3 Colo. Code Regs. § 702-4-2-96-4

Current through Register Vol. 47, No. 24, December 25, 2024
Section 3 CCR 702-4-2-96-4 - Definitions
A. "Aligned quality measures set" means, for the purposes of this regulation, the Adult and Pediatric measure sets included in Appendix C of this regulation.
B. "Alternative payment model" or "APM" shall have the same meaning as found at § 10-16-157(2)(b), C.R.S.
C. "Carrier" shall have the same meaning as found at § 10-16-102(8), C.R.S.
D. "Health benefit plan" shall have the same meaning as found at § 10-16-102(32), C.R.S.
E. "Measure steward" means, for the purposes of this regulation, an individual or organization that owns a measure and is responsible for maintaining the measure.
F. "Patient attribution" means, for the purposes of this regulation, the method used to determine which primary care practice is responsible for a patient's care and costs.
G. "Practice panel" means, for the purposes of this regulation, the unique patients who have seen any provider within a primary care practice within the last 18 months.
H. "Primary care" shall have the same meaning as found at § 10-16-157(2)(c), C.R.S.
I. "Primary care provider" or "provider" means, for the purposes of this regulation, the provider taxonomies identified in Appendix A, when the provider is practicing general primary care in an outpatient setting.
J. "Prospective payment" shall have the same meaning as found at § 10-16-157(2)(f), C.R.S.
K. "Risk adjustment" shall have the same meaning as found at § 10-16-157(2)(g).

3 CCR 702-4-2-96-4

46 CR 24, December 25, 2023, effective 1/30/2024