Tracking# 2011-00676
FA/P 11/4/11, eff. 1/1/12 

I:/11081103.rtf
(I:/11081103.doc) 

(9 CCR 2503-1)

[Instructions: insert before line 1699530.] 
Revisions of sections 3.720.1- 3.720.31, 3.720.33, 3.720.4-3.720.5, 3.721.11, 3.721.21,-3.721.23, 3.721.25, 3.721.4-3.721.62, 3.730-3.730.1, 3.730.21-3.730.22, 3.730.42-3.730.43, 3.730.5, and 3.731-3.738 were final adoption following publication at the 11/4/2011 State Board rule-making session, with an effective date of 1/1/2012 (Rule-making# 11-8-11-3). Statement of Basis and Purpose and specific statutory authority for these revisions were incorporated by reference into the rule. These materials are available for review by the public during normal working hours at the Colorado Department of Human Services, Division of Boards and Commissions, State Board Administration.

***************

[Instructions: replace lines 1202420 through 1202436.] 
3.720  HOME CARE ALLOWANCE
3.720.1  DEFINITION [Rev. eff. 1/1/12]
Home Care Allowance (HCA) is a special allowance for the purpose of securing services to an individual in his/her home, based on the case manager's assessment. Home Care Allowance is a non-entitlement program, which cannot be combined with other long-term care programs such as a Home and Community Based Services waiver or adult foster care. The HCA program is designed to serve those recipients with the lowest functional abilities and the greatest need for paid care. Eligibility for, and authorized amounts of, the Home Care Allowance are subject to available appropriations. 
3.720.2  ELIGIBILITY [Rev. eff. 1/1/12]
Eligibility for the Home Care Allowance program shall be based on financial need, the applicant's or recipient's functional capacity score, and the applicant's or recipient's need for paid care score. The applicant or recipient must: 
A.  Meet all eligibility criteria required for either the Old Age Pension (OAP) or Aid to the Needy Disabled/Aid to the Blind-State Only (AND/AB-SO) program; or, 
B.  Be approved for Supplemental Security Income (SSI) benefits and be receiving at least a $1.00 SSI payment; and, 
C.  Have an HCA eligible functional capacity score and need for paid care score as outlined in Sections 3.720.31 and 3.720.32. 
3.720.21  Single Entry Point Agencies [Eff. 1/1/12]
Single Entry Point (SEP) agencies shall utilize the State prescribed form to determine Home Care Allowance (HCA) eligibility and authorized amounts for all applicants and recipients. 
3.720.3  FUNCTIONAL ELIGIBILITY
3.720.31  Functional Capacity Score [Rev. eff. 1/1/12] 
A.  In order to be eligible for the Home Care Allowance Program, each applicant or recipient must meet the minimum functional capacity score of 21 points in the following areas and shall score a minimum of one (1) point on the total need for paid care score:   Eff  01/01/2007
1.  Activities of daily living: includes transfers, bladder care, bowel care, mobility, dressing, bathing, hygiene, and eating; 
2.  Basic instrumental activities of daily living: includes meal preparation, housework, laundry, and shopping; 
3.  Supportive services: includes medicine management, appointment management, money management, accessing resources, and telephoning.   Eff  01/01/2007
B.  The need for skilled personal care shall not be included in the case manager's scoring of the need for paid care score. Skilled personal care is not a paid service of the Home Care Allowance program (see HCPF rules, Section 8.489.30 (10 CCR 2505-10) for the definition of skilled personal care).   Eff  01/01/2007

