{"data":{"id":"us-co/c.r.s.-25.5-5-331","jurisdiction":"us-co","citation":"C.R.S. § 25.5-5-331","heading":"Federally qualified health center - reimbursement - rules.","body":"(1) Costs associated with services provided by clinical pharmacists through a federally qualified health center, as defined in the federal \"Social Security Act\", 42 U.S.C. sec. 1395x (aa)(4), are considered allowable costs for the purpose of a federally qualified health center's cost report and must be included in the calculation of the reimbursement rate for a patient visit at a federally qualified health center.\n\n(2) (a) A federally qualified health center, as defined in the federal \"Social Security Act\", 42 U.S.C. sec. 1395x (aa)(4), may establish a separate subsidiary company for the purpose of providing fee-for-service services outside of the federally qualified health center's standard cost report if:\n\n(I) The subsidiary is providing fee-for-service services that have historically been provided and reimbursed on a fee-for-service basis; and\n\n(II) The state department determines that the subsidiary's reimbursements would be budget neutral.\n\n(b) Upon receiving any necessary federal authorization, the state department shall reimburse a subsidiary company, as described in subsection (2)(a) of this section, on a fee-for-service basis for services that are eligible for fee-for-service reimbursement.\n\n(c) A subsidiary that receives reimbursement pursuant to this section may pass through money received from the reimbursement directly to the federally qualified health center operating as the subsidiary's parent corporation.\n\n(d) (I) The state department shall exclude all costs associated with a subsidiary company established pursuant to this subsection (2) from the calculation of a federally qualified health center's reimbursement rates.\n\n(II) The state department shall require a federally qualified health center that establishes a separate subsidiary company pursuant to this subsection (2) to include the costs associated with the subsidiary in its cost report that is necessary to calculate reimbursement rates.\n\n(3) The state department shall promulgate rules to implement the provisions of this section.","path":["Title 25.5 - HEALTH CARE POLICY AND FINANCING","Article 5 - Colorado Medical Assistance Act - Services and Programs","Part 3 - SERVICES WITH SPECIAL STATE PROVISIONS"],"source_url":"https://olls.info/crs/crs2026-title-25.5.htm","current_through":"Colorado Revised Statutes 2026","vintage":"","retrieved_at":"2026-09-14T18:37:45Z","sha256":"b8de23ea7b0a819888fbf69c517036507726998f978471948ad8dd022fce4aa8","source_id":"us-co","stale":false,"prev":"us-co/c.r.s.-25.5-5-330","next":"us-co/c.r.s.-25.5-5-332"},"notice":"GroundRules: Original legal text. Not legal advice."}