Health Care Facilities and Providers by Type

1. Target Population

• People in need of short-term acute psychiatric care, but who do not require inpatient hospitalization

2. Services Provided

• Intensive and individualized services, such as crisis management and stabilization in a secured residential setting

3. Licensed Staff Routinely Onsite

• Nurses, social workers, professional counselors

Joint agency oversight. Acute treatment units are dually regulated by the Department of Human Services (DHS), Division of Mental Health and the Colorado Department of Public Health and Environment (CDPHE) - Health Facilities and Emergency Medical Services Division. The Colorado Department of Public Health and Environment issues the license on the basis of program approval from DHS as well as compliance with CDPHE regulations.

• Department of Human Services oversight. DHS provides oversight regarding the following clinical and treatment components of their program: admission and discharge, staffing, treatment, medical records and client rights. In addition, the facility must be designated as a facility that can initiate an involuntary hold on an individual with a mental illness (also termed "27-65 designation"). For more information about the Department of Human Services regulatory oversight, please contact the Division of Mental Health at (303) 866-7400.

• Colorado Department of Public Health and Environment oversight.CDPHE is responsible for ensuring facility compliance with the following non-clinical and physical plant requirements: emergency preparedness, infection control, dietary services, linen and laundry services, interior and exterior environment and fire safety.

1. Target Population

• People in need of outpatient surgery who do not need hospitalization

2. Services Provided

• Surgeries not expected to require more than a total of 24 hours for preparation, the surgery itself and for recovery. Surgical procedures performed in such facilities should generally not result in extensive blood loss, be life-threatening, or involve major or prolonged invasion of body cavities. General anesthesia as well as local anesthesia may be used.

3.  Licensed Staff Routinely Onsite

• Nurses, anestheseologists, surgeons

1. Target Population

• The frail elderly, people with disabilities, and people with mental illness in need of protective oversight and personal services in a residential setting

2. Services Provided

• Room and board; regular supervision available on a 24-hour basis to ensure safety and well-being; assistance with activities of daily living such as bathing, dressing and laundry; medication management; recreational activities; and arrangements for transportation. Residential Treatment Facilities (RTFs) serve people with severe and persistent mental illness and are operated by the local mental health center.

3. Licensed Staff Routinely Onsite

• Varies depending on the facility. Regulations do not require licensed staff.

1. Target Population

• Women who are generally healthy with low-risk pregnancies

2. Services Provided

• Childbirth services and postpartum care generally for less than 24 hours
• Transfer to a hospital intrapartum or postpartum as necessary

3. Licensed Staff Routinely Onsite

• Certified nurse midwives, physicians

1. Target Population

• Persons in need of primary care services, short-term inpatient services, or emergency services depending on the population being served.  In addition, these clinics provide a range of services for persons who are incarcerated.

   

2.  Services Provided

• Varies depending on the type of clinic.  The range of services includes primary care for populations eligible for the Colorado Indigent Care Program; inpatient observation for medically stable patients; and emergency room services.

   

   

3.  Licensed Staff Routinely Onsite

• Physicians, nurses, and relevant professional ancillary staff (e.g., pharmacists)

   

1. Target Population

• People who have mental illnesses

 

2. Services Provided

• Outpatient services; inpatient services; partial hhospitalization; emergency care services, consultative and educational services

 

3. Licensed Staff Routinely Onsite

• Various depending on the facility type

These facilities are dually regulated by the Colorado Department of Human Services and the Colorado Department of Public Health and Environment pursuant to Section 27-10-128, C.R.S. Please note that the division licenses community mental health centers, but does not license community mental health clinics who provide outpatient and consultative services.

1. Target Population

• People who are injured, disabled or sick in need of outpatient rehabilitation services

2. Services Provided

• Comprehensive rehabilitation including diagnostic, therapeutic and restorative services

3. Licensed Staff Routinely Onsite

• Physicians, physical therapists, occupational therapists, social workers/psychologists

 1. Target Population

• People in need of inpateint care to recover from an injury or illness

 2. Services Provided

• Restorative care and treatment

 3. Licensed Staff Routinely Available

• Nurses

A convalescent center is a health facility planned, organized, operated, and maintained to offer facilities and services to inpatients requiring restorative care and treatment, and that is either an integral patient care unit of a general hospital or a facility physically separated from, but maintaining an affiliation with, all services in a general hospital.