***************

[Instructions: replace lines 1202440 through 1520043.] 
3.720.33  Home Care Allowance Authorized Payment Amount [Rev. eff. 1/1/12] 
The case manager shall approve each applicant or recipient, who meets the minimum requirements for the HCA program, an authorized amount of Home Care Allowance. The case manager shall determine the authorized HCA amount, up to the maximum amount allowable, based upon the need for paid care score. The three ranges of the need for paid care score are listed below. The maximum HCA authorized amount in each range is approved by the Colorado Department of Human Services and is subject to change. 
The case manager shall not approve the maximum authorized HCA amount if the applicant's or recipient's needs can be fully or partially met from other paid or unpaid sources, if the HCA provider is able to provide the authorized services for less than the maximum authorized amount, or if the applicant or recipient is unwilling or unable to use the maximum authorized amount. In determining the authorized HCA amount, the case manager shall ensure that there is no duplication of services in accordance with Section 3.721.23, D, 4. 
Need for Paid Care Score	
1-23	
24-37	
38 and over	
A.  Payment of the Home Care Allowance authorized grant will begin on the first day of the   month following the month in which the HCA is authorized. 
B.  There shall be no retroactive Home Care Allowance payments. The hardship exceptions at Section 3.140.173 shall not apply to Home Care Allowance grant payments. 
C.  The Home Care Allowance recipient's grant standard for OAP or AND/AB-SO will increase based on the authorized HCA amount per Section 3.360.44 of the Old Age Pension rules, and Section 3.460.13 of the State AND/AB rules. 
D.  The HCA amount determined by the Need for Paid Care score shall be authorized for an SSI recipient receiving at least a $1.00 payment. For persons approved for SSI but not receiving at least a $1.00 payment, the HCA grant standard for Aid to the Needy Disabled/Aid to the Blind-Colorado Supplement (AND/AB-CS) will be increased based upon the authorized HCA amount per Section 3.460.45 of the AND/AB-CS rules.
E.  HCA payments shall be adjusted by the Colorado Department of Human Services based on available appropriations. A county conference or State appeal need not be granted unless the reason for an individual appeal is incorrect grant computation. 
3.720.4  SERVICES FOR HCA RECIPIENTS [Rev. eff. 1/1/12]
Home care Allowance can be used to purchase: 
A.  Non-skilled assistance with activities of daily living, instrumental activities of daily living or supportive services; and; 
B.  Electronic monitoring; and,
C.  One-time deep cleaning if a referral is initiated by Adult Protective Services and determined necessary by the Single Entry Point case manager. 
3.720.5  COUNTY RESPONSIBILITIES [Rev. eff. 1/1/12]
A.  The county department must retain a copy of the State prescribed assessment form in the case file. 
B.  The county department must review each State prescribed form for completion.   Eff  11/1/2008 
C.  The county department must update any changes in the case file. These changes must be updated in the State prescribed data system. 
D.  The county shall have the case organized and available for State review.   Eff  11/1/2008
E.  The county shall send written notice to the Single Entry Point (SEP): 
1.  Within five (5) working days of determining the authorized grant amount. Notice will be given on the State prescribed assessment tool. 
2.  Within five (5) working days after the eligibility worker determines that the client is no longer eligible for Home Care Allowance. 
3.  Within one (1) working day when the applicant or client has filed a written appeal with the county department of social/human services. 
4.  Within one (1) working day when the applicant or client has withdrawn the appeal or a final agency decision has been entered. 
F.  The county shall respond to requests for information from the SEP within twenty (20) working days. 

***************

[Instructions: replace/insert at lines 2089944 through 2089945.] 
3.721.11  Definitions [Rev. eff. 1/1/12]
“Appropriateness of placement” means the determination of whether an applicant would be appropriate for an Adult Foster Care setting. The appropriateness of placement form shall be used to determine eligibility for the program. 
“Assessment” means a comprehensive evaluation by the case manager with the client and appropriate collaterals (such as family members, friends and/or caregivers) to determine the client's level of functioning, service needs, available resources, and necessity for paid care. The functional needs assessment shall be documented on the State prescribed assessment tool. 
“Authorized representative” means an individual designated by the applicant or recipient, or by the parent or guardian of the applicant or recipient, if appropriate, to assist in acquiring or utilizing Home Care Allowance or Adult Foster Care services or supports. The extent of the authorized representative’s involvement shall be determined upon designation.

===
***************

[Instructions: replace lines 2089962 through 2089963.] 
3.721.2  CASE MANAGEMENT REQUIREMENTS
3.721.21  Intake/Screening/Referral [Rev. eff. 1/1/12]
===

[Instructions: replace lines 2089971 through 2089975.] 
C.  When reimbursement for long term care services are requested through the Home Care Allowance or Adult Foster Care programs, the Single Entry Point staff shall:
1.  Verify the applicant's current financial eligibility status;
2.  Refer the applicant to the county department of social/human services of the client's county of residence for application; or,
3.  Refer the applicant to other community resources that can assist in the process of completing the application; and,
4.  Document follow-up on return of forms.
===
*************

[Instructions: replace lines 2089979 through 2089980.] 
3.721.22  Assessment [Rev. eff. 1/1/12]
A.  The Single Entry Point (SEP) case manager shall complete an assessment when the county department of social/human services provides written notification that the client has requested HCA or AFC and is receiving or has submitted an application for OAP, State AND/AB, AND/AB/SSI-CS, or the client is receiving SSI. If the client is being discharged from a hospital or nursing facility, the Single Entry Point case manager shall complete the assessment regardless of whether the Medicaid application date has been provided by the county department. 

