(1) Any health benefit plan, except supplemental policies covering a specified disease or other limited benefit, that provides hospital, surgical, or medical expense insurance may provide coverage for health-care services under a specific treatment protocol provided by a pharmacist if: (a) The pharmacist meets the requirements in part 6 of article 280 of title 12 ; (b) The health benefit plan provides coverage for the same service provided by a licensed physician or an advanced practice registered nurse; (c) The pharmacist is included in the health benefit plan’s network of participating providers; and (d) A reimbursement rate has been successfully negotiated in good faith between the pharmacist and the health plan. (2) Intentionally left blank —Ed. (a) A health benefit plan described in subsection (1) of this section shall provide coverage for health-care services provided by a pharmacist within a health professional shortage area, as defined in 42 U.S.C. sec. 254 e, if the conditions specified in subsection (1) of this section are met. (b) This subsection (2) does not require a carrier to contract with a pharmacy or pharmacist willing to abide by the terms and conditions for participation established by the health benefit plan or carrier.
C.R.S. § 10-16-144
Health-care services provided by pharmacists
Known as the Colorado Health Care Coverage Act
The act spans §§ 10-16-1001 to 10-16-710 (274 sections).
Digitized from: Public.Law — Colorado Revised Statutes. Reproduced from public-domain Colorado statutes; confirm against the official source for the current text. Not legal advice.