September 25, 2024

Hospital Discounted Care Newsletter

This newsletter provides information and updates on the implementation of House Bill (HB) 21-1198, Health Care Billing Requirements for Indigent Patients, otherwise known as Hospital Discounted Care. Low-income patients who aren't enrolled in Health First Colorado or Child Health Plan Plus (CHP+) will have the opportunity to apply for financial assistance or charity care programs at the health care facility where they receive care.


Please visit our Hospital Discounted Care webpage for more information.

Hospital Discounted Care Updates

Updates to the Operations Manual


An updated version of the manual has been uploaded to the Hospital Discounted Care website. HCPF is in the process of implementing Senate Bill 24-116 in collaboration with various stakeholder groups. One area that has been implemented and the process to change the rules has begun is related to the amount some hospitals are allowed to charge. 


Please begin using the updated version immediately. Specific sections of the manual that have been updated with new or clarified language are listed in the first few pages of the updated manual, and include, but are not limited to, the following:

  • The addition of the ability for hospitals that bill for their employed or contracted physicians to collect up to 6% of the patient's monthly gross income in a 36 month payment plan, 4% for the facility charges and 2% for the physician charges
  • The requirement for the 6% to be included in the Determination Notice sent to patients after a completed application
  • Clarification on patients in custody of law enforcement and when they would be eligible for Hospital Discounted Care
  • Clarification on when insured patients must be screened for Hospital Discounted Care
  • Clarification that there is no one document for income determination that is preferred or can be requested over another acceptable document
  • Clarification on accepting determinations for older accounts within current backdating period or just outside if still within 181 days
  • Clarification on accounts for patients who start applications just prior to day 181
  • Documentation to be included when HCPF is informed of a patient appeal
  • Details of the Audit process

Questions on any of the changes can be sent to hcpf_HospDiscountCare@state.co.us.


Office Hours


HCPF is holding office hours every other Wednesday at 9 a.m. No registration is required. The Zoom link and call in information are on the Hospital Discounted Care website.

Stay Informed

Sign up for the Hospital Discount Care newsletter to stay informed about the implementation of HB 21-1198.


Sign up for our newsletter.