===

[Instructions: replace/insert at line 2090001.] 
[ed. note: sub-paragraph C.]
10.  The State prescribed assessment form and the Appropriateness of Placement form shall be completed to determine eligibility for the Adult Foster Care program. 
a.  The assessment shall indicate whether there is a minimal need for care. A specific functional or Need for Paid Care score is not required. 
b.  An applicant that meets one or more of the criteria on the Appropriateness of Placement form is ineligible for the AFC program, regardless of the need for care. 
11.  Obtain diagnoses from the client's medical provider for Adult Foster Care program applicants. 
12.  If found eligible for AFC, the recipient must be placed in an appropriate AFC facility within forty-five (45) calendar days. If the date of placement will not occur within the forty-five day period, the case manager must complete a new assessment, using the Appropriateness of Placement form. 

**************

[Instructions: replace line 2090002.] 
3.721.23  Care Planning [Rev. eff. 1/1/12]

===

[Instructions: replace lines 2090013 through 2090016.] 
C.  Authorization of Home Care Allowance
1.  The case manager shall negotiate with the applicant or recipient and care provider to arrive at the total number of paid care hours to be provided monthly. The applicant, recipient or authorized representative and the provider shall sign the State prescribed provider agreement. Each party shall receive a copy of the agreement. 
2.  In all cases, Home Care Allowance payments shall be made directly to the applicant, recipient or authorized representative who is responsible for paying the provider the agreed upon, authorized amount monthly. No portion of the authorized HCA amount shall be withheld by the recipient for personal use. The entire HCA authorized amount must be spent for HCA allowable services. 
3.  The case manager shall send a signed copy of the assessment instrument to the county eligibility worker authorizing payment of the Home Care Allowance within one working day of making the determination that the client is eligible to receive services. 

===
**************

[Instructions: replace line 2090038.] 
3.721.25  Reassessment [Rev. eff. 1/1/12]

===

[Instructions: replace lines 2090041 through 2090049.] 
C.  Reassessment shall include, but not be limited to, the following activities: 
1.  For Adult Foster Care clients, obtain diagnoses from the client's medical provider at least annually, or sooner if the client's condition changes;
2.  Assess client's functional status face-to-face at the client's place of residence;
3.  Review the care plan, service agreement, and provider contract or agreement;
4.  Evaluate service effectiveness, quality of care, and appropriateness of services;
5.  Verify continuing financial and program eligibility;
6.  Annually, or more often if indicated, complete a new care plan and service agreement;
7.  Refer the client to community resources, as needed;
8.  For Adult Foster Care clients, a State prescribed appropriateness of placement form must be completed. 

************

[Instructions: replace lines 2090057 through 2090066.] 
3.721.4  DENIALS OR DISCONTINUATIONS [Rev. eff. 1/1/12]
Clients shall be denied or discontinued from the Home Care Allowance or Adult Foster Care programs if they are determined ineligible and shall be informed of appeal rights in accordance with rules under Section 3.850, et seq. 
A.  Financial Eligibility
The county department of social/human services shall notify the applicant or client of denial for reasons of financial eligibility. The SEP case manager shall not attend the appeal hearing for a denial or discontinuation based on financial eligibility unless subpoenaed or requested by the county.
B.  Level of Care
The Single Entry Point agency shall notify the applicant or client of denial for reasons of level of care when:
1.  Home Care Allowance functional capacity and/or need for paid care scores do not meet minimum requirements.
2.  Adult Foster Care appropriateness for placement criteria is not met (see Section 3.733). 
3.  Persons who are developmentally disabled or who are receiving, or are eligible to receive, services administered by the Colorado Department of Human Services, Division of Developmental Disabilities, are not eligible for AFC. 
The case manager shall attend the appeal hearing to defend a denial or discontinuation.

