Colorado Home Health Agency Complete Startup Package

This package is designed for an agency seeking a Colorado Class A Home Care Agency license from CDPHE under 6 CCR 1011-1, Chapter 26. Class A is the Colorado category for an agency that provides any skilled healthcare service and may also provide personal care.

It does not include Medicare certification, Colorado Medicaid enrollment, accreditation, hospice licensure, or other payer approvals unless those services are added in writing.

A Colorado Class A Home Care Agency provides one or more skilled healthcare services in a consumer’s residence. It may also provide personal care. Medicare participation adds separate federal enrollment, certification, survey or accreditation, and Conditions of Participation requirements.

The Colorado Department of Public Health and Environment (CDPHE) licenses and surveys Colorado Home Care Agencies and provides the application and provider-resource materials.

CDPHE describes licensed Home Health Agency services as nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aide, and other therapeutic services provided in a patient's temporary or permanent residence. The agency must be staffed and organized for the services it elects to provide.

CDPHE publishes an annual health-facility fee schedule. Because fees can change by fiscal year and agency type, verify the current Class A fee and submission instructions on CDPHE’s Facility Fees page before filing.

No. CDPHE fees, background checks, professional licenses, insurance, office expenses, personnel costs, Medicare or Colorado Medicaid enrollment, accreditation, and other government or third-party expenses are separate unless expressly included in writing.

The current application process generally requires ownership and controlling-interest information, the agency location and service area, administrator and clinical leadership information, services to be offered, required disclosures, supporting documents, and the applicable fee. CDPHE may request additional materials during review.

Home Health Forms prepares the application for review, but the applicant must provide complete and accurate company, ownership, personnel, and service information.

The application must identify the agency's parent office and any applicable branch locations. The proposed site must support secure records, administration, communication, and operations and must also satisfy local zoning, lease, accessibility, privacy, and business requirements.

The agency must designate an administrator who is responsible for operations and compliance and meets the applicable education or experience requirements in Colorado's home health rules. A qualified alternate must be available when required.

The agency must maintain qualified clinical supervision appropriate to every service offered, including nursing supervision by properly licensed personnel. Additional roles and qualifications may apply through Medicare, accreditation, Colorado Medicaid, and professional-practice standards.

Skilled nursing must be furnished by appropriately licensed Colorado nursing personnel acting within their lawful scope and under the plan of care. Staffing, supervision, competency, and documentation must also satisfy the agency's Medicare, accreditation, payer, and professional-practice obligations.

Colorado Home Health Agency services may include nursing, physical therapy, occupational therapy, speech therapy, medical social services, home health aide services, and other therapeutic services within the approved scope. Services must be ordered and delivered by personnel who meet applicable licensure, competency, and supervision requirements.

Home health aides must meet applicable Colorado certification, competency, assignment, supervision, and in-service requirements. Medicare-certified agencies must also satisfy federal aide-training, competency, and supervision standards.

Skilled services must be furnished under an authorized, individualized plan of care that identifies diagnoses, treatments, medications, disciplines, frequency and duration, safety measures, and other relevant directions. Review and signature timing must follow current Colorado and, when applicable, Medicare requirements.

The agency must maintain the quality-assurance, performance-improvement, policy-review, complaint, infection-control, and record systems required by Colorado licensure and any applicable Medicare, accreditation, or Colorado Medicaid program.

CDPHE reviews the application and inspects state-licensed agencies for compliance with Colorado law and rules. Agencies also pursuing Medicare certification must complete the separate federal certification pathway, including the applicable survey or approved accreditation process.

Colorado Home Care Agency licenses must be renewed through CDPHE under the current licensing instructions. Confirm the current renewal window, fee, and required updates in the online licensing system before the license expires.

No. State licensure alone does not authorize Medicare billing. Medicare participation requires separate CMS enrollment and certification, an applicable survey or approved accreditation process, and compliance with 42 CFR Part 484.

No. CDPHE licensure and Colorado Medicaid provider enrollment are separate. An agency seeking Medicaid reimbursement must satisfy the applicable enrollment, certification, contracting, screening, service, documentation, and billing requirements.

CDPHE does not guarantee one processing time for every application. Completeness, corrections, ownership and personnel review, survey scheduling, and any Medicare or accreditation steps can affect the timeline.

• Logo creation and a customized WordPress website.
• One year of website hosting and domain registration.
• 500 business cards and 500 tri-fold brochures.
• Colorado-specific policy, human-resources, admission, clinical, and operational documents aligned to Colorado Home Care Services Consumer Protection Act and 6 CCR 1011-1 Chapter 26.
• Preparation assistance for the Colorado Home Health Agency application.
• Members' area access, document customization, ongoing guidance, and applicable updates.

Unless stated otherwise in writing, the price does not include CDPHE fees, Medicare certification, Colorado Medicaid enrollment, accreditation fees, insurance, rent, personnel costs, background checks, fingerprinting, software, or other expenses not specifically identified as included.

Home Health Forms provides documents, guidance, and application-preparation assistance. CDPHE makes state licensing decisions, and federal authorities determine Medicare enrollment and certification. The applicant remains responsible for qualified personnel, accurate information, fees, regulator responses, surveys, and ongoing compliance. Home Health Foms provides guidance and documents that meet regulatory requirements to ensure your success.

Customized policy manuals, forms, and related digital documents are generally emailed within five business days after all information needed for customization is received. Website development, printing, shipping, and other package components may have separate timelines.

Eligibility depends on work completed, customized materials produced, digital products delivered, third-party expenses paid, printing ordered, and other services already performed.