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

279 D “Change of Ownership” means that a Provider has been issued a new tax identification number. E. “Colorado Department of Health Care Policy and Financing” or “Department” means the Colorado State governmental agency responsible for the administration of the Medical Assistance Program, , Child Health Plan Plus, the old age pension health and medical care program, and the supplemental old age pension health and medical care program pursuant to Title XIX of the Social Security Act and Title 25.5 of the Colorado Revised Statutes. F. “Inactivation” means a Provider’s billing privileges have been stopped but can be restored upon resolution of the basis of inactivation. G. “Provider” means any person, public or private institution, agency, or business concern enrolled under the state Medical Assistance Program to provide medical care, services, or goods, and holding, where applicable, a current valid license or certificate to provide such services or to dispense such goods. H. “Requesting Agency” means the US Department of Health and Human Services or its designees, the Department or its designees, the Colorado Department of Human Services or its designees, or the Medicaid Fraud Control Unit or its designees, acting through their representatives who have written or other authorization to act on behalf of these agencies. 8.130.2 MAINTENANCE OF RECORDS A. Each Provider shall: 1. Maintain legible, complete, and accurate records necessary to establish that conditions of payment for Medical Assistance Program covered goods and services have been met, and to fully disclose the basis for the type, frequency, extent, duration, and delivery of goods and/or services provided to Medical Assistance Program members, including but not limited to: a. Billings, b. Prior authorization requests,