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Welcome to Home Care Licensure
Central...
The purpose of this section is to allow member access to as
much information and activity as possible related to the developing
home care agency licensing program. Information is generally
listed in chronological order, with the latest information on
top and the oldest items toward the bottom. Links to details are
provided where additional information is available. |
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QUICK LINKS FOR HCAC MEMBERS ONLY
New Home Care
Licensure Advisory Committee Convened in July 2011. Following
are minutes
and documents of these meetings.
Home Care
Licensure Fee Revision rule passes; effective March 1, 2012
(1/18/12)
Home Care Licensure Fee
Revision Proposed Rule,
Basis & Purpose of Rule,
Regulatory Analysis
(9/29/11)
Home
Care Licensure Advisory Committee Meeting Minutes
(8/20/11)
CDPHE Home Care Licensure Fee Proposal Options
Current and Proposed Survey Process
Home Care Licensure
Consultant's Cost Study Report
Licensure Descriptions
Home Care Licensure Rule Making
Process
Home Care Cash Funded Licensure Budgeting Process in Colorado
Comparison
with Other Cash Funded State Licensure Programs

Click
here to read SB 08-153 as signed by the Governor.
Read
Chapter XXVI Home Care Agency Licensure final rules, dated 4/15/09.
HCAC Licensure
FAQs
CDPHE Policy on Deeming of Accredited Home Care Agencies
(11/05/10)
Visit Home Care Licensure web site
Call the Home Care Licensure Hotline: 303-692-2836; 2 to 4 p.m.
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June 17, 2009
Read transcript of HCAC
2009 Convention Licensure Q&A Session
June 1, 2009
Read CDPHE Notice to
Colorado Therapy Providers (6/1/09: Businesses
that provide PT, OT or ST in a person's home may now need to be
licensed as a home care agency.)
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April 29,
2009
Click here for Dept. of Health's latest licensure news,
including
in-service and education requirements and required forms.
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March 19, 2009
Home Care License Rule Passes on March 18th in two hour
rule-making hearing:
HCAC presented testimony before the State Board of Health on
industry data. Member providers from
various industry sectors and geographic areas including home
health, private duty, non-medical personal care, county health
dept., IHSS and PACE explained what their agencies do and who
their clients are. One amendment passed to clarify how PACE and
IHSS programs will coordinate with the Dept. of Health Care
Policy & Financing. Another amendment to clarify how long
agencies have to begin producing requested documents during
survey was postponed to the April 15th hearing. There was much
interest by Board members regarding tightening up the criminal
background check process and formally acknowledging those
agencies that are accredited by national accrediting
organizations. Both topics may require further legislative
authority.
The home care licensure fee schedule will be
considered at the Board's
April 15th meeting. Watch here for details.
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March 14, 2009
Rule Making Hearing Details:
The Home Care Agency Licensure rulemaking hearing is set for
Wednesday, March 18, 2009 before the State Board of Health at 10
a.m. at the Colorado Dept. of Public Health & Environment, 4300
Cherry Creek Drive South, Sabin-Cleere Conf. Room, Denver, CO
80246.
HCAC learned last week that the fee schedule will not be
considered at this hearing because it was not "noticed" to the
public by the deadline. Instead it will be heard at the Board's
April 15th meeting. It is unclear at this time whether comments
regarding the fee schedule will be accepted on March 18, but the rest of the
rule will be fully discussed at that time.
Click here to see who serves on
the State Board of Health.
Click here
for biographical sketches on members of the State Board of
Health.
Click here to read the
Dept. of Public Health & Environment's Cost-Benefit Analysis
that was submitted to the Dept. of Regulatory Agencies. This
comprehensive analysis is the result of the many letters and
comments sent by HCAC members to Bruce Harrelson, director of
the Office of Policy, Research and Regulatory Reform. THANK YOU!
Click here to read the proposed rules
(revised 3/5/09).