A developmental disability means a lifelong disability that manifests before the person is 22 years old, that results from a neurological condition, and that leads to impairment in general intellectual fucntioning.

• Community Residential Homes
• Intermediate Care Facilities

1. Target Population

• People with irreversible renal impairment who need dialysis to maintain life.

 

2. Services Provided

• Outpatient dialysis at a facililty and training in self-dialysis to be conducted in one's home.

 

3. Licensed Staff Routinely Onsite

• Registered nurses.

The programs listed below are provided by the Medicaid program under Home and Community Based Services (HCBS) waivers. These waivers provide services that help people remain at home or within their community thereby avoiding an institutional placement.

• Adult Day Programs
• Children with Autism
• Day Treatment Brain Injury

1. Target Population

• People who need a) clinical services in their home or a permanent place of residence such as an assisted living residence; or b) personal services, such as assistance with housekeeping, in their home in order to live independently.

2. Services Provided

• There are two classifications of home care agencies:
  • Medical (or Class A): provides services by licensed or certified health care practitioners such as nurses, occupational therapists, and repiratory therapissts
  • Non-medical (or Class B): provides personal care services that assist with activities of daily living, such as bathing, dressing, and toileting. Housekeeping services may also be provided.

3. Licensed/Certified Professionals Routinely Available

• In medical home care agencies there are professionals ranging from nurses to physical therapists to social workers depending on the agency's scope of services.
• In non-medical home care agencies, there are no requirements for licensed/certified health care professionals.

Home care placement agencies are organizations that charge a fee for referrals of home care workers to consumers in need of home care services. Home care placement agencies are only authorized to make referrals, they are not authorized to provide skilled home health services or personal care services. State law (see Section  25-27.5-103,)  C.R.S. prohibits home care placement agencies from claiming to be licensed or certified. 

Home care placement agencies must meet the provisions of 6 CCR 1011-1, Chapter XXVI Section 4, which require agencies to:

• register with the Department
• annually update their registration
• disclose the obligations of the placement agency and the consumer's obligations regarding the home care worker
• conduct criminal background checks of home care worker.

 The Department maintains a list of registered home care placement agencies

1. Target Population

• People with terminal illness under the care of a physician, as well as their families and caregivers.

2. Services Provided

• 24/7 palliative care (i.e., care not intended to cure illness but rather to produce the greatest relief from the symptoms of terminal illness) and supportive care including psychological and spiritual care. Hospice includes bereavement services - which involves assistance to the family and caregivers after the death of the hospice patient.

3. Licensed Staff Routinely Available

• Interdisciplinary team including physicians, registered nurses, and counselors such as social workers.

Critical Access Hospitals

 
1.  Target Population

• People in need of acute care services due to pregnancy, illness or injury who live in rural/frontier areas

2.  Services Provided

• Main Hospital Campus Services: Inpatient and outpatient acute care services and emergency services. (Emergency services may be available 24/7 or on-call and available on-site within 30 minutes, 60 minutes if certain frontier area criteria are met. Emergency services may be provided by a physician, physician assistant, nurse practitioner, or clinical nurse specialist, with training or experience in emergency care.)

 

• Off- Campus Location (OCL) Services: Outpatient services.

3.  Licensed Staff Routinely Onsite

• Physician extenders (i.e., advanced nurse practitioners or physician assistants) and nurses. Some facilities, but not all, routinely have physicians onsite.

General Hospitals

1.  Target Population

• People in need of acute care services due to pregnancy, illness or injury

 

2.  Services Provided

• Main Hospital Campus Services: 24/7 inpatient acute care, 24/7 emergency services, and outpatient care services. (General hospitals are required to provide inpatient and outpatient care services; however, the scope of services may vary. For example, not all hospitals provide respiratory, rehabilitative, or psychiatric care.)

 

• Off- Campus Location (OCL) Services: Outpatient services.

 

3.  Licensed Staff Routinely Onsite

• Physicians, nurses and professional ancillary staff (e.g., pharmacists, physical therapists) on the main hospital campus. The staff in off-campus locations vary based on the services provided.