===

[Instructions: replace lines 2090093 through 2090096.] 
F.  Living Arrangements
The SEP case manager shall notify the applicant or client of denial for reasons of living arrangements when:
1.  A Home Care Allowance applicant or client is residing in a licensed or unlicensed facility.
2.  An Adult Foster Care (AFC) applicant or client is residing anywhere other than an approved AFC facility. 
a.  The Single Entry Point agency may continue to authorize services while a resident is on medical or non-medical leave. 
b.  Combined leave may not exceed a total of forty-two (42) days in a twelve (12) month period beginning with the date the client was admitted into the program. 
c.  The two types of leave are defined as follows: 
1)  "Medical leave": The absence of the resident from the AFC facility due to admittance to a hospital or other institution. This must be on the order of a physician, and there must be a presumption on the part of the physician that the resident will be returning to the AFC facility. 
2)  "Non-medical leave days": The absence of the resident from the AFC facility for non-medical reasons that are not part of a recipient's care plan. 

===
**************

[Instructions: replace lines 2090103 through 2090126.] 
3.721.41  Referrals and Notifications Upon Denial or Discontinuation [Rev. eff. 1/1/12]
In the case of denial or discontinuation, the case manager shall:
A.  Provide appropriate referrals to other community resources, as needed, within one (1) working day of discontinuation.
B.  The case manager shall notify all providers on the care plan within one (1) working day of discontinuation.
C.  The case manager shall notify the county department of human services within one (1) working day of discontinuation. 
3.721.42  Notification to the County Department [Rev. eff. 1/1/12]
The Single Entry Point agency shall notify the income eligibility section of the appropriate county department of social/human services: 
A.  When it notifies the applicant or client of the adverse action; 
B.  When the applicant or client has filed a written appeal with the Single Entry Point agency; or,
C.  When the applicant or client has withdrawn the appeal or a final agency decision has been entered. 
3.721.5  COMMUNICATION REQUIREMENTS [Rev. eff. 1/1/12]
In addition to any communication requirements specified elsewhere in these rules, the case manager shall be responsible for the following communications:
A.  Informing the income maintenance technician of any and all changes effecting the client's participation in the Home Care Allowance or Adult Foster Care programs, including changes in income or placement in an identified hospital or nursing facility, within one working day after the case manager learns of the change. 
B.  Informing the client’s adult protective services caseworker, if applicable, of the client's status. The case manager shall participate in mutual staffing of the client's case.
C.  Reporting to the Colorado Department of Public Health and Environment any congregate facility, with three (3) or more residents, that is not licensed. 
3.721.6  CASE TRANSFERS
3.721.61  Intercounty Transfers [Rev. eff. 1/1/12]
Single Entry Point agencies shall complete the following procedures to transfer case management clients to another county:
A.  Notify the income maintenance technician of the client's plans to relocate to another county and the date of transfer and instruct the technician to follow the procedures for intercounty transfers (see Section 3.140.3).
B.  If the client's current service providers do not provide services in the area where the client is relocating make arrangements, in consultation with the client, for new service providers.
C.  If an Adult Foster Care client is moving from one county to another county to enter a new facility, forward copies of the following client records to the facility prior to the client’s admission to the facility:
1.  Current client assessment;
2.  Verification of financial eligibility status. 
3.721.62  Interdistrict Transfers [Rev. eff. 1/1/12]

===
**************

[Instructions: replace lines 2090133 through 1520051.] 
F.  The receiving Single Entry Point agency shall review the care plan and the assessment tool and revise as necessary, and coordinate services and providers, as necessary.
G.  If indicated by changes in the care plan, the receiving Single Entry Point agency shall revise the service authorization form and notify the county as required by the publicly funded program. 
3.730  ADULT FOSTER CARE [Rev. eff. 1/1/12] 
“Adult Foster Care (AFC)” means care provided on a twenty-four (24) hour basis for no more than sixteen (16) residents in a non-medical facility. The facility is licensed by the Department of Public Health and Environment. This program serves the frail elderly, physically or emotionally disabled adults, eighteen (18) years of age and over, who do not require twenty-four hour medical care. The Adult Foster care program cannot be combined with other long-term care programs, such as Home Care Allowance or a Home and Community Based Services (HCBS) waiver that provides services for any person receiving or eligible to receive services pursuant to any provision in Title 27, C.R.S. 
3.730.1  DEFINITIONS [Rev. eff. 1/1/12]
A.  "Adult Foster Care Facility" means a licensed Assisted Living Residence (ALR) that meets all applicable federal, state, and local laws and regulations. AFC facilities shall provide the following:   Eff  11/01/2008 
1.  Twenty-four hour residential care for no more than sixteen (16) residents; 
2.  An environment that is sanitary and safe from physical harm; 
3.  Adequate sleeping and living areas; and,   Eff  11/01/2008 
4.  Adequate recreational areas.   Eff  11/01/2008  

