3 Colo. Code Regs. § 702-2-1-9-2

Current through Register Vol. 47, No. 7, April 10, 2024
Section 3 CCR 702-2-1-9-2 - Scope and Purpose

In 1994, the Colorado General Assembly passed HB 94-1193, which authorized the commissioner through regulation to set forth standards and requirements specific to "licensed provider networks" (i.e., provider networks engaged in the business of insurance) concerning their solvency and operational capacity, or the performance of services consistent with the extent of risk being accepted by the licensed provider network.

Provider networks desiring to provide only limited health services, in-patient hospital services, or home health care, and only assume the level of risk commensurate with the provision of these limited benefits, shall be licensed as limited service licensed provider networks pursuant to standards and requirements established by this regulation.

The purpose of this regulation is to establish requirements for licensure as a limited service licensed provider network, and to clarify the applicability of health benefit mandates and Title 10 requirements to limited service licensed provider network health coverage plans.

3 CCR 702-2-1-9-2

38 CR 03, February 10, 2015, effective 3/15/2015
39 CR 01, January 10, 2016, effective 2/1/2016
39 CR 22, November 25, 2016, effective 1/1/2017
39 CR 23, December 10, 2016, effective 1/1/2017
40 CR 05, March 10, 2017, effective 4/1/2017
40 CR 09, May 10, 2017, effective 6/1/2017
40 CR 17, September 10, 2017, effective 10/1/2017
45 CR 09, May 10, 2022, effective 5/30/2022
46 CR 04, February 25, 2023, effective 3/17/2023