HB 18-1282

HB 18-1282 is a Colorado bill that requires off-campus hospital locations and Medicaid providers to obtain unique national provider identifiers (NPIs) for each site where they provide health care services. This means that when these facilities submit claims for reimbursement, they must use the specific NPI associated with the location or service type, rather than a general identifier. The bill has been signed into law, meaning it is now enforceable and hospitals and Medicaid providers need to comply by obtaining and using these unique identifiers on their claims.

Official Summary

Section 2 of the bill requires an off-campus location of a hospital to apply for, obtain, and use on claims for reimbursement for health care services provided at the off-campus location a unique national provider identifier, commonly referred to as 'NPI'. The off-campus location's NPI must be used on all claims related to health care services provided at that location, regardless of whether the claim is filed through the hospital's central billing or claims department or through a health care clearinghouse. Section 3 requires all medicaid providers that are entities to obtain and use a unique NPI for each site at which they deliver services and for each provider type that the department of health care policy and financing has specified. Entity medicaid providers must use on all claims the unique NPI that identifies both the site where the services were provided and the provider type rendering the services, regardless of whether the claim is filed through the entity's central billing or claims department or through a health care clearinghouse.(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.) , Read More

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