State Licensure

• Licensure regulations (see 6 CCR 1011-1, Chapter II and Chapter XV)
  • Proposed Regulations (11/3/2009)
    • Stakeholder letter
    • Proposed Changes
    • Regulatory Analysis
    • Statement of Basis and Purpose

• Letter of Intent for licensing and/or certification - initial application, changes and closure
• Licensure fees

Federal Medicare/Medicaid Certification

• CMS State Operations Manual (SOM) - Appendix H; current regulations, survey guidance, deficiency tag information
• Survey priority guidance

Health Facilities

Dialysis Treatment Clinics/End-Stage Renal Disease Facilities

End-Stage Renal Disease is a stage of renal impairment that appears irreversible and permanent, and requires a regular course of dialysis or a kidney transplant to maintain life. 

Services. There are 5 types of End-Stage Renal Disease facilities that are subject to certification:

1. Renal Transplantation Center - a hospital unit which provides transplantation and other medical/surgical specialty services associated with transplantation, including inpatient dialysis.  A transplantation center may also be a renal dialysis center.

2. Renal Dialysis Center - a hospital unit which provides the full spectrum of diagnostic, therapeutic, and rehabilitative services to care for dialysis patients, including inpatient and outpatient dialysis.

3. Renal Dialysis Facility - a unit which provides dialysis services directly (i.e., not through contracted providers).

4. Self-Dialysis Unit - a unit that is part of a renal transplantation center, renal dialysis center, or renal dialysis facility that provides self-dialysis services.

5. Special Purpose Renal Dialysis Facility - a facility or unit that furnishes dialysis services on a short-term basis for special rehabilitative or emergency purposes, when:

• patients are on vacation in an area remote from the other types of End-Stage Renal Disease facilities or near a facility that does not have the capacity to serve them
• other types of End-Stage Renal Disease facilities are closed due to natural disasters, strikes or bankruptcies and the backup facilities in the area cannot accommodate the patients of the closed facilities. 

All of the certified facilities in the state, except for renal transplantation centers, are also licensed as dialysis treatment clinics. The transplantation centers are licensed as part of a hospital.

In addition to being licensed by the state comprehensive outpatient rehabilitation facilities may also obtain federal Medicare/Medicaid certification if they are in compliance with regulations promulgated by the federal Centers for Medicare and Medicaid Services (CMS). 

The division conducts certification and licensing surveys for compliance with federal and state regulations and investigates any complaints filed against one of these providers. 

[ Health Facilities ] [ Contact us ] [ Colorado Home ] [ Health Department ]