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Alternative Care Facilities

New ACF Proivder Training - April 2014

This training has been revamped and is being required of ALL new and existing ACF providers. 


Training for New Providers - follow instructions at end of presentation to submit certificate of completion

Training for Existing Providers - follow instructions at end of presentation to submit certificate of completion


Alternative Care Facilities


Colorado has provided an alternative to institutionalization for elders and persons with disabilities by offering health care services in deinstitutionalized community settings.  Alternative Care Facilities (ACFs), or assisted living residences that are Medicaid certified, are residential care settings that provide twenty-four hour protective oversight, daily living skills assistance, personal care services, and homemaker services in a community-based environment.


ACF services are available to clients enrolled in the Elderly, Blind, and Disabled (EBD) waiver, the Community Mental Health Supports (CMHS) waiver, and the Medicaid Buy-In Program.  Recipients of ACF services pay a room and board amount to the ACF provider that is calculated by a Single Entry Point (SEP) case manager.


All ACFs must comply with waiver requirements found in Section 1902(c) of the Social Security Act,  6 C.C.R. 1011-1, Chapter VII §1.102 of the Colorado Department of Public Health and Environment Regulations for Assissted Living Residences and 10 C.C.R. 2505-10, §8.495 of the Colorado Department of Health Care Policy and Financing requirements for Alternative Care Facilities


For more information regarding ACF’s, please contact or



Dear Administrator Letters (DALs)


ACF December 2012 DAL for Room and Board


HOPE Service Delivery Model


HOPE Model - March 2013


 Other References


CMS Proposed Rules for HCBS Settings


ACF Home-Like Person-Centered Survey - December 2011


ACF Meeting Information

ACF stakeholder meetings will be held at 225 E. 16th Avenue, Capitol Complex Building, 1st Floor Conference Room, Denver.
April 10, 2013 Agenda No handouts