Colorado Department of Health Care Policy and Financing Forms

This type of document is a "Coordinacion De La Transicion (Tcm-Tc) Plan De Mitigacion De Riesgos De La Transicion a La Comunidad/Aceptacion De Riesgos Del Participante - Colorado." It is a plan that outlines the coordination and risk mitigation strategies for transitioning to the community in Colorado.

This form is used for conducting a fingerprint criminal background check in Colorado to collect other state and/or Medicare information.

This document is used when someone in Colorado has lost a check and needs to provide a sworn statement about it.

This document is used for requesting a replacement warrant in Colorado when the original warrant has been lost.

This form is used for requesting prior authorization for an augmentative communication device in the state of Colorado.

This type of document is a questionnaire used to request prior authorization for a Cpap or BI-Level (Pap) machine in the state of Colorado.

This document is used for filing a change of ownership in Colorado. It is required when transferring ownership of a property or asset.

This Form is used for filing a discrimination complaint in Colorado.

This Form is used for requesting reasonable modifications in Colorado.

This document outlines the treatment outcomes for Hepatitis C in the state of Colorado. It provides information on the effectiveness of different treatment options and their success rates.

This form is used for submitting pharmacy claims to the Colorado Medical Assistance Program in Colorado.

This document outlines the payment method agreement for federally qualified health centers in Colorado. It describes how these centers are compensated for their services.

This form is used for applying for an adjustment to the scope-of-service rate for Federally Qualified Health Centers in Colorado. It also includes an attestation.

This document is used for the Scope-Of-Service Rate Adjustment Application and Attestation for Federally Qualified Health Centers in Colorado.