Long-Term Care Hospitals

 
1.  Target Population

• People who are medically unstable but need less care than an intensive care unit of a general hospital

2.  Services Provided

• 24/7 inpatient services for multiple acute or chronic care conditions who need, on average, a length of stay of more than 25 days. Examples of patients served include persons who need ventilator support, have failure of two or more major organ systems, or have complex wound care

 

3.  Licensed Staff Routinely Onsite

• Physicians, nurses, respiratory therapists

Psychiatric Hospitals

 
1.  Target Population

• People in need of mental health services

 

2.  Services Provided

• 24/7 inpatient mental health services. Some facilities may also provide outpatient mental health services

 

3.  Licensed Staff Routinely Onsite

• Physicians (both psychiatric and acute care), nurses and professional ancillary staff (e.g, social workers and professional counselors)

Rehabilitation Hospitals

 
1.  Target Population

• People recovering from a disabling illness or injury in need of inpatient treatment to attain maximum function

2.  Services Provided

• 24/7 inpatient therapeutic services. (Therapeutic services are designed reverse disabling conditions or help patients cope with deficits, such as loss of a limb, that cannot be reversed medically. The main types of therapy provided are physical, occupational, and speech.) Some facilities may also provide outpatient therapeutic services

 

3.  Licensed Staff Routinely Onsite

• Physicians, nurses and professional ancillary staff (e.g, physical therapists)

 

1. Target Population

• Varies depending on the services provided.

2.  Services Provided

• Varies depending on the type of service that the affiliated hospital selects for the site.  Services range from inpatient to outpatient and from acute, to psychiatric, to rehabilitative.

3.  Licensed Staff Routinely Onsite

• Physicians, nurses, and relevant professional ancillary staff (e.g., pharmacists, social workers, and physical therapists)

1. Target Population

• The frail elderly and people with chronic illness who need routine or skilled nursing care in a residential facility.

2. Services Provided

• Room and board; 24/7 nursing coverage; assistance with activities of daily living such as bathing, dressing and eating. Facilities designated as "skilled" nursing facilities provide short- and long-term rehabilitative services and additional skilled nursing care. Some facilities have secured units to provide closer supervision for people with dementia.

3. Licensed Staff Routinely Onsite

• Nurses and social workers. In addition, facilities that provide rehabilitative services have occupational, speech and physical therapists.

1. Target Population

• Persons in need of physical therapy, occupational therapy, or speech pathology services for whom services will improve, restore, and/or compensate for loss of functioning following illness or injury.

2. Services Provided

• Physical therapy (PT) provides diagnosis and treatment of impairments, functional limitations, disabilities, or changes in physical function and health status. Occupational therapy (OT) provides treatment to improve or restore functions that have been impaired (or permanently lost or reduced) because of illness or injury, to improve the individual’s ability to perform tasks required for independent functioning. Speech language pathology (SLP) provides diagnosis and treatment of speech and language disorders, that result in communication disabilities or swallowing disorders. PT/OT/SLP providers may be a rehabilitation agency, clinic, or public health agency. For the purposes of this program, a rehabilitation agency means a provider of multidisciplinary integrated services by a team of specialized rehabilitation personnel; a clinic means a group practice of three or more physicians providing outpatient services; and a public health agency is a state or local government agency responsible for maintaining population health by providing environmental health and preventive medical services. A PT/OT/SLP provider may deliver services on its own premises or on the premises of another provider such as a hospital or nursing facility.

3. Professional Staff Routinely Available

• Depending on services provided: physicians, nurse practitioners, physician assistants, speech pathologists, occupational therapists, physical therapists.

1. Target Population

• Persons whose condition, as determined by a physician, indicates that they should receive x-rays where they are located rather than be transported to a stationary x-ray provider such as a doctor’s office.

2. Services Provided

• Diagnostic imaging ordered by a physician for patients in their place of residence such as their own home or a nursing home. (Portable x-rays may also be provided in a hospital that does not provide x-rays directly.) The supplier cannot be fixed at any location or permanently located in a skilled nursing home or hospital.

3. Professional Staff Routinely Available

• X-ray technologists. 

1.Target Population

• Persons who are uninsured or under insured. The clinic may limit itself to specific life cycles, such as pediatric or geriatric populations.

2. Services Provided

• Primary care in medically underserved rural areas

3. Licensed Staff Routinely Onsite

• Midlevel practitioner such as a nurse practitioner, physician assistant, or certified nurse midwife.