(1) As used in this article and articles 4 and 6 of this title, unless the context otherwise requires, clinic services means preventive, diagnostic, therapeutic, rehabilitative, or palliative items or services furnished to outpatients.
(2) Under the federal option for clinic services, Colorado has selected clinic services provided by the following:
(a) Comprehensive community behavioral health providers, as defined in section 27-50-101;
(b) Case management agencies;
(c) Birthing centers;
(d) Ambulatory surgery facilities;
(e) Freestanding dialysis clinics.
(3) Clinic services also means preventive, therapeutic, or palliative items or services that are furnished to patients by county or district public health agencies or county or district boards of health established pursuant to part 5 of article 1 of title 25, C.R.S., that are recommended for certification by the department of public health and environment as qualified to receive payments pursuant to this article and articles 4 and 6 of this title.
(4) Clinic services also means preventive, diagnostic, therapeutic, rehabilitative, or palliative items or services furnished to a pregnant woman who is enrolled or eligible for services pursuant to section 25.5-5-101 (1)(c) or 25.5-5-201 (1)(m.5) in a facility that is not a part of a hospital but is organized and operated as a freestanding substance use disorder treatment program approved and licensed by the behavioral health administration in the department of human services pursuant to section 27-80-108 (1)(c).
(5) Clinic services also means preventive, diagnostic, therapeutic, rehabilitative, or palliative items or services that are furnished to children up to age twenty-one or to high-risk pregnant women in a facility which is not a part of a hospital but is organized and operated as a school-based clinic.
(6) Clinic services also means preventive, diagnostic, therapeutic, rehabilitative, or palliative items or services that are furnished to students by a school district, board of cooperative services, or state educational institution within the scope of the Colorado Medical Assistance Act pursuant to the provisions of section 25.5-5-318.
Source: L. 2006: Entire article added with relocations, p. 1866, � 7, effective July 1. L. 2010: (4) amended, (HB 10-1043), ch. 92, p. 314, � 5, effective April 15; (4) amended, (SB 10-175), ch. 188, p. 801, � 68, effective April 29; (3) amended, (HB 10-1422), ch. 419, p. 2113, � 145, effective August 11. L. 2014: (4) amended, (SB 14-067), ch. 12, p. 116, � 12, effective February 27. L. 2017: (4) amended, (SB 17-242), ch. 263, p. 1328, � 201, effective May 25. L. 2021: (2)(b) amended, (HB 21-1187), ch. 83, p. 332, � 27, effective July 1, 2024. L. 2022: (4) amended, (HB 22-1278), ch. 222, p. 1513, � 70, effective July 1. L. 2025: (2)(a) amended, (HB 25-1326), ch. 309, p. 1611, � 5, effective August 6.
Editor's note: (1) This section is similar to former � 26-4-513 as it existed prior to 2006.
(2) Amendments to subsection (4) by House Bill 10-1043 and Senate Bill 10-175 were harmonized.
Cross references: For the legislative declaration in SB 17-242, see section 1 of chapter 263, Session Laws of Colorado 2017.
25.5-5-302. Clinic services - children and pregnant women - utilization of certain providers. (1) The state department shall utilize, to the extent possible and appropriate, county or district public health agencies or boards of health established pursuant to part 5 of article 1 of title 25, C.R.S., that are certified by the department of public health and environment as qualified to receive payments pursuant to this article and articles 4 and 6 of this title and that meet the requirements and standards set forth in rules promulgated by the state board in the state department pursuant to section 25.5-4-104 to provide clinic services to patients who are children under age seven or patients who are pregnant women.
(2) In complying with the provisions of subsection (1) of this section, the state department shall utilize, to the extent possible and appropriate, the county or district public health agencies and boards of health specified in subsection (1) of this section to provide outreach to eligible pregnant women and children and to provide clinic services:
(a) Upon the referral of any physician; or
(b) When there exists no primary care physician who agrees to provide clinic services to such patients.
Source: L. 2006: Entire article added with relocations, p. 1867, � 7, effective July 1. L. 2010: (1) and IP(2) amended, (HB 10-1422), ch. 419, p. 2113, � 146, effective August 11.
Editor's note: This section is similar to former � 26-4-514 as it existed prior to 2006.