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See Tab 2 For Insurance Guidance Document Links with full requirements
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*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.
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**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.
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Facility/Agency TypeRequired

*See note in row 2 above for public entities
ExceptionsRequired Coverage AmountsDocuments Required for Initial/Renewal/CHOWRequired Type of Liability InsuranceAdditional Information

**See note in row 3 above for DOI approval process
Regulatory References
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Per
Occurrence/
Incident
AggregateFull Policy,
Declaration Page,
Policy Terms, &
Endorsements
Certificate of Insurance (COI)
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Ambulatory Surgical Centers (ASC)Required$500,000$3,000,000ProfessionalIf policy includes self-insured retention (SIR) or deductible greater than $0, the policy must be submitted to Division of Insurance (DOI) for approval6 CCR 1011-1 Chapter 2, Part 2.3.3(D)
HCAA, Section 13-64-301, et seq., C.R.S.
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Assisted Living Residences (ALR)Required ONLY if Medicaid Certified for ACFGeneral Liability Insurance is mandatory if you participate in the Medicaid Program as an ACF (Alternative Care Facility)$600,000$1,000,000GeneralFor 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.
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Birth Centers (BC)Required$500,000$3,000,000ProfessionalIf policy includes self-insured retention (SIR) or deductible greater than $0, the policy must be submitted to Division of Insurance (DOI) for approval6 CCR 1011-1 Chapter 2, Part 2.3.3(D)
HCAA, Section 13-64-301, et seq., C.R.S.
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Community Clinics (CC)Required$300,000$900,000ProfessionalIf policy includes self-insured retention (SIR) or deductible greater than $0, the policy must be submitted to Division of Insurance (DOI) for approval6 CCR 1011-1 Chapter 2, Part 2.3.3(D)
HCAA, Section 13-64-301, et seq., C.R.S.
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Community Integrated Health Care Service Agency (CIHCS)Required$990,000GeneralCOI will be reviewed by CDPHE at the time of license renewal6 CCR 1011-3 Part 4.2.3
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Convalescent Centers (CONV)Required$500,000$3,000,000ProfessionalIf policy includes self-insured retention (SIR) or deductible greater than $0, the policy must be submitted to Division of Insurance (DOI) for approval6 CCR 1011-1 Chapter 2, Part 2.3.3(D)
HCAA, Section 13-64-301, et seq., C.R.S.
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Dialysis Treatment Clinics (ESRD)Required$500,000$3,000,000ProfessionalIf policy includes self-insured retention (SIR) or deductible greater than $0, the policy must be submitted to Division of Insurance (DOI) for approval6 CCR 1011-1 Chapter 2, Part 2.3.3(D)
HCAA, Section 13-64-301, et seq., C.R.S.
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Freestanding Emergency Departments (FSED)Required$500,000$3,000,000ProfessionalIf policy includes self-insured retention (SIR) or deductible greater than $0, the policy must be submitted to Division of Insurance (DOI) for approval6 CCR 1011-1 Chapter 2, Part 2.3.3(D)
HCAA, Section 13-64-301, et seq., C.R.S.
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General Hospitals (GH)Required$500,000$3,000,000ProfessionalIf policy includes self-insured retention (SIR) or deductible greater than $0, the policy must be submitted to Division of Insurance (DOI) for approval6 CCR 1011-1 Chapter 2, Part 2.3.3(D)
HCAA, Section 13-64-301, et seq., C.R.S.
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Group Homes for IDD (RCF-DD)Not RequiredExempt from HCAA requirements--N/AN/AN/A
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Home Care Agencies - Class A (Medical)Required$500,000$3,000,000GeneralCOI will be reviewed by CDPHE at the time of license renewal6 CCR 1011-1 Chapter 26, Part 4.2(B)
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Home Care Agencies - Class B (Non-Medical)Required$100,000$300,000GeneralCOI will be reviewed by CDPHE at the time of license renewal6 CCR 1011-1 Chapter 26, Part 4.2(B)
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Home Care Placement Agencies (HCPA)Required$100,000$300,000GeneralCOI will be reviewed by CDPHE at the time of license renewal6 CCR 1011-1 Chapter 26, Part 3.8(2)
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Hospices (HPC)Required with ExceptionsFull policy required only for inpatient facilities with 17 or more licensed beds $500,000$3,000,000ProfessionalIf policy includes self-insured retention (SIR) or deductible greater than $0, the policy must be submitted to Division of Insurance (DOI) for approval6 CCR 1011-1 Chapter 2, Part 2.3.3(D)
HCAA, Section 13-64-301, et seq., C.R.S.
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Intermediate Care Facilities for IDD (ICF-IID)Required with ExceptionsFull policy required only for inpatient facilities with 17 or more licensed beds $500,000$3,000,000ProfessionalIf policy includes self-insured retention (SIR) or deductible greater than $0, the policy must be submitted to Division of Insurance (DOI) for approval6 CCR 1011-1 Chapter 2, Part 2.3.3(D)
HCAA, Section 13-64-301, et seq., C.R.S.
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Licensed Hospital Units (HU)Required$500,000$3,000,000ProfessionalIf policy includes self-insured retention (SIR) or deductible greater than $0, the policy must be submitted to Division of Insurance (DOI) for approval6 CCR 1011-1 Chapter 2, Part 2.3.3(D)
HCAA, Section 13-64-301, et seq., C.R.S.
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Nursing Care Facilities (NF)Required with ExceptionsFull policy equired only for inpatient facilities with 17 or more licensed beds$500,000$3,000,000ProfessionalIf policy includes self-insured retention (SIR) or deductible greater than $0, the policy must be submitted to Division of Insurance (DOI) for approval6 CCR 1011-1 Chapter 2, Part 2.3.3(D)
HCAA, Section 13-64-301, et seq., C.R.S.
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Psychiatric Hospitals (PH)Required$500,000$3,000,000ProfessionalIf policy includes self-insured retention (SIR) or deductible greater than $0, the policy must be submitted to Division of Insurance (DOI) for approval6 CCR 1011-1 Chapter 2, Part 2.3.3(D)
HCAA, Section 13-64-301, et seq., C.R.S.
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Rehabilitation Hospitals (RH)Required$500,000$3,000,000ProfessionalIf policy includes self-insured retention (SIR) or deductible greater than $0, the policy must be submitted to Division of Insurance (DOI) for approval6 CCR 1011-1 Chapter 2, Part 2.3.3(D)
HCAA, Section 13-64-301, et seq., C.R.S.