Code of Colorado Regulations
1000 - Department of Public Health and Environment
1011 - Health Facilities and Emergency Medical Services Division (1011, 1015 Series)
6 CCR 1011-1 Chapter 09 - COMMUNITY CLINICS AND COMMUNITY CLINICS AND EMERGENCY CENTERS
Part 2 - DEFINITIONS

Universal Citation: 1000 CO Code Regs 2

Current through Register Vol. 47, No. 5, March 10, 2024

2.1 "Anesthesia services" means procedural sedation or regional anesthesia used during the course of providing treatment.

2.2 "Clinic serving the uninsured or underinsured" means a nonprofit facility whose sole mission is the delivery of primary care to low-income and publicly insured patients regardless of ability to pay. Any charges assessed, whether a flat fee or on a sliding fee scale, shall be based on the patient's income and ability to pay.

2.3 "Community clinic," referred to herein as CC, means:

(A) A health care facility that provides health care services on an ambulatory basis, is neither licensed as an on-campus department or service of a hospital nor listed as an off-campus location under a hospital's license, and meets at least one of the following criteria:
(1) Operates inpatient beds at the facility for the provision of extended observation and other related services for not more than seventy-two hours.

(2) Provides emergency services at the facility and is not otherwise required to obtain licensure as a freestanding emergency department.

(3) Provides primary care services, including health care services not otherwise subject to health facility licensure under Section 25-3-101, C.R.S. or Section 2-1.5-103, C.R.S., but opts to obtain licensure in order to receive private donations, grants, government funds, or other public or private reimbursement for services rendered.

(4) Is operated or contracted by the Department of Corrections.

(B) The term community clinic does not mean:
(1) A federally qualified health center which is a facility that meets the definition under Section 1861 (aa)(4) of the federal Social Security Act, 42 U.S.C. Section 1395x(aa)(4) which provides for the delivery of comprehensive primary and after hours care in underserved areas.

(2) A rural health clinic which is a facility that meets the definition under Section 1861 (aa)(2) of the federal Social Security Act, 42 U.S.C. Section 1395x(aa)(2) which provides for the delivery of basic outpatient primary care in underserved, non-urban areas.

(3) A facility that functions only as an office for the practice of medicine or the delivery of primary care servi ces by other licensed or certified practitioners. A health care facility is not required to be licensed as a community clinic solely due to the facility's ownership status, corporate structure, or engagement of outside vendors to perform nonclinical management services. This section permits regulation of a physician's office only to the extent the office is a community clinic as defined in this Part 2.3(A).

(4) A facility that meets the definition of a freestanding emergency department at Section 25-1.5-114, C.R.S.

2.4 "Emergency services" means the treatment of patients arriving by any means who have behavioral health or medical conditions, traumatic injury, or acute illness that if not treated immediately could result in loss of life, loss of limb, or permanent disability.

2.5 "EMS provider" means an individual who holds a valid emergency medical service provider certificate or license issued by the Department and includes Emergency Medical Technician, Advanced Emergency Medical Technician, Emergency Medical Technician Intermediate, and Paramedic.

2.6 "Inpatient beds" for the purpose of this Chapter 9. The term inpatient bed in a community clinic means the use of beds for the monitoring or observation of patients who present for services and would benefit from monitoring by health care providers for a period of no more than 72 hours, except that the 72-hour limit shall not apply to Department of Corrections clinics. Such beds are not meant to be used for routine preparation or recovery prior to or following diagnostic or surgical services or to accommodate hospital overflow. If the patient needs care beyond 72 hours, the patient must be transferred.

2.7 "Governing body" means the board of trustees, directors, or other governing entity in whom the ultimate authority and responsibility for the conduct of the clinic is vested.

2.8 "Patient" means any person receiving services from a facility or agency that is subject to licensing pursuant to Section 25-3-101, C.R.S. The term "patient" is synonymous with the terms "client," "resident," or "consumer" as used elsewhere in 6 CCR 1011-1.

2.9 "Primary care services" means outpatient health care services that include: comprehensive assessment at first contact; evaluation and treatment of health care concerns; referrals to specialists as appropriate; and planned continuing routine care including coordination with specialists. Primary care services also encompass preventive health services, including, but not limited to: health education, behavioral health, well child services, immunizations, etc.

2.10 "Provider," for the purpose of this Chapter 9, means a medical doctor, doctor of osteopathy, nurse practitioner, physician assistant, or licensed independent practitioner.

Disclaimer: These regulations may not be the most recent version. Colorado may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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