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  • Dcr Form - Colorado Access

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Designating a Client Representative Mail the completed form to: Colorado Access PO Box 17950 Denver, CO 80217-0950 If you have questions or need help completing this form, please call us at (303).

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Medicaid in Colorado is known as Health First Colorado.

Health First Colorado (Colorado's Medicaid Program) is free or low-cost public health insurance for Coloradans who qualify. Health First Colorado, administered by Denver Health Medicaid Choice (DHMC), is for individuals who live in Denver, Jefferson, Arapahoe, or Adams counties.

We have many programs to help you take charge of your health. Colorado Access helps Health First Colorado (Colorado's Medicaid Program) members in Denver County. We also help members outside Denver County if they get primary care from one of our providers.

Child Health Plan Plus (CHP+) is public low-cost health insurance for certain children and pregnant women. It is for people who earn too much to qualify for Health First Colorado (Colorado's Medicaid program), but not enough to pay for private health insurance.

Be sure to file within the timely filing limit, which is 120 days from the date of service or the time limit specified in your contract.

You can check if your Health First Colorado (Colorado's Medicaid Program) coverage is active by going to the Colorado PEAK website and clicking on the Check My Benefits button or you can view your card from the Health First Colorado mobile app.

Some medications require your doctor to file a prior authorization request before a medication will be covered. Please ask your doctor to contact Health First Colorado (Colorado's Medicaid program) at 1-800-424-5725 to request a prior authorization for your medication.

The Colorado Department of Health Care Policy & Financing administers Health First Colorado (Colorado's Medicaid Program) and Child Health Plan Plus (CHP+) as well as a variety of other programs for Coloradans.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232