CO SB162

Limits the prohibition on charging Medicaid recipients for medical services to only apply when the provider is enrolled in the Colorado Medical Assistance Program.

Non-enrolled providers may charge Medicaid recipients no more than the usual and customary rate for medical services, whether reimbursable or non-reimbursable under the program.

Requires non-enrolled providers to enter into a documented agreement with recipients before providing services that would be reimbursable if provided by an enrolled provider.

The required agreement must specify services, usual and customary costs, recipient cost, payment method, and include a statement informing recipients they would not be liable for these costs if obtained from an enrolled provider.

Becomes effective August 10, 2016, unless a referendum petition is filed, in which case it requires voter approval at the November 2016 general election.