§ 25.5-8-108 — Financial management - cash system of accounting

Colorado § 25.5-8-108

• Jurisdiction: Colorado
• Title 25.5: Health
• Art.: Children's Basic Health Plan

Text

(1) The
department shall propose rules for approval by the medical services board to
implement financial management of the plan. Pursuant to such rules, the
department shall adjust benefit levels, eligibility guidelines, and any other measure
to ensure that sufficient funds are present to implement the provisions of this
article. The department shall develop and use quality assurance measures, such as
the health employer data information set (HEDIS) reports regarding provider
compensation, adapted to children's needs, to ensure that appropriate health-care
outcomes are met and to justify the continued use of taxpayer dollars for the plan.
The department shall implement performance-based contracting based on such
quality assurance measures.

(2) The department shall make a quarterly assessment of the expected
expenditures for the plan for the remainder of the current biennium and for the
following biennium. The estimated expenditures, including minimum reserve
requirements, shall be compared to an estimate of the revenues that will be
deposited in the trust fund. Based on this comparison, the department shall make
adjustments as necessary to ensure that expenditures remain within the limits of
available revenues for the remainder of the current biennium and the following
biennium.

(3) The department may, in addition to any other measure it determines to be
necessary, decrease subsidies for annual enrollment fees or limit enrollment in the
plan to ensure that the trust retains sufficient funds pursuant to subsection (1) of
this section.

(4) (a) Nothing in this article or any rules promulgated pursuant to the plan
shall be interpreted to create a legal entitlement in any person to coverage under
the plan. If enrollment in the plan is limited, the department shall give priority to
children with family incomes under one hundred thirty-three percent of the federal
poverty line.

(b) The department shall report quarterly to the joint budget committee on
any enrollment caps that have been instituted for the plan and the number of
children who are on waiting lists.

(5) The department shall utilize the cash system of accounting, as
enunciated by the governmental accounting standards board, regardless of the
source of revenues involved, for all activities of the department relating to the
financial administration of any nonadministrative expenditure for the plan.

Legislative History

Source: L. 2006: Entire article added with relocations, p. 1980, � 7, effective July 1. L. 2007: (5) added, p. 465, � 3, effective July 1. L. 2008: (4)(a) amended, p. 459, � 2, effective April 14. L. 2010: (4)(a) amended, (HB 10-1422), ch. 419, p. 2115, � 152, effective August 11.