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Hospices

7/1/2025 - 6/30/2026 Fee Schedule		Regulations:
6 CCR 1011-1 Chapter 2 - General Licensure Standards
6 CCR 1011-1 Chapter 21 - Hospices
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Application TypeBase FeePer Workstation FeeFee DescriptionAdditional Information
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Initial License Application$7,765.41General Initial FeeNotify the Department by submitting a Letter of Intent (LOI). An email notification will be sent to you on how to apply. A completed application, attachments, and the appropriate fees must be submitted at least 90 calendar days before the anticipated start-up date.

For Inpatient Hospice Only:
FGI Plan Review Required
DFPC Life Safety Code Plan Review Required
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$5,059.10Initial fee if no licensed hospices exist within a 60-mile radius of the hospice applying for an initial license.
Must submit proof of qualification.
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Renewal License Application$4,754.34$60.96General Renewal FeeMust submit renewal application, attachments, and the appropriate fees 60 calendar days prior to license expiration.

If the insurance policy includes a deductible or self-insured retention, the application, attachments, and the appropriate fees must be submitted 90 days in advance of the license expiration date.

Total Renewal Fee = (Base Fee - Applicable Discounts) + Workstation Fees (if applicable) + Late Fees (if applicable)
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$2,925.75$60.96Renewal fee for a hospice that is physically located in a county other than Adams, Arapahoe, Boulder, Broomfield, Denver, Douglas, El Paso, Jefferson, Larimer, Pueblo or Weld that provide at least 75% of its service in counties other than those counties.
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$1,828.58$60.96Renewal fee for hospices with fewer than 2,000 annual patient days per most recent Medicare cost report
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$914.30$60.96Renewal fee for hospices with fewer than 1,000 annual patient days per most recent Medicare cost report
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Renewal Fee Waived--Upon request, the Department may waive the fee for a hospice that demonstrates it is a not for profit organization that charges no fees and is staffed entirely by uncompensated volunteers.
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Renewal Discount$300.00A discount of $300 per hospice shall apply if the same business entity owns separately licensed hospices at more than one Colorado location.This is a maximum discount of $300 for each hospice license renewal.
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Renewal Discount$425.00A discount of $425 shall apply if the hospice is deemed by an accrediting agency recognized by CMS and remains in good standing with that organization.To be considered for this discount, the hospice shall authorize its accrediting organization to submit directly to the department copies of all the hospice’s surveys and plan(s) of correction for the previous license year, along with the most recent letter of accreditation showing the hospice has full accreditation status.
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Renewal License Application
Inpatient + Outpatient		$7,801.98Hospices with the same ownership and governing body that provide BOTH in-home hospice care as well as inpatient or residential hospice care shall pay the listed renewal fee when
BOTH service models are located in the SAME physical location. 		No other discounts shall apply, with the exception of the deeming discount.
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Renewal Discount
Inpatient + Outpatient		$640.00A discount of $640 shall apply if the hospice is deemed by an accrediting organization recognized by the Centers for Medicare and Medicaid Services and remains in good standing with that organization.To be considered for this discount, the hospice shall authorize its accrediting organization to submit directly to the department copies of all the hospice’s surveys and plan(s) of correction for the previous license year, along with the most recent letter of accreditation showing the hospice has full accreditation status.
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Renewal Application
Late Fees Charged		10%Six (6) to twenty-nine (29) calendar days after expiration date, a late fee of 10% of the total renewal fee is due in addition to the renewal fee.Failure to submit a complete renewal application and appropriate fees to the Department by the license expiration date will result in late fees as indicated
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50%Thirty (30) to fifty-nine (59) calendar days after expiration date, a late fee of 50% of the total renewal fee is due in addition to the renewal fee.
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75%Sixty (60) to eighty-nine (89) calendar days after expiration, a late fee of 75% of the total renewal fee is due in addition to the renewal fee.
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License
Invalidated		If a license renewal application and appropriate fees are not received by day ninety (90) following the expiration of the license, the licensee shall cease operation and submit an initial application and associated fees to the Department in accordance with Chapter 2, Section 2.3.
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Change of Ownership$7,765.41The current licensee is required to notify the Department by submitting a Letter of Intent (LOI). An email notification will be sent with information on the CHOW application process. The CHOW Application and appropriate fees must be submitted by the prospective licensee at least 60 calendar days before the change of ownership. Requires prior approval by the Department. A new license will be issued.

Additional CHOW Guidance
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Increase in Licensed Capacity$438.86Change of InformationNotify the Department by submitting an Update Application in the COHFI system and information will be provided to you. Update Application requests must be submitted at least 30 calendar days before the change.
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Decrease in Licensed Capacity$438.86
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Change of Name$91.43
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Addition of Workstation$60.96
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Conditional License$1,828.58EnforcementA Conditional License is an enforcement action.
See the following regulations for more information:
6 CCR 1011-1 Chapter 2 Part 2.8.3 for more information
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Provisional License$1,128.76Fee paid for each provisional license term.Applicable only to initial licensure application.
See the following regulations for more information:
6 CCR 1011-1 Chapter 2 Part 2.4