Colorado Code § 27-92-104

Determination of ability to pay
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(1) All insurance and other benefits
payable for the care, support, maintenance, and treatment of a patient shall be considered
available for payment of the cost determined under section 27-92-102.
(2) The department of human services shall determine the ability of a patient and his or
her spouse to pay the balance of the cost by consideration of the following factors: Income
reportable under Colorado law; the age of the patient and spouse; the number of dependents,
their ages, and their mental and physical condition; provision for retirement years; the length of
the patient's care or treatment; liabilities; and assets. The determination shall be made according
to schedules contained in published rules, adopted in accordance with the provisions of article 4
of title 24, C.R.S.
(3) If it is determined that the patient and his or her spouse are unable to pay the entire
cost determined under section 27-92-102 and the length of the patient's care and treatment at a
state institution is reasonably anticipated to be less than six months, the department of human
services shall determine the parent's ability to pay by consideration of the same factors referred
to in subsection (2) of this section, applying each such factor to the parent.
(4) If it is determined that the patient and his or her spouse are unable to pay the entire
cost determined under section 27-92-102 and the length of the patient's care and treatment at a
state institution is reasonably anticipated to exceed six months, the department of human
services shall determine the parent's ability to pay by reference to the parent's net taxable income
reportable under Colorado law and to the patient's length of care or treatment. At the request of
the parent, the department shall also consider other factors relevant to the interest of avoiding
undue hardship to the family unit. Other factors may include the parent's age, provision for
retirement years, assets, liabilities, and the number of dependents, their mental and physical
condition, and their educational requirements. The determination shall be made according to
schedules contained in published rules adopted in accordance with the provisions of article 4 of
title 24, C.R.S.
(5) Should any parent not file a Colorado income tax return, the parent's net Colorado
taxable income equivalent shall be determined by reference to his or her United States income
tax return as though all the income disclosed by that return had been derived from sources within
Colorado, and the table of rates shall be applied to the net taxable income equivalent.
(6) Upon the willful failure of any patient, spouse, or parent to furnish to the department
of human services, upon request, copies of his or her income tax returns, he or she shall be
deemed to have the ability to pay the entire cost determined under this article.
(7) Every agency and department of the state is required to render all reasonable
assistance to the executive director of the department of human services in obtaining all
information necessary for proper implementation of the purposes of this article. Nothing in this
subsection (7) shall be construed to require the department of revenue to produce a copy of any
person's income tax return solely upon the request of the department of human services, but the
department of revenue shall deliver a copy of any such return upon the request of the taxpayer or
his or her duly authorized representative, pursuant to section 39-21-113 (4), C.R.S.

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