Click here to read changes to proposed rules:
**Section 5.1: PACE and IHSS coordination with HCPF
regulations;
**Section 5.5: Eight criteria to determine compliance and
inspection frequency including acknowledgement of national
accreditation;
**Section 7.10: PACE plan of care.
Click below to read sample comments from your home care
colleagues:
**
Rocky Mountain
Health Plans
Read latest
licensure fee schedule, dated 3/2/09.
Read fee schedule
example, dated 3/2/09.
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March 2, 2009
Read latest
licensure fee schedule, dated 3/2/09.
Read fee schedule
example, dated 3/2/09.
Read changes to proposed rules:
**Section 5.1: PACE and IHSS coordination with HCPF
regulations;
**Section 5.5: Eight criteria to determine compliance and
inspection frequency including acknowledgement of national
accreditation;
**Section 7.10: PACE plan of care.
Have you
notified the state about how the new rules
will impact your home care agency? If not, do so today:
Bruce Harrelson, Director
Office of Policy, Research and Regulatory Reform
opr@dora.state.co.us
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February 28, 2009
Read DORA response to
HCAC comments.
Have you
notified the state about how the new rules
will impact your home care agency? If not, do so today:
Bruce Harrelson, Director
Office of Policy, Research and Regulatory Reform
opr@dora.state.co.us
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February 15, 2009
Read
Proposed Home Care Licensure Fees (distributed on February 13th
by the Dept. of Public Health & Environment.)
The latest proposed fee schedule creates six tiers of licensure,
based on wages paid to direct care staff as verified by the most
recent workers compensation insurance audit or equivalent
report.
The fee schedule also incorporates a performance incentive as
requested by HCAC. It does not include other HCAC
recommendations below.
Read HCAC current recommendations on licensure law,
rules and fees.
Notify the state about how the new rules
will impact your home care agency:
Bruce Harrelson, Director
Office of Policy, Research and Regulatory Reform
opr@dora.state.co.us
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February 7, 2009
Read
"Notice of Public Rule Making Hearing Before
the Colorado Board of Health"
Read
latest version of home care licensure rules as
submitted to Board of Health.
Read latest version of Dept. of Health's licensure
fee proposal.
Read HCAC current recommendations on licensure law,
rules and fees.
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January 29, 2009
Click
here to read HCAC latest recommendations on licensure law,
rules and fees.
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January 5, 2009
Click
here to read Department of Health's 12/31/08 proposed home
care licensure fee proposal. Annual licensure renewal fees range
from $2,434 per year for certified medical (skilled) agencies to
$3,567 per year for non-certified medical agencies; and from
$1,900 per year for certified non-medical personal care agencies
to
$2,580 per year for non-certified personal care agencies. An
additional $600 will be levied for non-certified initial
applicants and for agencies with branch offices and/or large
service areas.
Click
here to read HCAC's response and recommendations.
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December 18, 2008
Click
here to read Draft #8 of Home Care Licensure Rules showing
input from Advisory Committee's December 17th meeting. The
committee will now concentrate on setting the licensure fee for
skilled home health agencies as well as non-medical personal
care agencies.
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December 15, 2008
Click
here to read Draft #7 of Home Care Licensure Rules showing
input from dozens of comments to Draft #6.
Send
your comments to:
Mr. Howard Roitman, JD
Director, Division of Health Facilities
Colorado Dept. of Public Health & Environment
4300 Cherry Creek Drive South
Denver, CO 80246-1530
with cc: to HCAC, 7400 E. Arapahoe Road #211, Centennial, CO
80112
or e-mail
to
Hroitman@smtpgate.dphe.state.co.us
with cc:
to
ecaruso@assnoffice.com
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December 8, 2008
Click
here to read Dept. of Public Health & Environment's first
draft of proposed Home Care Agency Licensure Costs. Watch
for changes recommended by HCAC
regarding
certified skilled home care agency survey cost (page 4, Option
2).
