Change of Provider Revisions

When a client in long-term home health changes providers during an active PAR certification, the receiving Home Health Providers shall complete a Change of Provider Form in order to transfer the client’s care from the previous provider to the receiving agency.

Once the receiving agency completes the Change of Provider form, the form must include the client’s signature to indicate that the client is in agreement with the change of provider request. The completed Change of Provider form must accompany a new Home Health PAR from the receiving agency. 

The agency must submit the Change of Provider form along with a new PAR to the authorizing agency. The new PAR start date should coincide with the first day that the new agency plans to provide LTHH care. The provider should not include dates for acute home health or any lapses in care between the last date of service provided by the previous home health agency and the receiving agency.

The previous provider’s PAR end date will be revised to match the information provided in the “last date of service” box, and a new PAR will be entered for the receiving agency. 

The Change of Provider letter authorizes Department’s fiscal agent to end the current PAR so the new Home Health PAR may be entered. Single Entry Points (SEPs) and Community Centered Boards (CCBs) must include the Case Management Agency’s (CMA) identification number on the PAR form.

If the receiving agency is unable to obtain the necessary PAR information from the previous agency, the receiving agency may call the Department’s fiscal agent at 1-800-237-0044 to find out whether there is a current Home Health PAR in the system. If a current PAR does exist, the Department’s fiscal agent will provide the name and phone number of the Home Health Agency who currently has the approved PAR, but will not be able to provide any of the details for the PAR. 

The receiving agency should contact the previous agency, when possible, and notify them that the client is transferring agencies and the effective date of the change. The Change of Provider Form is located on the Department’s website (colorado.gov/hcpf)

Providers Services

Forms. Home Health Agencies should not bill Long-Term Home Health services on another provider’s Long-Term Home Health PAR.