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

284 supplies must ensure that, at the time services or supplies are provided, the Provider, the employee, or the contractor possesses the license, certification, or credential that is required in the State of Colorado to provide such services or supplies. 8.130.45 REPORTING CHANGES A. Within thirty-five (35) calendar days, Provider shall update the provider portal of the Department’s Medicaid Management Information System (MMIS) with any Change of Information or Change in Ownership. B. Failure by the Provider to notify the Department of any Change of Information or Change in Ownership in accordance with section 8.130.45.A.: 1. May result in the denial, suspension, inactivation, or termination of the Provider agreement or contract. 2. Does not exempt a Medical Assistance Program Provider from compliance with 10 CCR 2505-3 and 10 CCR 2505-10. 8.130.50 REQUIREMENT TO VERIFY ENROLLMENT OF MEMBER AT TIME OF SERVICE A. A Provider shall verify and document that the member is enrolled in the applicable Medical Assistance Program at the time the service is rendered. B. A Provider shall verify that payments received are for medically necessary goods and services that were actually rendered, and that claims and encounters submitted for payment are true and correct. 8.130.60 PROVIDERS ARE RESPONSIBLE FOR ALL CLAIMS SUBMITTED A. A Provider shall accept full legal responsibility for all claims submitted under the Provider’s Medical Assistance Program ID number to the Medical Assistance Program, whether submitted by the Provider or submitted on the Provider’s behalf. 1. A Provider shall comply with all federal and state civil and criminal statutes, regulations, and rules relating to the delivery of goods and