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December 4, 2008
Click
here to read Draft #6 of Home Care Licensure Rules that were
distributed by the DPHE on December 4th. The Table of Contents
begins on page 50. Comments are due by December 10th.
Send
your comments to:
Mr. Howard Roitman, JD
Director, Division of Health Facilities
Colorado Dept. of Public Health & Environment
4300 Cherry Creek Drive South
Denver, CO 80246-1530
with cc: to HCAC, 7400 E. Arapahoe Road #211, Centennial, CO
80112
or e-mail
to
Hroitman@smtpgate.dphe.state.co.us
with cc:
to
ecaruso@assnoffice.com
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November 24, 2008
Click
here to read HCAC's Position Statement on Rules Draft #5
that was distributed and read at the November 20th Home Care
Licensure Advisory Committee.
Sen. Betty Boyd (D-Lakewood), sponsor of SB 153, spoke to the
advisory panel about the legislative intent of the bill, as did
representatives of the following HCAC agency members:
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Visiting Nurse Assn. of Colorado
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Centura Health at Home
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Argus of Colorado Home Health
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Banner Home Care
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Acaria,
Inc.
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CovenantCare at Home
Send
your comments on Rules Draft #5 to:
Mr. Howard Roitman, JD
Director, Division of Health Facilities
Colorado Dept. of Public Health & Environment
4300 Cherry Creek Drive South
Denver, CO 80246-1530
with cc: to HCAC, 7400 E. Arapahoe Road #211, Centennial, CO
80112
or e-mail
to
Hroitman@smtpgate.dphe.state.co.us
with cc:
to
ecaruso@assnoffice.com
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November 20, 2008 (Management Report)
Attend
meeting of Home Care Licensure Advisory Committee on
Friday, November 21, 2008, beginning at 9 a.m. located at:
Colorado Dept. of Public Health & Environment
4300 Cherry Creek Drive South
Denver, CO 80246-1530
(if attending in person, please arrive at 8:50
a.m. for admittance)
Attend
above meeting via phone conference:
Dial: 1-712-580-7702, press option 2
Pass code / PIN:
6922901#
Announce yourself to the meeting, then mute your phone.
Send
your comments on Rules Draft #5 to:
Mr. Howard Roitman, JD
Director, Division of Health Facilities
Colorado Dept. of Public Health & Environment
4300 Cherry Creek Drive South
Denver, CO 80246-1530
with cc: to HCAC, 7400 E. Arapahoe Road #211, Centennial, CO
80112
or e-mail
to
Hroitman@smtpgate.dphe.state.co.us
with cc:
to
ecaruso@assnoffice.com
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November 17, 2008
Click here to
read the 229 comments on Draft #5 of Home Care Licensure Rules
as submitted by HCAC. HCAC has urged the Colorado Dept. of
Public Health and Environment to abandon the current rules and
replace with a much simpler document containing "minimum
standards" as called for in SB 08-153.
Click here to read
personal comments from Sonya Neumann, Donna Floyd and David
Johnston -- YOUR representatives on the Home Care Licensure
Advisory Committee.
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October 21, 2008 (Management Report)
Click here to review and comment
on proposed licensure
rules ranging from residential facilities and business practices
to training of staff and PACs. (please note that some regs
address all home care agency types and some address only medical
(skilled) or non-medical (non-skilled) agencies.
Click here to read Draft #4 of Home Care Agency proposed rules.
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October 5, 2008
Click here to read the latest discussions on home care licensure
rules.
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September 16, 2008 (Management Report)
Click here to read HCAC Sept. 12th Recommendations to Home
Care Licensure Advisory Committee
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September 3, 2008 (Management Report):
Click here to read Draft #3 of
Home Care Agency proposed rules.
Click here for
Home Care
Licensure Advisory Committee
Meeting Schedule (updated 9/8/08)
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August 27, 2008 (Management Report):
Click here to read reports from Home Care Licensure Advisory
Committee meetings!
