Livewire: Update on Friday Health Plans; plus, FAMLI rules, hospital discounted care and more

July 2023

DOI on Friday claims: Providers will be paid

In late June, the Colorado Division of Insurance (DOI) placed Friday Health Insurance Company into rehabilitation and took control of the company. DOI took this action to protect consumers enrolled in a Friday health plan and to ensure that providers are paid pursuant to the contracts in place with Friday with the funds remaining in the company. Do you see patients with Friday insurance? DOI has prepared a set of frequently asked questions for you. Access it here.

The DOI has set up a special email address for health care providers to contact the DOI with questions and concerns about providing care to Friday members, claims submission, and claims payment. See more information in the FAQ about necessary information to include when contacting the DOI.

Newly adopted rules for FAMLI

The Colorado Department of Labor and Employment (CDLE) recently published a new set of adopted rules. Sets of rules listed on the rules webpage cover program integrity; investigations, determinations and appeals; and job protection, anti-retaliation and anti-interference.

As a reminder, when FAMLI benefits become available in 2024, Colorado employees who utilize paid leave to tend to their own health or support a family member will be protected from retaliation from employers. In short, individuals cannot face punishment for using the benefits provided by the FAMLI program.

Questions about the rules? CDLE held a live webinar in June that is available for viewing on demand here.

FAMLI health care provider portal coming in August

The FAMLI Health Care Provider Portal, designed for licensed health care providers to verify leave requests, will be launching in August! The portal will streamline the claim processing experience for individuals and families during stressful life events. Stay tuned for the official launch date and get updates by subscribing to FAMLI's health care provider list.

Hospital discounted care new rates and maximum payment calculator now available

Colorado Department of Health Care Policy & Financing (HCPF) released updates on HB21-1198 and posted rates for 2023-24 online, Additionally, HCPF has updated the Hospital Discounted Care Maximum Payment Calculator. Read more and find links on the CMS website.

Save the date for the Colorado Pain Society 6th Annual Chronic Pain Conference, Oct. 13-15, 2023, in Vail, held in conjunction with Medical Education Resources and the Colorado Consortium for Prescription Drug Abuse Prevention. Target audience: physicians, advanced practice providers (APPs), psychologists and others interested in pain medicine.

Primary care providers – one-day free conference (live or virtual attendance):

https://coloradopainsociety.org/annual-meeting-2023-2/

Specialists, psychologists, and primary care providers - three-day paid conference:

https://coloradopainsociety.org/annual-meeting-2023/

Thanks to our Partners in Medicine, who support Colorado physicians and practices!

Job board

EDCare is recruiting for an Attending Physician reporting directly to the Chief Medical Officer at our Denver, CO location. The Attending Physician will provide leadership and direction to all Licensed Independent Practitioners while also providing medical care to EDCare patients. To learn more, see the posting here or contact Marisa Cicco at (720) 889- 4232 or MCicco@eatingdisorder.care

Looking for a physician to share office space in the Midtown Medical Building, Located in Denver; Ideal for Concierge/DPC; 2 exam rooms, 2 offices; could share expenses and provide some cross coverage; Available immediately; please contact Dr. Michael Keller at 720-600-0802.

Place a job board advertisement by contacting debra_will@cms.org

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