Cal. Welf. & Inst. Code §§ 14184 through 14184.90: Medi-Cal 2020 Demonstration Project Act – California
Status: Enacted Year Enacted: 2016
California’s “Medi-Cal 2020” Medicaid demonstration project, No. 11-W-00193/9, focuses on expanded health care system capacity, better coordinated care, and aligned incentives within the Medi-Cal program in order to improve health outcomes for Medi-Cal beneficiaries, while …
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Cal. Welf. & Inst. Code §§ 14197 through 14197.5: Medi-Cal Managed Care Plans – California
Status: Enacted Year Enacted: 2017
It is the intent of the Legislature that the department implement and monitor compliance with the time and distance requirements set forth in Sections 438.68, 438.206, and 438.207 of Title 42 of the Code of …
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Cal. Welf. & Inst. Code §§ 14610 through 14620: Medi-Cal Management: Alternative Methods — Negotiated Hospital Rates – California
Status: Enacted Year Enacted: 1981
The definitions in this statute controls this article (Negotiated Hospital Rates).
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Cal. Welf. & Inst. Code §§ 14700 through 14714: Transition of Community-Based Medi-Cal Mental Health – California
Status: Enacted Year Enacted: 1994
A contract entered into pursuant to this chapter shall include a provision that the mental health plan contractor shall bear the financial risk for the cost of providing medically necessary specialty mental health services to …
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Colo. Rev. Stat. § 10-1-108. Duties of commissioner–reports–publications– fees– disposition of funds– adoption of rules–examinations and investigations: Insurance – General Provisions – Colorado
Status: Enacted Year Enacted: 2003
Requires hospitals and other providers as well as health maintenance organizations to report information about payments, fees, etc. made during the year to the insurance commissioner.
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Colo. Rev. Stat. § 10-1-126. Training program for persons working with the aging: Insurance – General Provisions – Colorado
Status: Enacted Year Enacted: 2003
The commisioner instituted a program for persons dealing with the aging population and helping them to navigate medicare benefits.
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Colo. Rev. Stat. § 10-16-106.7. Assignment of health insurance benefits: Colorado Health Care Coverage Act – Colorado
Status: Enacted Year Enacted: 2005
Any insurance company shall allow, but not require, the covered person to assign payments under the policy. When a provider holds an assignment, it is the responsibility of the provider to notify the carrier of …
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Colo. Rev. Stat. § 10-16-413.5. Return to home – legislative declaration – definitions: Health Care Coverage Act – Colorado
Status: Enacted Year Enacted: 1999
Allows age in place homes and other organizations to contract with health maintenance organizations to provide more coordinated, higher quality care.
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Colo. Rev. Stat. § 10-16-704. Network adequacy-rules-legislative declaration: Consumer Protection Standards Act for the Operation of Managed Care Plans – Colorado
Status: Enacted Year Enacted: 1997
Stipulates that a health plan/ carrier’s managed care plan must maintain an adequate network of providers to assure that all covered benefits will be accessible to covered persons.
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Colo. Rev. Stat. § 10-16-705.5. Participating Provider Networks-definitions-selection standards-informational reconsideration-enforcement-legislative declaration: Health Care Coverage Act – Colorado
Status: Enacted Year Enacted: 2017
States that health plans/ carriers should develop standards for the selection of providers, including developing standards for tiering.
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Colo. Rev. Stat. § 10-16-707. Enforcement: Consumer Protection Standards Act for the Operation of Managed Care Plans – Colorado
Status: Enacted Year Enacted: 1997
A commissioner can institute an action against an insurance carrier if it determines that the carrier has not contracted with enough providers to deliver adequate care.
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Colo. Rev. Stat. § 25-3-314. Charge for professional services: County Hospitals – Establishment – Colorado
Status: Enacted Year Enacted: 1967
Any hospital in a county with a population greater than 250,000 that is also a teaching hospital and duly accredited may employ licensed physicians. Furthermore they may collect charges for these physicians services.
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Colo. Rev. Stat. § 25-3.5-307.5. Standards for air ambulance services – rules – civil penalties – disciplinary actions: Colorado Emergency Medical and Trauma Services Act – Colorado
Status: Enacted Year Enacted: 2016
Authorizes the Board to promulgate rules and requirements for air ambulance services. These standards must include quality and reporting measures.
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Colo. Rev. Stat. § 25-3.5-702. Legislative Declaration: Statewide Trauma Care System Act – Colorado
Status: Enacted Year Enacted: 1995
Since trauma and trauma care is the single greatest cause of death and disability in Colorado, the State finds that trauma care is a unique medical service. Thus, the state wants to adopt rules to …
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Colo. Rev. Stat. § 25-3.5-703. Definitions: Statewide Trauma Care System Act – Colorado
Status: Enacted Year Enacted: 1995
Definitions for the Statewide Trauma Care System Act
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Colo. Rev. Stat. § 25-3.5-704. Statewide emergency medical and trauma care system – development and implementation – duties of department – rules adopted by board: Statewide Trauma Care System Act – Colorado
Status: Enacted Year Enacted: 1995
Authorizes the development of a statewide trauma system that lays out the minimum services in rendering patient care and requires that communication systems are in place to allow citizens access to trauma care.
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