| A | B | C | D | E | |
|---|---|---|---|---|---|
1 | Critical Access Hospitals 7/1/2025 - 6/30/2026 Fee Schedule | Regulations: 6 CCR 1011-1 Chapter 2 - General Licensure Standards 6 CCR 1011-1 Chapter 16 - Critical Access Hospitals 6 CCR 1011-1 Chapter 4 - General Hospitals | |||
2 | Application Type | Base Fee | Per Inpatient Bed Fee | Fee Description | Additional Information |
3 | Initial License Application | $9,752.47 | Notify 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. FGI Plan Review Required DFPC Life Safety Code Plan Review Required Critical Access Hospitals (CAHs) under CMS (Centers for Medicare & Medicaid Services) regulations are limited to a maximum of 25 inpatient beds, which can be used for either acute care or swing bed services. | ||
4 | Renewal License Application | $1,097.15 | $14.63 | 1-25 Beds | Must 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 must be submitted 90 days in advance of the license expiration date. Total Renewal Fee = Base Fee + Bed Fees + OCL Fees (if applicable) + Late Fees (if applicable) |
5 | $609.52 | Off-Campus Location, Per Location Fee | |||
6 | Renewal License Application Deemed Facilities | $987.44 | $14.63 | 1-25 Beds (Deemed) | The Deeming Fee Schedule applies only to licensees who are accredited by an accrediting organization recognized by the Centers for Medicare and Medicaid Services as having deeming authority. These licensees may be eligible for a discount off of the base renewal license fee & off-campus location fee. In order to be eligible for this discount, the license applicant shall submit copies of its most recent recertification survey(s) and plan(s) of correction and the most recent letter of accreditation showing the license applicant has full accreditation status, in addition to a completed renewal application. |
7 | $548.55 | Off-Campus Location, Per Location Fee (Deemed) | |||
8 | 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. | |
9 | 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. | |||
10 | 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. | |||
11 | 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. | |||
12 | Change of Ownership | $3,047.64 | The 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 | ||
13 | Increase in Licensed Capacity | $438.86 | Change of Information | Notify 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. | |
14 | Decrease in Licensed Capacity | $438.86 | |||
15 | Change of Name | $91.43 | |||
16 | Addition of New Off-Campus Location for CAH | $609.52 | |||
17 | Removal of Existing Off-Campus Location | $438.86 | |||
18 | Conditional License | 10% to 25% of the applicable renewal fee | Enforcement | A 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 | |
19 | Provisional License | $2,821.89 | Fee 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 6 CCR 1011-1 Chapter 4 Part 3.1(B) | |