Community Sponsorship Agreement
If a client is insured by Medicaid, the client is required to find a community sponsor who will make payments on behalf of the client and submit the Community Sponsorship Agreement to Light of the Rockies prior to their first appointment.
These federal and state regulations are designed to protect Health First Colorado members who, by definition, are low income and/or disabled, from paying for services that are provided by Health First Colorado.
Colorado law (C.R.S. 25.5-4-301(II, provides that no Health First Colorado member shall be liable for the cost, or the cost remaining after payment by Health First Colorado, Medicare, or a private insurer, of medical benefits authorized under Title XIX of the Social Security Act. This law applies whether or not Health First Colorado has reimbursed the provider, whether claims are rejected or denied by Health First Colorado due to provider error, and whether or not the provider is enrolled in the Colorado Medical Assistance Program. This law applies even if a Health First Colorado member agrees to pay for part or all of a covered service.
The client is responsible for the cost of all services rendered to a non-eligible Health First Colorado member or an individual who does not have Health First Colorado eligibility on the date of service by Light of the Rockies
If the Health First Colorado member notifies the provider of retroactive Health First Colorado eligibility, and the provider does not want to enroll in Health First Colorado, then the refund of fees to the member is not required.
The sponsor acknowledges that they have read and understood the preceding information and agree to the Light of the Rockies Policies. The sponsor agrees to be responsible for the payment of all professional fees incurred by the client during the dates of this agreement. This agreement can be revoked in writing at any time.