Identifier (NPI) where the services are rendered unless the Billing Provider Field represents the most specific Site with an NPI where the services are rendered. 8.126.4 Organization Health Care Provider Requirements to Obtain and Use a National Provider Identifier (NPI) A. Each Organization Health Care Provider and each Subpart of an Organization Health Care Provider that is required or eligible to obtain an NPI pursuant to 45 C.F.R. § 162.410 must enroll using a unique National Provider Identifier (NPI). 1. Each Organization Health Care Provider must enroll using its unique National Provider Identifier (NPI) for each Site at which the Organization Health Care Provider delivers medical care, services, or goods authorized under the Medical Assistance Program. a. A Hospital must enroll in the Medical Assistance Program with a unique National Provider Identifier (NPI) for: (1) Its Campus; and (2) Each Off-Campus Location. 2. Each Organization Health Care Provider must enroll in the Medical Assistance Program using a unique National Provider Identifier (NPI) for each Provider Type at each Site from which the Organization Health Care Provider delivers medical care, services, or goods authorized under the Medical Assistance Program. a. A Hospital must enroll with a unique National Provider Identifier (NPI) for each Provider Type at each Site at its Campus and at