Colorado Application Service Provider Agreement

State:
Multi-State
Control #:
US-CP1027-AM
Format:
Word; 
Rich Text
Instant download

Description

This sample form, a detailed Application Service Provider Agreement document, is for use in the computer, internet and/or software industries. Adapt to fit your circumstances. Available in Word format.
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FAQ

Hear this out loud PauseIf you're a member of Health First Colorado (Colorado's Medicaid program) or Child Health Plan Plus (CHP+) you can manage your account and update your information through Colorado PEAK and the Health First Colorado mobile app.

Your and your family or caretaker's Health First Colorado ID Number is sometimes called your State ID Number. Your ID Number is on your Health First Colorado card. It is also on all letters we send you about your benefits.

Hear this out loud PauseHow is Health First Colorado different from Medicare? Medicare is a federal government-sponsored health care program primarily for seniors. Health First Colorado (Colorado's Medicaid Program) is health care for low-income families and is managed by both the state and federal governments.

With few exceptions, Colorado Medicaid claims must be submitted electronically through the Automated Medical Payments (AMP) system. Providers consistently submitting fewer than 10 claims per month may submit paper claims using the information and instructions in the Medicaid Provider Manual.

Hear this out loud PauseColorado Access is a nonprofit health plan. 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.

You do not need a referral. Health First Colorado Enrollment can help you choose or change your primary care provider (PCP) or managed care health plan (Denver Health Medicaid Choice or Rocky Mountain Health Plans Prime). They can also help you find providers who meet your needs.

Providers submitting new HCBS enrollment applications must watch the "Enrolling as a Health First Colorado Home and Community Based Provider" Training and successfully complete the "Provider Enrollment Quiz." This training is also available as a PDF.

An HCBS waiver is an extra set of Health First Colorado (Colorado's Medicaid program) benefits that you could qualify for in certain cases. These benefits can help you remain in your home and community. HCBS Waivers have extra program rules and some programs may have waitlists.

Health First Colorado (Colorado's Medicaid Program) is free or low cost public health insurance for Coloradans who qualify. Health First Colorado can cover your doctor visits, emergency care, preventive care such as screenings and immunizations, and other procedures and treatments.

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Colorado Application Service Provider Agreement