===
**************

[Instructions: replace line 1520053.] 
3.730.21  Financial Eligibility [Rev. eff. 1/1/12] 

===

[Instructions: insert/replace lines 1520061 through 1520065.] 
D.  If a current recipient of Home Care Allowance or a Home and Community Based Services (HCBS) waiver that provides services for any person receiving or eligible to receive services pursuant to any provision in Title 27, C.R.S., is seeking AFC services, eligibility for placement or payment cannot begin until the first day of the month following the discontinuation of HCBS. 
3.730.22  County Responsibilities [Rev. eff. 1/1/12] 
A.  The county department must retain a copy of the State prescribed assessment form in the electronic or paper case record. 
B.  The county department must review each State prescribed form.   Eff  11/01/2008 
C.  The county department must update any changes in the case record. These changes must be updated in the State prescribed data system. 
D.  The county department shall have the case organized and available for State review. Eff  11/01/2008
E.  The county shall notify the Single Entry Point (SEP) in writing: 
1.  Within five (5) working days of determining the authorized grant amount. Notice shall be given on the State prescribed assessment tool. 
2.  Within five (5) working days after the eligibility worker determines that the client is no longer eligible for Adult Foster Care. 
3.  Within one (1) working day when the applicant or client has filed a written appeal with the county department of social/human services. 
4.  Within one (1) working day when the applicant or client has withdrawn the appeal or a final agency decision has been entered. 
F.  The county shall respond to requests for information from the SEP within twenty (20) working days. 

**************

[Instructions: replace lines 2090140 through 2090145.] 
3.730.42  Assessment [Rev. eff. 1/1/12]
Refer to Section 3.721 for the Adult Foster Care assessment responsibilities of the Single Entry Point agencies. 
3.730.43  Appropriate Facility Review [Rev. eff. 1/1/12]
The case manager shall review available Adult Foster Care facilities to determine if the applicant's or recipient's needs can be met by a current facility. This review may include contact with other counties which have AFC facilities. This review must include discussion of the needs of the recipient with the licensed Adult 

**************

[Instructions: replace lines 2090151 through 2090161.] 
3.730.5  CARE PLANNING [Rev. eff. 1/1/12] 
When the decision is made that the applicant is appropriate for Adult Foster Care program, the case manager shall: 
A.  Discuss the facility and the provider with the recipient;
B.  Arrange for an initial visit by the recipient to the facility;
C.  Have a care plan negotiated with and signed by the recipient and case manager prior to admission. The care plan shall be developed in conjunction with the ALR Board and Care Plan required and must be renewed at least every twelve months or sooner if there is a change in the recipient's condition;
D.  Have a current provider agreement signed by the manager of the Adult Foster Care facility prior to placement. This agreement shall be renewed at least annually, contingent upon the facility having a license as an Assisted Living Residence.
E.  The case manager shall send a signed copy of the State prescribed form to the county eligibility worker authorizing the Adult Foster Care payment. The Adult Foster Care payment effective date shall be the date that the applicant was admitted to the AFC facility or the date he/she is determined to be financially eligible, whichever is later. If the applicant is a current recipient of HCBS that provides services for any person receiving or eligible to receive services pursuant to any provision in Title 27, C.R.S, the effective date is the first day of the month following the discontinuation of HCBS. 
F.  In all cases, Adult Foster Care payments shall be made directly to the recipient or the recipient's authorized representative. The recipient or representative is responsible for paying the AFC provider the agreed amount on a regular monthly basis.
G.  The case manager shall explain that the recipient or recipient's authorized representative is responsible to pay the AFC provider on a monthly basis. 
***************

