Nursing Facilities

The Nursing Facility Provider Fee was implemented in accordance with the provisions of Colorado House Bill 08-1114, which was signed into law by the Governor of Colorado in 2008.  This law enacts a new Health First Colorado (Colorado's Medicaid Program) reimbursement system for Health First Colorado recipients who reside in nursing homes classified as Class 1 nursing facilities by statute.  Class 1 nursing facilities provide for general skilled nursing care to residents who require 24-hour care.  The new Health First Colorado reimbursement system is funded by a provider fee assessed to all nursing facility providers which meet state licensing requirements, with certain exceptions as defined in the law.  The law assesses the fee retroactively to July 1, 2008.

 

Questions about the nursing facility provider fee, invoicing process, due dates and late penalties?

• SB 06-131 Nursing Facility Rates Final Report
• Appendix #1 Cost Classification
• Appendix #2 Behavior Subcommittee Report and Recommendations
• Appendix #3 Supplemental Program Criteria
• Appendix #4 Pay for Performance Subcommittee Report and Recommendations
• Appendix #5 Pay for Performance Model
• Appendix #6 Fiscal Impact Summary
• Appendix #7 CAHSA statement