Home Health Services in Colorado provides skilled medical care to eligible Health First Colorado (Medicaid) members in their homes. Services include: 

• Skilled Nursing (provided by RNs or LPNs) 

• Certified Nurse Aide (CNA) services 

• Physical Therapy (PT) 

• Occupational Therapy (OT) 

• Speech/Language Pathology (SLP) services 

2. Regulations 

Home Health Services are governed by regulations outlined in 10 CCR 2505-10-8.520 of the Colorado Code of Regulations. 

3. Licensing or Certification 

Providers must be Medicare and Medicaid-certified Home Health Agencies and licensed by the State of Colorado as Class A Home Care Agencies. 

4. Responsible State Agency 

The Colorado Department of Health Care Policy and Financing (HCPF) oversees Home Health Services programs. 

5. Application Process 

The application process is conducted through the Colorado Provider Enrollment system at https://www.colorado.gov/hcpf/provider-enrollment. 

6. Required Documentation 

Required documentation includes: 

• Medicare certification 

• Colorado Medicaid enrollment 

• Proof of liability insurance 

• State license as a Class A Home Care Agency 

• Clinical Laboratory Improvement Act certificate (if applicable) 

7. Timeline for Approval 

The timeline for approval is not specifically mentioned in the provided information. 

8. Pre-Application Process 

There is no specific pre-application process mentioned in the provided information. 

9. Pre-Application Training 

While not mandatory, providers must comply with rules set by various state and federal agencies. 

10. Additional Notes 

• Services must be medically necessary and ordered by a physician. 

• Acute Home Health services can be provided for up to 60 days without prior authorization. 

• Long-term Home Health services require prior authorization. 

• Home Health services are available to members on Home and Community-Based Services (HCBS) waivers, except for those using Consumer Directed Attendant Support Services. 

• There is a daily cap on services for adult members.