| A | B | C | D | E | F | G | H | I | J | |
|---|---|---|---|---|---|---|---|---|---|---|
1 | See Tab 2 For Insurance Guidance Document Links with full requirements | |||||||||
2 | *Facilities that are owned and operated by a public entity under the Colorado Government Immunity Act (C.R.S. Article 24-10-102) are exempt from the HCAA and are not required to provide proof of insurance coverage to CDPHE. | |||||||||
3 | **To obtain Division of Insurance (DOI) financial responsibility approval, the applicant must submit all policy documents to the DOI directly by emailing full policy to: Lorraine.Pritchett@state.co.us Once DOI has approved the policy, they will notify CDPHE via email. CDPHE will then review the remainder of the policy documents for adequacy. | |||||||||
4 | Facility/Agency Type | Required *See note in row 2 above for public entities | Exceptions | Required Coverage Amounts | Documents Required for Initial/Renewal/CHOW | Required Type of Liability Insurance | Additional Information **See note in row 3 above for DOI approval process | Regulatory References | ||
5 | Per Occurrence/ Incident | Aggregate | Full Policy, Declaration Page, Policy Terms, & Endorsements | Certificate of Insurance (COI) | ||||||
6 | Ambulatory Surgical Centers (ASC) | Required | $500,000 | $3,000,000 | Professional | If policy includes self-insured retention (SIR) or deductible greater than $0, the policy must be submitted to Division of Insurance (DOI) for approval | 6 CCR 1011-1 Chapter 2, Part 2.3.3(D) HCAA, Section 13-64-301, et seq., C.R.S. | |||
7 | Assisted Living Residences (ALR) | Required ONLY if Medicaid Certified for ACF | General Liability Insurance is mandatory if you participate in the Medicaid Program as an ACF (Alternative Care Facility) | $600,000 | $1,000,000 | General | For ACF Facilities: COI will be reviewed by CDPHE at the time of license renewal | Sec. 24-10-114 (1)(b) et seq., C.R.S. | ||
8 | Birth Centers (BC) | Required | $500,000 | $3,000,000 | Professional | If policy includes self-insured retention (SIR) or deductible greater than $0, the policy must be submitted to Division of Insurance (DOI) for approval | 6 CCR 1011-1 Chapter 2, Part 2.3.3(D) HCAA, Section 13-64-301, et seq., C.R.S. | |||
9 | Community Clinics (CC) | Required | $300,000 | $900,000 | Professional | If policy includes self-insured retention (SIR) or deductible greater than $0, the policy must be submitted to Division of Insurance (DOI) for approval | 6 CCR 1011-1 Chapter 2, Part 2.3.3(D) HCAA, Section 13-64-301, et seq., C.R.S. | |||
10 | Community Integrated Health Care Service Agency (CIHCS) | Required | $990,000 | General | COI will be reviewed by CDPHE at the time of license renewal | 6 CCR 1011-3 Part 4.2.3 | ||||
11 | Convalescent Centers (CONV) | Required | $500,000 | $3,000,000 | Professional | If policy includes self-insured retention (SIR) or deductible greater than $0, the policy must be submitted to Division of Insurance (DOI) for approval | 6 CCR 1011-1 Chapter 2, Part 2.3.3(D) HCAA, Section 13-64-301, et seq., C.R.S. | |||
12 | Dialysis Treatment Clinics (ESRD) | Required | $500,000 | $3,000,000 | Professional | If policy includes self-insured retention (SIR) or deductible greater than $0, the policy must be submitted to Division of Insurance (DOI) for approval | 6 CCR 1011-1 Chapter 2, Part 2.3.3(D) HCAA, Section 13-64-301, et seq., C.R.S. | |||
