Transportation provider data reporting requirements

Colo. Rev. Stat. § 25.5-1-803, under MEDICAID NONMEDICAL AND NONEMERGENCY MEDICAL TRANSPORTATION.

Colo. Rev. Stat. § 25.5-1-803

(1) On or before December 1, 2026, and on or before each December 1 thereafter, each transportation broker shall report the following information to the state department:

(a) Regarding each transportation provider that the transportation broker contracts with:

(I) The total number of rides requested;

(II) The total number of rides completed;

(III) The total number of rides canceled by members and the transportation provider;

(IV) The total cost of rides completed categorized by procedure code; and

(V) The total number of calls received from members requesting nonemergency medical transportation and the average time a member spent on hold;

(b) The number of grievances submitted by members regarding a transportation provider that were substantiated and the transportation provider that the grievance concerns; and

(c) The total number of transportation providers terminated from the transportation broker's network, on a corrective action plan, or on a performance improvement plan.

(2) Beginning January 1, 2027, the state department shall include as part of the state department's "SMART Act" presentation required by section 2-7-203 the information submitted to the state department by the transportation brokers as required by subsection (1) of this section.

Source: L. 2026: Entire section added, (HB 26-1235), ch. 361, p. 2168, § 1, effective August 12.