[Instructions: replace lines 1202564 through1202654.] 
3.731  OPERATOR/STAFF QUALIFICATIONS [Rev. eff. 1/1/12]
Adult Foster Care providers must be licensed by the Colorado Department of Public Health and Environment. Providers shall be in compliance with “Standards for Hospitals and Health Facilities: Chapter VII: Assisted Living Residences” (6 CCR 1011-1), including operator and staff qualifications, training, records, reporting, and resident rights. 
3.732  APPROPRIATENESS OF PLACEMENT [Rev. eff. 1/1/12]
Only residents whose needs can be met by the facility shall be admitted to that facility. A facility shall not admit or keep any resident requiring a level of care or type of service which the facility does not provide or is unable to provide. In no event shall a facility admit or keep a resident who:   Eff  01/01/2007
A.  Needs skilled services on more than an intermittent basis. If skilled services are provided on an intermitted basis, they must be provided by a skilled provider.   Eff  01/01/2007
B.  Is unable or unwilling to meet his/her own personal hygiene needs under supervision.   Eff  01/01/2007
C.  Has an acute physical illness which cannot be managed through medications or prescribed therapy.   Eff  01/01/2007
D.  Has a substance abuse problem, unless the substance abuse is no longer acute and a physician determines it to be manageable. 
E.  Has ambulation limitations, unless compensated for by an assistive device with minimal assistance from staff. 
F.  Has a reportable communicable or infectious disease, unless the transmittal of the disease can be managed through the use of universal precautions and appropriate medical and/or drug treatment.   Eff  01/01/2007
G.  Is consistently disoriented to time, person, and place to such a degree that he/she poses a danger to self or others.   Eff  01/01/2007
H.  Has seizure disorders which are not adequately controlled by medications.   Eff  01/01/2007
I.  Requires tray food services on a continuous basis.   Eff  01/01/2007
J.  Exhibits behavior which poses a physical threat to self or others. Such behavior includes, but is not limited to, violent and disruptive behavior and/or any behavior which involves physical, sexual or psychological force or intimidation.   Eff  01/01/2007
K.  Requires intravenous or tube feeding.   Eff  01/01/2007
L.  Is consistently unwilling to take medications prescribed by a physician.   Eff  01/01/2007
M.  Is incapable of self-administration of medications unless the facility has a staff member trained in medication administration, in accordance with Section 25-1-107, C.R.S., et seq., or who possesses all necessary licenses to do so.   Eff  01/01/2007
N.  Is a person whose, physical safety cannot be assured in an AFC.   Eff  01/01/2007
O.  Is consistently, uncontrollably incontinent of bowel or bladder that cannot be managed by resident with assistance from staff.   Eff  01/01/2007
P.  Needs restraints, as defined herein, of any kind.   Eff  01/01/2007
Q.  Has a primary diagnosis of mental illness and is unwilling to comply with medications prescribed by the physician and is not receiving services from the local community mental health center or other mental health professional.   Eff  01/01/2007
R.  A copy of the ALR Board and Care Plan, jointly developed by the resident, family, caseworker, and operator, must be provided to all parties prior to admission to the facility.   Eff  01/01/2007
S.  Any client admitted for respite care in an AFC must meet the requirements for appropriate placement. 
3.733  SERVICES PROVIDED [Rev. eff. 1/1/12]
Facilities shall provide those services indicated in Section 3.730.1. 
3.734  FACILITY RESPONSIBILITIES TO THE SINGLE ENTRY POINT [Rev. eff. 1/1/12]
Facilities serving Adult Foster Care residents shall: 
A.  Provide a copy of their current license from the Colorado Department of Public Health and Environment to the SEP annually.
B.  Notify the Single Entry Point (SEP) within twenty-four (24) hours after any revocation or suspension of any licenses or violation of codes or ordinances has occurred. 
C.  Notify the SEP of a potential crisis situation where intervention from the case manager may be necessary.
D.  Notify the SEP case manager of any death, acute illness, or accident requiring medical attention. 
E.  Provide updates or cooperate in periodic conferences relating to the resident. 
F. Immediately notify the Single Entry Point agency of any AFC resident’s planned or unplanned medical or non-medical leave of more than twenty-four hours. 
1.  "Medical leave" means the absence of the resident from the AFC facility due to admittance to a hospital or other institution. This must be on the order of a physician, and there must be a presumption on the part of the physician that the resident will be returning to the AFC facility.
2.  "Non-medical leave" means the absence of the resident from the AFC facility for non-medical reasons that are not part of a recipient's care plan. 
3.735  REIMBURSEMENT METHOD FOR ADULT FOSTER CARE [Rev. eff. 1/1/12]
A.  AFC facilities shall charge a standard rate of payment per resident, per month as determined by the State Department. 
B.  AFC facilities shall not submit bills or otherwise attempt to collect payments from residents or residents' estates for any services provided to the resident which are benefits reimbursable under the program in accordance with the rules of the Colorado Department of Human Services. 
C.  AFC facilities shall charge private pay residents an amount at least equal to that charged to AFC residents.   Eff  11/01/2008 

***************