Request for Comment on DRAFT Proposed Amended Regulations 4-2-91 Concerning the Methodology for Calculating Reimbursement Rates to Support Premium Rate Reductions for Colorado Option Standardized Health Benefit Plans and 4-2-92 Concerning Colorado Option Public Hearings

The Division is seeking comments on the following draft proposed amended regulations:

• DRAFT Proposed Amended Regulation 4-2-91 Concerning the Methodology for Calculating Reimbursement Rates to Support Premium Rate Reductions for Colorado Option Standardized Health Benefit Plans

The purpose and intent of this regulation is to establish a hospital and health-care provider reimbursement rate setting methodology for the Colorado Option premium rate reduction requirements on standardized health benefits plans.  

This regulation is being amended to implement the updates required under House Bill 23-1224 and to implement process improvements identified during the plan year 2024 public hearing process.

• DRAFT Proposed Amended Regulation 4-2-92 Concerning Colorado Option Public Hearings

The purpose of this regulation is to establish the procedures for noticing and conducting public hearings on proposed Colorado Option Standardized Plans that fail to meet the premium rate reduction or network adequacy requirements as required by § 10-16-1306, C.R.S.

This regulation is being amended to implement the public hearing process updates, per House Bill 23-1224, and to implement process improvements identified during the plan year 2024 public hearing process.

Please submit your comments on these draft proposed regulation no later than 5 PM, October 3, 2023, via the following link:

 Submit Comments

These draft proposed regulation, as well as other draft regulations currently released for informal public comment, can be found on the Division's website via the button below:

 DOI Draft Regulations for Comment

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