Under the following conditions, medical or psychological services may be purchased from an out-of-state provider:
The service is necessary to achieve the employment outcome;
The service is not available through comparable benefits;
The service is likely to correct or substantially improve an impairment that constitutes a substantial impediment to employment within a reasonable period (time-limited, not ongoing);
Out-of-state medical services are more accessible in areas adjacent to the Colorado border;
It is more cost-effective to obtain medical services from an out-of-state provider; or,
The individual is temporarily out of Colorado and services are needed due to a medical emergency.