HB 25-1162

HB 25-1162, also known as the "Eligibility Redetermination for Medicaid Members," is a Colorado law that simplifies the process of renewing Medicaid eligibility for certain members. If someone's income comes only from stable sources like Social Security or hasn't changed since they first applied, the state doesn’t need to request extra information or check additional data sources to confirm their continued eligibility. The bill also updates how medical professionals verify a patient’s need for long-term care services by allowing doctors who have an established relationship with patients to sign off on necessary documentation. Since this bill has been signed into law, it means that these changes are now in effect and will make the Medicaid renewal process easier and more efficient for eligible members.

Official Summary

The act authorizes the department of health care policy and financing (department) to seek federal authorization to determine a member's eligibility for reenrollment without checking federally approved electronic data sources or requesting additional information if the member's income consists solely of social security income or another source of stable income or assets or if the member's income or assets have not changed since the initial verification during the application process. The act requires the department to modify the questions asked by medical professionals when verifying a member's need for long-term services and supports and allows a treating licensed medical professional who has a bona fide physician-patient relationship with a member to sign the documentation necessary to verify a member's need for long-term services and supports. (Note: This summary applies to this bill as enacted.)

Votes