6 Colo. Code Regs. § 1011-1-20-25

Current through Register Vol. 47, No. 11, June 10, 2024
Section 6 CCR 1011-1-20-25 - [Effective 7/1/2024] AMBULATORY SURGICAL CENTER WITH A CONVALESCENT CENTER
25.1 General: An ambulatory surgical center with a convalescent center shall comply with the preceding sections 1 through 24 which shall apply to the operation and maintenance of the ambulatory surgical center and the convalescent center. In addition, an ambulatory surgical center with a convalescent center shall comply with this Section 25.
25.2 Patient Transfer: A licensed ambulatory surgical center with a convalescent center shall provide for the prompt and safe transfer of patients between the ambulatory surgical center and the convalescent center. Each patient transferred from the ambulatory surgical center to the convalescent center shall have a visible means of identification on his or her person.
25.3 Patient Care Services: The convalescent center shall have and follow written policies and procedures regarding the provision of direct patient care that includes, but is not limited to:
(A) The handling of medical emergencies;
(B) Coordination of care across multiple disciplines, as applicable;
(C) Initial and revised patient assessments and care plans; and
(D) Discharge planning.
25.4 Dietary Services: The convalescent center shall provide food service to admitted patients.
(A) Persons assigned to food preparation and service shall have the appropriate training necessary to store, prepare and serve food in a manner that prevents food-borne illness
(B) Meals shall be prepared, stored and served in a manner that prevents food-borne illness.
(C) The food service area shall be an area separate from the employee lounge or other areas used by facility personnel or the public.
(D) All food shall be pre-packaged and require microwave heating only and disposable products for preparation and service shall be used unless the facility develops and implements policies and procedures for the safe preparation, storage and serving of foods.
(E) Catering and alternative methods of meal provision shall be allowed if patient needs and the intent of this part of the regulations are met.
25.5 Contracted Services: All contracted services shall be documented by a written agreement. The written agreement shall include the names of the owner or corporate officers authorized to sign the agreement and the center shall be ultimately responsible for quality control of the contracted services.
25.6 Any construction or renovation of a convalescent center initiated on or after July 1, 2020, shall conform to Part 3 of 6 CCR 1011-1, Chapter 2, unless otherwise specified in this current Chapter.
25.7 License Fees: Applicants for a new or renewal license as an ambulatory surgical center with a convalescent center shall comply with the licensing process described at 6 CCR 1011-1, Chapter 2, Part 2, and submit, in the form and manner specified by the Department, a license application with the corresponding nonrefundable fee as set forth below:
(A)Initial license:
(1) An applicant for an initial ambulatory surgical center with convalescent center license shall submit with an application for licensure a nonrefundable fee of $7,856.16.
(2) A current ambulatory surgical center licensee that applies to add a convalescent center to the license prior to the expiration of the surgical center license shall submit an application for initial licensure of the convalescent center along with a nonrefundable fee of $406.36. Upon expiration of the existing surgical center license term, the licensee shall follow the procedure set forth below for a renewal license.
(B)Renewal license: A license applicant shall submit an application for licensure with a nonrefundable fee as shown in the table below. The total renewal fee shall not exceed $3,792.63.
(1) 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 10 percent discount off the base ambulatory surgical center renewal fee. In order to be eligible for this discount, the license applicant shall authorize its accrediting organization to submit directly to the Department copies of all surveys and plan(s) of correction for the previous license year, along with the most recent letter of accreditation showing the license applicant has full accreditation status.

ASC BASE FEE

ASC BASE FEE WITH DEEMING DISCOUNT

CONVALESCENT CENTER FEE

PROCEDURE ROOM FEE

$1,625.42

$1,462.88

$406.36

$225.75 Per Room

(C)Change of Ownership: The new owner shall submit with an application for licensure a nonrefundable fee of $5,034.27.
(D)Provisional License: The license applicant may be issued a provisional license upon submittal of a nonrefundable fee of $3,228.25. If a provisional license is issued, the provisional license fee shall be in addition to the initial or renewal license fee.
(E)Conditional License: A center that is issued a conditional license by the Department shall submit a nonrefundable fee ranging from 10 to 25 percent of its applicable renewal fee. The percentage shall be determined by the Department. If the conditional license is issued concurrent with the initial or renewal license, the conditional license fee shall be in addition to the initial or renewal license fee.

6 CCR 1011-1-20-25

47 CR 10, May 25, 2024, effective 7/1/2024