13 | Freestanding Emergency Departments (FSED) | Required | $500,000 | $3,000,000 | Professional | If policy includes self-insured retention (SIR) or deductible greater than $0, the policy must be submitted to Division of Insurance (DOI) for approval | 6 CCR 1011-1 Chapter 2, Part 2.3.3(D) HCAA, Section 13-64-301, et seq., C.R.S. | |||
14 | General Hospitals (GH) | Required | $500,000 | $3,000,000 | Professional | If policy includes self-insured retention (SIR) or deductible greater than $0, the policy must be submitted to Division of Insurance (DOI) for approval | 6 CCR 1011-1 Chapter 2, Part 2.3.3(D) HCAA, Section 13-64-301, et seq., C.R.S. | |||
15 | Group Homes for IDD (RCF-DD) | Not Required | Exempt from HCAA requirements | - | - | N/A | N/A | N/A | ||
16 | Home Care Agencies - Class A (Medical) | Required | $500,000 | $3,000,000 | General | COI will be reviewed by CDPHE at the time of license renewal | 6 CCR 1011-1 Chapter 26, Part 4.2(B) | |||
17 | Home Care Agencies - Class B (Non-Medical) | Required | $100,000 | $300,000 | General | COI will be reviewed by CDPHE at the time of license renewal | 6 CCR 1011-1 Chapter 26, Part 4.2(B) | |||
18 | Home Care Placement Agencies (HCPA) | Required | $100,000 | $300,000 | General | COI will be reviewed by CDPHE at the time of license renewal | 6 CCR 1011-1 Chapter 26, Part 3.8(2) | |||
19 | Hospices (HPC) | Required with Exceptions | Full policy required only for inpatient facilities with 17 or more licensed beds | $500,000 | $3,000,000 | Professional | If policy includes self-insured retention (SIR) or deductible greater than $0, the policy must be submitted to Division of Insurance (DOI) for approval | 6 CCR 1011-1 Chapter 2, Part 2.3.3(D) HCAA, Section 13-64-301, et seq., C.R.S. | ||
20 | Intermediate Care Facilities for IDD (ICF-IID) | Required with Exceptions | Full policy required only for inpatient facilities with 17 or more licensed beds | $500,000 | $3,000,000 | Professional | If policy includes self-insured retention (SIR) or deductible greater than $0, the policy must be submitted to Division of Insurance (DOI) for approval | 6 CCR 1011-1 Chapter 2, Part 2.3.3(D) HCAA, Section 13-64-301, et seq., C.R.S. | ||
21 | Licensed Hospital Units (HU) | Required | $500,000 | $3,000,000 | Professional | If policy includes self-insured retention (SIR) or deductible greater than $0, the policy must be submitted to Division of Insurance (DOI) for approval | 6 CCR 1011-1 Chapter 2, Part 2.3.3(D) HCAA, Section 13-64-301, et seq., C.R.S. | |||
22 | Nursing Care Facilities (NF) | Required with Exceptions | Full policy equired only for inpatient facilities with 17 or more licensed beds | $500,000 | $3,000,000 | Professional | If policy includes self-insured retention (SIR) or deductible greater than $0, the policy must be submitted to Division of Insurance (DOI) for approval | 6 CCR 1011-1 Chapter 2, Part 2.3.3(D) HCAA, Section 13-64-301, et seq., C.R.S. | ||
23 | Psychiatric Hospitals (PH) | Required | $500,000 | $3,000,000 | Professional | If policy includes self-insured retention (SIR) or deductible greater than $0, the policy must be submitted to Division of Insurance (DOI) for approval | 6 CCR 1011-1 Chapter 2, Part 2.3.3(D) HCAA, Section 13-64-301, et seq., C.R.S. | |||
24 | Rehabilitation Hospitals (RH) | Required | $500,000 | $3,000,000 | Professional | If policy includes self-insured retention (SIR) or deductible greater than $0, the policy must be submitted to Division of Insurance (DOI) for approval | 6 CCR 1011-1 Chapter 2, Part 2.3.3(D) HCAA, Section 13-64-301, et seq., C.R.S. | |||