This reference document is provided for attorneys and clients who are seeking information on subrogation rights concerning discounted medical services provided under the Colorado Indigent Care Program (CICP).
The Colorado Indigent Care Program (CICP) is not an insurance company. The CICP is a state program that provides partial reimbursement to providers for offering medical care to eligible underinsured and uninsured residents. There is no guarantee of medical benefits or services to clients under this program. The CICP does not directly pay medical claims related to any client or for any specific medical service provided to the client. Statutes concerning the CICP can be found at 25.5-3-101, et seq, Colorado Revised Statutes (C.R.S.) and regulations concerning the CICP can be found at Code of Colorado Regulations (CCR) at 10 CCR 2505-10, sections 8.900, et seq. The Colorado Department of Health Care Policy and Financing administers the CICP.
The CICP does not have any subrogation rights concerning any settlements or judgments, but those rights are retained by the facility where the medical service was provided (the provider). The provider is obligated to make all reasonable efforts to collect amounts due from third party coverage and applicable co-payment amounts, and shall maintain auditable evidence of such efforts. The client's medical claims and service information, and any related charges, must be obtained directly from the provider and the client's attorney is obligated to request the relevant information directly from the provider. Through any settlement or judgment award, the provider has the right to recover all applicable charges related to the medical service provided, even if the initial charge was discounted under the CICP.