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Code of Colorado Regulations eDocket
Official Publication of the State Administrative Rules (24-4-103(11) C.R.S.)

Details of Tracking Number   2025-00085


CCR details

Tracking Number 2025-00085
Type of Filing Permanent Rule
Department 700 Department of Regulatory Agencies
Agency 702 Division of Insurance
CCR Number 3 CCR 702-4 Series 4-2
CCR Title LIFE, ACCIDENT AND HEALTH, Series 4-2 Accident and Health (General)

Proposed rule

Notice Filed with SOS 02/28/2025
Rule ProposedRuleAttach2025-00085.doc
Statutory Authority §§ 10-1-108(7), 10-1-109(1), 10-16-107(3.5), and 10-16-109, C.R.S.
Description of Subjects/Issues The purpose of the regulation is to establish standards for health insurance carriers to enhance the affordability of their products by implementing payment system reforms. These reforms reduce overall health care costs by increasing utilization of primary and preventive care and value-based alternative payment models. The regulation establishes requirements for carrier investments in primary care and for alternative payment model (APM) parameter alignment reporting for primary care services offered through health benefit plans.
Purpose/Objective of Rule The purpose of the regulation is to establish standards for health insurance carriers to enhance the affordability of their products by implementing payment system reforms. These reforms reduce overall health care costs by increasing utilization of primary and preventive care and value-based alternative payment models. The regulation establishes requirements for carrier investments in primary care and for alternative payment model (APM) parameter alignment reporting for primary care services offered through health benefit plans.
Submitted in response to issues raised by COLS/OLLS? No
Is this rule adopted in response to recent legislation? No
Hearing Date 03/31/2025
Hearing Time 01:00 PM
Hearing Location Webinar or 1560 Broadway, STE 850, Denver CO 80202
Contact Name Jill Mullen
Contact Title Policy Advisor
Contact Telephone 720-5564952
Contact email jill.mullen@state.co.us

Adopted rule

Adopted Rules AdoptedRules12025-00085.doc
Redline Redline2025-00085.doc
Adopted Date 04/08/2025
AGO requested date 04/16/2025
Attorney General Opinion 04/28/2025
Colorado Register publication date 05/10/2025
Effective Date 05/30/2025
Inserted into CCR 05/30/2025
  
  
  
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