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August 20, 2008 (Management Report):
Home
Care Licensure Rule Making:
The HCAC worked with the Colorado Dept. of
Public Health and Environment to write and pass a sound home
care licensure bill in the 2008 session of the Colorado General
Assembly. Before the new law can be implemented, rules must be
written. Click
here to read a brief description of the key provisions
and the rule making process
(PDF format) by Harold Roitman, Director of
Health Facilities
and Emergency Medical Services, CDPHE.
Representing
HCAC on the Home Care Agency Licensure Advisory Committee are Sonya
Neumann, Physicians Home Health, with locations in
Colorado
Springs, Pueblo and Denver; David Johnston, Argus Health
Network, with locations in Pueblo, Denver and Canyon City; Donna
Floyd, Interim HealthCare of Western Colorado, Grand
Junction and Crag Business Group, Delta. All
are members of the
HCAC Board of Directors. Other HCAC members serving on the
14-person committee are Tiffany Walters, Maxim /
Max-Health, with locations in Aurora, Colorado Springs, Fort
Collins, LaJunta, Pueblo and Westminster, and Leanne Smiley,
Total Longterm Care / PACE program, Denver.
Please
send your questions or comments to hcac@assnoffice.com. We will
forward them on to our committee members.
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July 2008:
Click
here to follow progress of rule making on the CDPHE web site.
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During the 2008 Legislative Session:
Click
here for HCAC's position on SB 08-153.
HCAC's Position regarding the passage of the
Licensing Bill, SB 08-153: "Support." This bill is being brought
forth by the Colorado Dept. of Public Health and Environment in
response to reported harm to consumers by certain certified home
health agencies that could not be addressed by Medicare survey /
certification process.
HCAC has been working with the Dept. since early November 2007on
amendments including:
1. Coverage of all entities that provide home care services in
Colorado
2. Ensure the least amount of regulatory burden and cost to home
care agencies.
3. Provide reduced licensure fees for Medicare and Medicaid
certified agencies.
4. Prohibit duplicate survey and reporting requirements for
certified agencies.
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Read/Download in PDF Format
(18 pages)
Senate 08-153 - as
signed by the Governor
Summarized History for Bill Number SB08-153
(The date the bill passed to the committee of
the whole reflects the date the bill passed out of committee.)
02/11/2008 Introduced In Senate - Assigned to
Health and Human Services + Appropriations
02/28/2008 Senate Committee on Health and Human Services Refer
Amended to Appropriations
03/14/2008 Senate Committee on Appropriations Pass Amended to
Senate Committee of the Whole
03/19/2008 Senate Second Reading Laid Over
03/20/2008 Senate Second Reading Passed with Amendments
03/24/2008 Introduced In House - Assigned to Health and Human
Services + Appropriations
03/24/2008 Senate Third Reading Passed
04/07/2008 House Committee on Health and Human Services Refer
Amended to Appropriations
04/18/2008 House Committee on Appropriations Pass Unamended to
House Committee of the Whole
04/21/2008 House Second Reading Laid Over
04/22/2008 House Second Reading Passed with Amendments
04/23/2008 House Third Reading Passed
04/25/2008 Senate Considered House Amendments - Result was to
Laid Over Daily04/25/2008
04/28/2008 Senate Considered House Amendments - Result was to
Concur - Repass
04/28/2008 Senate Considered House Amendments - Result was to
Laid Over Daily04/28/2008
05/09/2008 Signed by the Speaker of the House
05/12/2008 Signed by the President of the Senate
05/12/2008 Sent to the Governor
06/05/2008 Governor Action - Signed
This information is prepared as a service only
and should not be relied upon as an official record of action
taken by the Colorado General Assembly.
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Home
Care Association of Colorado
7400 East Arapahoe Road, #211,
Centennial, CO 80112 U.S.A.
Phone (303) 694-4728 ~~
Fax (303) 694-4869
hcac@assnoffice.com
This site created and
maintained by HCAC staff.
© 2008, Home Care Association of Colorado. All
rights reserved.
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