Health Care Policy & Financing

State of Colorado

Official Website: https://hcpf.colorado.gov/

Forms & Documents

Browse all Health Care Policy & Financing government forms

121 - 140 of 219 forms

Form Title Topics
LTC Assessments for IADLs Form - July 2023
LTC Scenario Workbook
Managed Care Accuracy Audit Reports
Manual Price Determination Form - Procedure Code 34839
May 2022 Case Review Form - Google Forms
MED-178 Instructions(opens in new window)
Medical Assistance Site Mapping Tool Update Form
National Provider Identifier (NPI) Backdate Form
Network Participation Verification Form
New 1095-B IRS Form Cover Letter - English
New 1095-B IRS Form Cover Letter - Spanish
Non-Emergent Medical Transportation (NEMT) Out-of-State Prior Authorization Request (PAR) Form (10/27/21)
Nursing Facility PETI Activity Log - Updated February 2022
Nursing Facility PETI Program Appeal Information - Updated February 2022
Nursing Facility PETI Training
Nursing Facility Post Eligibility Treatment of Income (PETI) Medical Necessity Certification Form and Checklist - Updated September 2022
Optional Sample Letter for Returning Form 1095-B
Options Counseling Authorization for Release of Information
Options Counseling Authorization for Release of Information - Spanish
Options Counseling Monthly Referral Report

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