COL INS proposed draft emergency regulation 21-E-XX, to require insurance carriers to cover costs of patient transfers between facilities during state’s COVID-19 recovery.
To ensure health care facilities have sufficient resources to treat COVID-19 patients.
Applicable to all carriers offering individual, small group, large group plans, student health plans, managed care plans subject to the insurance laws of Colorado.
Carriers who are 3rd-party administrators for self-funded plans strongly encouraged to follow requirements of this regulation in order to create uniform billing structures.
Coverage, Reimbursement, Treatment
Covered person receiving care in hospital or freestanding emergency department who is transferred to another hospital or facility to ensure/preserve adequate bed capacity due to ongoing COVID-19 situation is deemed to have emergency medical condition.
All services at receiving facility are considered to be emergency services, including in- network cost sharing benefits and consumer protections against balance billing.
COL INS requested public comments on emergency regulation by Sep. 24, 2021.