6 Colo. Code Regs. § 1011-1 Chapter 04, pt. 3
Current through Register Vol. 47, No. 17, September 10, 2024
Part 3 - [Effective until 7/1/2024] DEPARTMENT OVERSIGHT3.1 Application Fees (A) Initial License (when such initial licensure is not a change of ownership) (1) A license applicant shall submit a nonrefundable fee with an application for licensure as follows: Number of Inpatient Beds | Fee |
1 - 25 beds | $8,360.40 |
26 - 50 beds | $10,450.50 |
51 - 100 beds | $13,063.14 |
101 + beds | Base: $10,241.50 |
Per bed: $52.25 |
Cap: $20,901.02 |
(a) The initial fee for facilities to be licensed as general hospitals, but certified as long term care hospitals pursuant to 42 CFR 482 et seq., shall be as follows: a base fee of $5,956.78 and a per inpatient bed fee of $52.25. The initial licensure fee for long-term care hospitals shall not exceed $10,973.03.(B) Renewal License (1) A license applicant shall submit an application for licensure with a nonrefundable fee as shown in the following table. The total renewal fee shall not exceed $8,360.40.(2) A license applicant that is accredited by an accrediting organization recognized by the Centers for Medicare and Medicaid Services as having deeming authority may be eligible for a ten (10) percent discount off the base renewal license fee. In order to be eligible for this discount, the license applicant shall submit copies of its most recent recertification survey(s), and any plan(s) of correction with the most recent letter of accreditation showing the license applicant has full accreditation status in addition to a completed renewal application. Number of Inpatient Beds | Fee | Fee with Deeming Discount |
1 - 50 beds | Base: $940.54 Per bed: $12.54 | Base: $846.49 Per bed: $12.54 |
51 - 150 beds | Base: 1,463.07 Per bed: $12.54 | Base: $1,316.76 Per bed: $12.54 |
151+ beds | Base: $2,090.10 Per bed: $12.54 Cap: $8,360.40 | Base: $1,881.09 Per bed: $12.54 Cap: $8,360.40 |
(C) Change of Ownership (1) A license applicant shall submit a nonrefundable fee of $2,612.62 with an application for licensure.(D) Provisional License (1) A license applicant may be issued a provisional license upon submittal of a nonrefundable fee of $2,612.62.(2) If a provisional license is issued, the provisional license fee shall be paid in addition to the initial license fee.(E) Conditional License(1) A license applicant that is issued a conditional license by the Department shall submit a nonrefundable fee ranging from ten (10) to twenty-five (25) percent of its applicable renewal fee.(2) The Department shall determine and assess the fee based on the anticipated costs of monitoring compliance with the conditional license.(3) Conditional license fees shall be paid in accordance with the requirements of 6 CCR 1011-1, Chapter 2, Part 2.8.3.(F) Other Regulatory Functions (1) If a license applicant requests an onsite inspection for a regulatory oversight function other than those listed in Parts 3.1(A)-(E), the Department may conduct such onsite inspection upon notification to the hospital of the fee in advance and payment thereof.(2) The fee shall be calculated solely based on the cost of conducting such survey. A detailed justification of the basis of the fee shall be provided to the license applicant upon request.(G) Off-Campus Locations (1) A license applicant shall submit a nonrefundable fee, as set forth below, for the requested license action. (a) Addition of Location: $1,045.05 for the addition of each location to the list of off-campus locations under the license, except that critical access hospitals shall submit a nonrefundable fee of $522.52.(b) Annual Renewal: $522.52 for the annual renewal of each off-campus location listed under the license.(i) $470.28 for the annual renewal of each off-campus location that is accredited by an accrediting organization recognized by the Centers for Medicare and Medicaid Services as having deeming authority. In order to be eligible for this discount, the license applicant shall submit copies of its most recent recertification survey(s), and any plan(s) of correction with the most recent letter of accreditation showing the license applicant has full accreditation status in addition to a completed renewal application.(c) Removal of Location: $376.22 for the removal of each location from the list of off-campus locations under the license.3.2 Increase in Licensed Capacity (A) Planned increase in licensed capacity (1) Each hospital shall comply with the requirements of 6 CCR 1011-1, Chapter 2, Part 2.9.6, regarding the written notification of changes affecting the licensee's operation or information.(2) In addition to (A)(1) above, a hospital that wishes to increase its licensed capacity shall follow the following process: (a) If a hospital notifies the Department, in writing, at least thirty (30) days prior to an increase in licensed capacity, an amended license shall be issued upon payment of the appropriate fee.(b) If requested by the Department, the hospital shall meet with a Department representative prior to implementation to discuss the proposed changes.(c) If a hospital requesting an increase in licensed capacity has been subject to conditions imposed upon its license, pursuant to 6 CCR 1011-1, Chapter 2, Part 2.8.3, or been subject to a plan of correction pursuant to 6 CCR 1011-1, Chapter 2, Part 2.10.4(B), within the past twelve (12) months, the hospital shall submit to the Department evidence that the noted condition(s) have been met, or the plan of correction implemented, when providing the notice of increased capacity.(B) Temporary increase in licensed capacity(1) A hospital seeking a temporary increase in licensed capacity shall follow the requirements of 6 CCR 1011-1, Chapter 2, Part 2.8.2(B).3.3 The Department is authorized to and shall enter, survey, and investigate each hospital as necessary to ensure compliance with the emergency management plan, staffed-bed capacity reporting, and nurse staffing standards pursuant to Section 25-3-128, et seq., C.R.S.3.4 Staffed-bed Capacity Fees and Fines6 CCR 1011-1 Chapter 04, pt. 3