SUMMARY OF CHAPTER II AND/OR CHAPTER VII FEES AND NOTIFICATION REQUIREMENTS Assisted Living Residences NOTE: The chart provided below is to assist you with licensing issues, but is in no way intended to be a complete explanation of all license fees and/or requirements. It is the applicant's responsibility to be informed of all provisions of Chapter II (6 CCR 1011-1 - General Licensure Standards) and Chapter VII (6 CCR 1011-1 - Assisted Living Residences). Both chapters can be viewed in their entirety at http://www.healthfacilities.info (Regulations).

ITEM Initial License Application (Chapter II §2.4 and Chapter VII §103(2)(c))

FEE Appl. rec’d prior to 9/1/15 3 – 8 beds: $5,000 fee 9 or more beds: $6,000 fee Appl. rec’d 9/1/15 or after 3-8 beds: $6,000 fee 9 or more beds: $7,200 fee

Submission of Renewal Application

$180 application fee plus $47 per licensed bed (for licenses with a renewal date on or after 9/1/15)

(Chapter II §2.6.1 and Chapter VII §103(2)(d))

If CDPHE has designated the facility as a high Medicaid utilization facility: $180 application fee plus $19 per licensed bed

Late Fee charged (Chapter II §2.6.2)

Equal to the applicable renewal fee

REQUIREMENT Notify the Department by submitting a Letter of Intent (LOI) and an application will be mailed to you. Complete application forms, attachments and fees must be submitted at least 90 calendar days before the anticipated start-up date.

Must submit renewal application, attachments and fees 60 calendar days prior to license expiration

Assessed if renewal application is not submitted 30 calendar days prior to license expiration Applicant must respond within 14 calendar days to any written notice of application defect. Failure of the applicant to accurately answer or report any of the information requested by the Department shall be considered good cause to deny the license renewal application

Application Corrections Requested by CDPHE (Chapter II §2.6.4)

• Must immediately comply with conditions Conditional License (Chapter II §2.9.4, §2.9.5 and §2.13)

$1,500 fee in addition to applicable initial or renewal fee. $1,500 fee if imposed during existing license term

Provisional License (Chapter II §2.5; §2.13 and Chapter VII §103(2)(e))

$1,000 fee per provisional period. Payment of the initial license fee is required upon issuance of a regular license

Change of Ownership

$5,000 fee (if the same purchaser buys more than one facility from the same seller in a single business transaction, the change of ownership fee shall be $5,000 for the first facility and $2,800 for each additional facility included in the transaction. The appropriate fee total shall be submitted with the application)

• License conditions must be posted in a conspicuous public place in the facility • Must immediately comply with conditions

(Chapter II §2.7 and Chapter VII §103(2)(f)(i)(F))

• License conditions must be posted in a conspicuous public place in the facility

Notify the Department by submitting a Letter of Intent (LOI) and an application form will be mailed to you. Application must be submitted at least 30 calendar days before the change of ownership. Requires prior approval by the Department. A new license will be issued.

Increase in Licensed Capacity* $360 fee (Chapter II §2.10.5; §2.13 and Chapter VII §103(2)(f)(i)(C))

Decrease in Licensed Capacity $360 fee (Chapter II §2.10.5 and §2.13)

Notify the Department by submitting a Letter of Intent (LOI) and an application form will be mailed to you. Application must be submitted at least 30 calendar days before the increase. An amended license will be issued.

Notify the Department by submitting a Letter of Intent (LOI) and an application form will be mailed to you. Application must be submitted at least 30 calendar days before the decrease. An amended license will be issued. Notify the Department by submitting a Letter of Intent (LOI) and an application form will be mailed to you. Application must be submitted at least 30 calendar days before the change. Requires prior approval by the Department.

Changes to Management Company or Management Agreement (Chapter II §2.10.5) Change in License Category or Classification* Applicable initial fee for specific license category. (Chapter II §2.10.5)

Change of Name (Chapter II §2.3.6, 2.10.5; §2.13 and Chapter VII §103(2)(f)(i)(B))

$75 fee

Change of Address* (Chapter VII §103(2)(f)(i)(A))

$75 fee (a corporate change of address for multiple facilities shall be considered one change of address)

Notify the Department by submitting a Letter of Intent (LOI) and an application form will be mailed to you. Application must be submitted at least 30 calendar days before the change. Requires prior approval by the Department. Notify the Department by submitting a Letter of Intent (LOI) and an application form will be mailed to you. Application must be submitted at least 30 calendar days before the change. If the Department determines that the proposed name would create confusion or misrepresentation to the public regarding the services to be provided, it may disapprove such name. Upon approval, an amended license will be issued. Notify the Department by submitting a Letter of Intent (LOI) and an application form will be mailed to you. An amended license will be issued.

Except for operational changes that require approval from the Department, applicant must submit written notice as soon as practicable, but no later than 30 calendar days after the change becomes effective

Changes to Required Information in Last Submitted License Application (Chapter II §2.10.5)

Change of Administrator (Chapter VII §103(2)(f)(i)(D))

$500 fee

Notify the department by submitting Letter of Intent (LOI). An application form will be mailed to you. Requires notification at least 30 calendar days before the change

New Secured Unit* (Chapter VII §103(2)(f)(i)(E))

$1,600 fee (paid with the first submission of the applicable building plans)

Notify the department by submitting Letter of Intent (LOI). An application form will be mailed to you. Requires notification at least 30 calendar days before the change

Closure (Chapter II §2.9.7)

*Certificate of Compliance Required from the Division of Fire Prevention and Control

Notify the Department by submitting a Letter of Intent (LOI) and a closure checklist will be sent to you. At least ten (10) calendar days prior to date of closure, inform the Department in writing of specific plans for storage and retrieval of patient records and inform patients accordingly. Return original license to HFEMSD Per House Bill 12-1268, the functions of the Life Safety Code section of the Colorado Department of Public Health and Environment (CDPHE) transfer to the Division of Fire Prevention and Control within the Department of Public Safety. HFEMSD will not issue a license unless it has received a certificate of compliance from DFPC certifying that the building or structure of the health facility conforms to DFPC standards.All inquiries related to LSC issues, including the process for obtaining a certificate of compliance, should be addressed to (303) 239-4600 or go to the website http://www.dfs.state.co.us.

