Colorado Department of Health Care Policy and Financing Forms

This form is used to determine the status of nursing facility care in Colorado.

This Form is used for enrolling in a home health telehealth program in Colorado.

This form is used for options counseling and community transition referral information in Colorado.

This document is for authorizing the release of information for Colorado Choice Transition (CCT) and HCBS (Home and Community-Based Services) for individuals with Emotional and Behavioral Disorders (EBD) in Colorado.

This form is used for accessing community transition services in the state of Colorado. It provides information and assistance for individuals transitioning out of institutions into community-based care and support.

This document is a plan to mitigate risks during community transition. It also includes a participant risk agreement.

This document outlines the plan for transitioning a community in Colorado to a new phase or situation. It provides a structured approach for managing the changes and ensuring a smooth transition.

This document is used for requesting authorization and providing a cost report for Community Transition Services (CTS) in Colorado.

This document outlines the progress and plans for transitioning the community in Colorado to new initiatives or changes.

This document provides a guide for individuals in Colorado who are planning for community living. It offers information and resources on housing options, support services, and strategies for building a strong community network.

This form is used for verifying the Social Security Number of an individual in the state of Colorado. It helps ensure the accuracy and validity of the provided Social Security Number.

This Form is used for reporting and documenting critical incidents involving HCBS providers in Colorado.

This questionnaire is used for adults aged 21 and above in Colorado who use Cpap/ BI- Level (Pap) machines.

This document is a questionnaire related to speech generating devices in the state of Colorado. It is used to gather information about the use and functionality of these devices.

This document is a questionnaire for clients in Colorado who need oxygen solely based on a sleep study and require oxygen contents in excess of 6 liters per minute overnight.

This Form is used for changing the provider for Medicaid services in Colorado.

This form is used for requesting a refund to Health First Colorado or returning a warrant in the state of Colorado.

This form is used for obtaining informed consent from participants in Colorado before they can participate in a specific activity or study. It ensures that the participants have been fully informed about the risks, benefits, and potential consequences of their participation and gives them the opportunity to ask questions and make an informed decision.

This form is used by behavioral therapy providers in Colorado to attest to their qualifications and compliance with specific requirements.

This document is used for submitting paper claims in the state of Colorado. It is a request form that allows individuals or healthcare providers to submit claims for reimbursement or payment for medical services.

This Form is used for obtaining prior authorization from the pharmacy for Synagis medication in Colorado.

This form is used for changing your legal name on enrollment records in the state of Colorado.

This document is for the Consent of Sterilization Form for Health First Colorado in Colorado. It is written in Spanish.

This Form is used for attesting the supervising provider of a Substance Use Disorder Clinic in Colorado.