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Long-Term Care

Each Home and Community Based Service (HCBS) Provider has different and various standards for certification, recertification and Medicaid enrollment.  The standards for certification of each service are defined with the Medicaid Rules.

 

The certification process begins by the provider agency submitting a letter of intent to the Department or its designated agent.  Following a review, in its discretion, the Department will recommend approval, denial or provisional approval of certification.  For provider agencies receiving certification approval, the certification process culminates once the agency's Provider Agreement is approved and a Medicaid Provider Number is assigned.  The Department may terminate a provider agreement or deny certification whenever a provider is unable to meet or adequately correct applicable certification standards, requirement or provider agreement provisions.

 

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The Colorado Department of Public Health and Environment (CDPHE) is the designated agent for many HCBS providers.  CDPHE will send agencies information regarding the program and the required on-site survey after CDPHE receive a letter of intent.  (The Department of Health Care Policy and Financing is not responsible for the content of external Web sites.)