Summary Sheet ALR for website.pdf

An amended license will be. issued. (Chapter II §2.10.5 and §2.13). Changes to Management Company or Management. Agreement. Notify the Department by ...

61KB Sizes 0 Downloads 125 Views

Recommend Documents

Book Summary Sheet for Nonfiction.pdf
Book Summary Sheet for Nonfiction.pdf. Book Summary Sheet for Nonfiction.pdf. Open. Extract. Open with. Sign In. Main menu. Displaying Book Summary Sheet ...

2_DAAD_Information Sheet for Scholars_InCountry InRegion.pdf ...
2_DAAD_Information Sheet for Scholars_InCountry InRegion.pdf. 2_DAAD_Information Sheet for Scholars_InCountry InRegion.pdf. Open. Extract. Open with.

Summary for Continued Discussion Regarding Paraeducator & CDA
preschool programs (assistants are sometimes described as paraeducators, paraprofessionals, associate's, aides ... may have up to five options available to them if their district has adopted local assessments. ... Under general Title I requirements,

CDP Program Summary for website.pdf
There was a problem previewing this document. Retrying... Download. Connect more apps... Try one of the apps below to open or edit this item. CDP Program ...

Summary of GHG Emissions for Russian Federation
The base year under the Climate Change Convention is 1990 except for Bulgaria (1988), Hungary (average of 1985 to 1987), Poland (1988), Romania (1989) ...

RELATOR MOTION FOR SUMMARY JUDGMENT 9.25.12.pdf ...
26. Blair Bobier, Esq. POB 1233, Corvallis OR 97339. 503.559.6176. IN THE CIRCUIT COURT OF THE STATE OF OREGON. FOR THE COUNTY OF BENTON.

Networks for Prosperity: 2011 Executive summary - UNIDO
Nov 7, 2011 - Networks for Prosperity: Achieving Development Goals through Knowledge Sharing is published .... that consolidate good practices that are generated. Foreword ...... technical knowledge management tools such as databases ...

Summary of Call for Applications.pdf
... below to open or edit this item. Summary of Call for Applications.pdf. Summary of Call for Applications.pdf. Open. Extract. Open with. Sign In. Main menu.

BRS_results summary for volunteers.pdf
Whoops! There was a problem loading more pages. Retrying... BRS_results summary for volunteers.pdf. BRS_results summary for volunteers.pdf. Open. Extract.

Summary Guide for data project.pdf
... apps below to open or edit this item. Summary Guide for data project.pdf. Summary Guide for data project.pdf. Open. Extract. Open with. Sign In. Main menu.

Job summary for "Bibliography".pdf
Page 1 of 57. 10/28/2015 Job summary for "Bibliography". http://destiny.platteville.k12.wi.us/backoffice/servlet/presentjobsummaryform.do?

Benefits Summary 2015 For Site.pdf
Page 3 of 12. 2 Hamel Builders February 1, 2015 Benefit Summary 3. Medical Healthy Blue PPO. The chart below is an overview of benefits, and this guide ...

Networks for Prosperity: 2011 Executive summary - UNIDO
Nov 7, 2011 - information herein, UNIDO does not assume any responsibility for consequences, which may arise from the use of the ... that consolidate good practices that are generated. Foreword .... groups, research and technology centres and univers

Summary for Continued Discussion Regarding Paraeducator & CDA
A variety of federal and state programs regulate the qualifications required for teaching assistants in preschool programs (assistants ... The qualification options that teaching assistants in each program may choose in order to meet the ... 1) Compl

Concussion Fact Sheet for Parents.pdf
or if s/he just “doesn't feel right.” Most concussions ... teens are among those at greatest risk for concussion. ... the hit, bump, or fall ... Sensitivity to light or noise.

NJHS Hour Sheet for Students.pdf
Page 1 of 1. Name: (NJHS Member). Teacher's Name: (Please Print). Date: Number of Hours:______. Service Performed: Signature of Teacher: Name: (NJHS Member). Teacher's Name: (Please Print). Date: Number of Hours:______. Service Performed: Signature o

Location Reference Sheet for writers.pdf
There was a problem previewing this document. Retrying... Download. Connect more apps... Try one of the apps below to open or edit this item. Location ...

Reference Sheet for CO120.1 Programming I
Stops execution and displays error message. 9 Types and Common ... multiple times or to clean up code. ... You should spend time planning your answer (on ...

Info sheet for Application.pdf
There was a problem previewing this document. Retrying... Download. Connect more apps... Try one of the apps below to open or edit this item. Info sheet for ...Missing:

Reference Sheet for CO140 Logic - GitHub
Free Variable Variable which is not bound (this includes variables which do not appear in A!). Sentence Formula with no free variables. ... domain of M, dom (M).

Summary - GitHub
A desktop or laptop computer. 1. A Mac, PC, or Linux .... 10. 4. Specifying the CellProfiler name and type of image channels. 1. Select the NamesAndTypes ...