The Division is seeking comments on the following draft proposed amended regulation:
This regulation applies to all carriers marketing and issuing or renewing health benefit plans in the individual, small group and large group markets in Colorado. This includes all health benefit plans subject to the individual and group laws of Colorado, including non-grandfathered plans, short-term limited duration health insurance policies, and student health insurance coverage.
This regulation is being amended to provide additional guidance and clarity on the Division’s mental health parity enforcement activities, update reporting requirements, update contact information for the Office of the Ombudsperson for Behavioral Health Access to Care, and include carrier utilization of the American Society of Addiction Medicine criteria. The Division has removed the reporting templates from the regulation itself, previously included as appendices. Some of the reporting templates have been changed or added, including the Financial Requirement and Quantitative Treatment Limitation Analysis Tool, the Financial Requirement Attestation, the Comparative Analysis Reporting Tool, the American Society of Addiction Medicine Criteria Questionnaire, the Confidential Network Development Questionnaire, and Network Adequacy, Provider Credentialing, and Network Admission Questionnaire. All of the reporting templates can be accessed in the folder below.
The Division is requesting informal comments be submitted to DORA_INS_RulesandRecords@state.co.us no later than 5 PM, February 24, 2021.
This draft regulation, as well as other draft regulations currently released for informal public comment, can be found on our page for Draft Regulations and Bulletins for Informal Comments.