Colorado Medicaid Change of Provider Form is a legal document that was released by the Colorado Department of Health Care Policy and Financing - a government authority operating within Colorado.
Q: What is a Colorado Medicaid Change of Provider Form?
A: The Colorado Medicaid Change of Provider Form is a document that allows Medicaid recipients in Colorado to request a change in their healthcare provider.
Q: What information is required on the Colorado Medicaid Change of Provider Form?
A: The form typically requires your personal information, Medicaid identification number, current healthcare provider details, and the name of the new provider you wish to switch to.
Q: Can I use the Colorado Medicaid Change of Provider Form to switch to any provider?
A: No, you can only switch to providers who participate in the Colorado Medicaid program. It is recommended to verify the eligibility of your desired provider before submitting the form.
Q: How long does it take for a provider change to take effect after submitting the form?
A: The timeframe may vary, but typically it can take up to 30 days for your provider change to take effect.
Q: Do I need to notify my current provider about the change?
A: It is not mandatory to notify your current provider about the change, but it is generally recommended to inform them to avoid any disruption in your healthcare services.
Q: Is there a fee for submitting the Colorado Medicaid Change of Provider Form?
A: No, there is no fee associated with submitting the change of provider form for Colorado Medicaid recipients.
Form Details:
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.