§ 25.5-8-109.5. Telehealth – Interim Therapeutic Restorations – Reimbursement – Definitions
Subject to federal authorization and financial participation, on or after July 1, 2016, in-person contact between a health-care provider and an enrollee is not required under the children’s basic health plan for the diagnosis, development of a treatment plan, instruction to perform an interim therapeutic restoration procedure, or supervision of a dental hygienist performing an […]
§ 25.5-8-110. Participation by Managed Care Plans
Managed care plans, as defined in section 10-16-102 (43), C.R.S., that participate in the plan shall do so by contract with the department and shall provide the health-care services covered by the plan to each enrollee. Managed care plans participating in the plan shall not discriminate against any potential or current enrollee based upon health […]
§ 25.5-8-111. Department – Administration – Outsourcing
The department may: Pursuant to section 24-50-504 (2)(a), C.R.S., enter into personal services contracts for the administration of the children’s basic health plan. Any contracts established pursuant to this section shall contain performance measures that shall be monitored by the department. Use county departments of human or social services to perform functions relating to the […]
§ 25.5-8-112. Authority to the Department to Apply for Federal Waivers
The department is hereby authorized and required to apply for any federal waivers necessary to implement the purposes of this article. Source: L. 2006: Entire article added with relocations, p. 1985, § 7, effective July 1. Editor’s note: This section is similar to former § 26-19-112 as it existed prior to 2006.
§ 25.5-8-105. Trust – Created
A fund to be known as the children’s basic health plan trust is hereby created and established in the state treasury. Except as provided for in subsection (8) of this section, all moneys deposited in the trust and all interest earned on moneys in the trust shall remain in the trust for the purposes set […]
§ 25.5-8-107. Duties of the Department – Schedule of Services – Premiums – Copayments – Subsidies – Purchase of Childhood Immunizations
In addition to any other duties pursuant to this article 8, the department has the following duties: To design, and from time to time revise, a schedule of health-care services included in the plan and to propose said schedule to the medical services board for approval or modification. The schedule of health-care services as proposed […]
§ 25.5-8-108. Financial Management – Cash System of Accounting
The department shall propose rules for approval by the medical services board to implement financial management of the plan. Pursuant to such rules, the department shall adjust benefit levels, eligibility guidelines, and any other measure to ensure that sufficient funds are present to implement the provisions of this article. The department shall develop and use […]
§ 25.5-8-109. Eligibility – Children – Pregnant Women
To be eligible for a subsidy, a child must not be insured by a comparable health plan through an employer. If one child from a family is enrolled in the plan, all children must be enrolled, unless the other children have alternative health insurance coverage. The department may establish procedures such that children with family […]
§ 25.5-8-101. Short Title
This article shall be known and may be cited as the “Children’s Basic Health Plan Act”. Source: L. 2006: Entire article added with relocations, p. 1973, § 7, effective July 1. Editor’s note: This section is similar to former § 26-19-101 as it existed prior to 2006.
§ 25.5-8-102. Legislative Declaration
The general assembly hereby finds and declares that a significant percentage of children are uninsured. This lack of health insurance coverage decreases children’s access to preventive health-care services, compromises the productivity of the state’s future workforce, and results in avoidable expenditures for emergency and remedial health care. Health-care providers, health-care facilities, and all purchasers of […]