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

283 2. Each Provider shall screen its employees and contractors against the List of Excluded Individuals/Entities at least monthly to capture any exclusions or reinstatements that have occurred since the last search of the database. 3. If a Provider determines that an employee or contractor of the Provider has been excluded, then the Provider shall report this to the Department within five (5) business days of the date of discovery. 4. Each screening must be documented in a manner that can be provided to the Department upon request. B. Except as otherwise provided in federal law, if the Medical Assistance Program pays for any goods or services furnished, ordered, or prescribed by an excluded individual or entity that is employed by or has contracted with a Provider, such payment shall constitute an overpayment and shall be subject to overpayment recovery, pursuant to Section 8.076. Such Provider may also be subject to sanctions by the Department, including the termination of the Provider agreement, as described at 8.076.5., if the Provider knew or should have known of the exclusion. The Provider may also be subject to civil and monetary penalties imposed by the US Department of Health and Human Services. 1. To the extent that such amount can be traced, the amount of the overpayment shall include any funds expended by the Medical Assistance Program to pay the excluded individual’s or contractor’s salary, expenses, or fringe benefits. C. Subject to federal law and the Department’s discretion, failure of a Provider to comply with the screening requirements listed at Section 8.130.35.A. may constitute good cause sufficient to justify termination of the Provider agreement, as described at 8.076.5. 8.130.40 PROVIDER EMPLOYEE OR CONTRACTOR LICENSE VERIFICATION A. As a condition of participation in the Medical Assistance program, any Provider who provides or who has employees or contractors who provide services or