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Intermediate Care Facilities

Definitions

Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID)
A residential facility that is certified by the Centers for Medicare and Medicaid Services (CMS) to provide active treatment, and habilitative, therapeutic, and specialized support services to adults with intellectual and developmental disabilities.

Facility for Persons with Intellectual and Developmental Disabilities 
A facility specially designed for the active treatment and habilitation of persons with intellectual and developmental disabilities or a group home.  A facility for persons with intellectual and developmental disabilities shall be licensed as either an Intermediate Care Facility for Individuals with Intellectual Disabilities or a Group Home, depending upon the size of the facility and the services offered.

Intellectual and Developmental Disability 
A disability that manifests before the person reaches twenty-two years of age, that constitutes a substantial disability to the affected person, and that is attributable to an intellectual or developmental disability or related conditions, including Prader-Willi syndrome, cerebral palsy, epilepsy, autism, or other neurological conditions when the condition or conditions result in impairment of general intellectual functioning or adaptive behavior similar to that of a person with an intellectual and developmental disability.

Fee Schedule

3/1/2025 to 6/30/2025 Fee Transition Period Guidance

The current fee schedules are posted to our Facility Fees website by March 1st of each year, for a July 1st effective date. The previous fee schedule will remain active for all initial applications, changes of ownership, and changes of information submitted on or before 6/30 each year. The guidance document above will be provided to help you navigate which fee schedule to use in your specific situation.

The fee schedules will also be linked within COHFI, on the Payment phase/section of the application, as well as a link to pay on the online portal.

Fees are applicable to all facilities except for institutions wholly owned and operated by the State or any of its political subdivisions.
Website: Facility Fees | Colorado Department of Public Health and Environment

Initial License Application Guidance

Initial Health Facility/Agency Licensing - Guidance and Instructions (All License Types)

This document will provide guidance with questions that often come up during the initial licensure process. The document will walk you through the step by step process of initial licensure, from the Letter of Intent (LOI) to the license being issued.

This document also provides a checklist of all documents that are required to be submitted with the initial application. We recommend that you review this document in its entirety prior to submitting the LOI to request the license application.

Required documents for Initial Intermediate Care Facility for Individuals with Intellectual and Developmental Disabilities (ICF/IID) Licensure: Intermediate Care Facility for Individual with Intellectual and Developmental Disabilities (ICF/IID) - Initial Application Checklist

CMS Medicaid ICF/IID webpages:

Medicaid

Medicare