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Certification Statement / Case Summary - Colorado Medical Assistance Program - Colorado
Certification Statement/Case Summary - Colorado Medical Assistance Program is a legal document that was released by the Colorado Department of Health Care Policy and Financing - a government authority operating within Colorado.
FAQ
Q: What is the Certification Statement?A: The Certification Statement is a form that providers must complete and submit to the Colorado Medical Assistance Program (Colorado Medicaid) to certify that they meet certain requirements for participation in the program.
Q: What is the Case Summary?A: The Case Summary is a summary of services provided to a Medicaid recipient. It includes information such as the date of service, the type of service provided, and the amount billed for the service.
Q: Who needs to complete the Certification Statement?A: Providers who wish to participate in the Colorado Medical Assistance Program (Colorado Medicaid) need to complete the Certification Statement.
Q: Why do providers need to complete the Certification Statement?A: Providers need to complete the Certification Statement to demonstrate that they meet the requirements for participation in the Colorado Medical Assistance Program (Colorado Medicaid).
Q: What information is included in the Case Summary?A: The Case Summary includes information such as the date of service, the type of service provided, and the amount billed for the service.
Form Details:
- Released on October 1, 2017;
- The latest edition currently provided by the Colorado Department of Health Care Policy and Financing;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Colorado Department of Health Care Policy and Financing.
