Featured in the January/February 2019 Colorado Medicine.
If so, legislation that the Colorado Medical Society helped to pass in 2017 can help you.
You can now request and receive from the plans with which you participate a listing of
all of their plans / products showing your participation status in each.
Participating provider networks - definition - selections standards - informal reconsideration
(4) Upon request, and not more often than quarterly, a carrier shall provide a provider that is participating in one or more of its networks with a complete list of all network plans and products the carrier offers to consumers, with an indication of the provider’s participation status within each network plan or product. The carrier shall respond to a provider’s request within thirty days after it receives the request.
This information is just one example of what is available to CMS members in the Know Your Legal Rights database, launched in May 2018 by CMS and the statewide network of component medical societies. This online tool compiles in one place all of the Colorado laws in place to protect physicians, their practices and patients from unfair, predatory and unscrupulous practices.
These protections have been secured through more than a decade of hard-hitting advocacy by CMS and our allies in the General Assembly and the rule-setting process, but many physicians and their staff were unaware that these laws exist or how to find and use them. With Know Your Legal Rights, practices are just a keystroke from knowing the legal tools at your disposal and how to use them effectively – your instant guide to Colorado physicians’ legal rights.
To access the Know Your Legal Rights database, go to www.cms.org/kylr. You'll need to sign in with your CMS username and password. (Users must be logged in with their CMS.org credentials to access Know Your Legal Rights. Staff of CMS members can request a login from firstname.lastname@example.org.) Once logged in, scroll through the topic list or enter keywords in the search bar at the top of the page to find laws relevant to your issue, a summary of the law and details about how the law affects physicians. The exact references are available in the sidebar of each entry. Be sure to take advantage of this valuable member benefit.