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Health First Colorado Change of Provider Form - Colorado
Health First Colorado 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.
FAQ
Q: What is the Health First Colorado Change of Provider Form?
A: The Health First Colorado Change of Provider Form is a form that allows members of the Colorado Medicaid program to request a change of their healthcare provider.
Q: What information is required on the Health First Colorado Change of Provider Form?
A: The Health First Colorado Change of Provider Form requires your personal information, current healthcare provider details, and the information of the new provider you wish to switch to.
Q: Can I use the Health First Colorado Change of Provider Form to switch to any healthcare provider?
A: No, you can only use the Health First Colorado Change of Provider Form to switch to a provider who accepts Health First Colorado (Colorado Medicaid) coverage.
Q: Is there a deadline for submitting the Health First Colorado Change of Provider Form?
A: There is no specific deadline for submitting the Health First Colorado Change of Provider Form. However, it is recommended to submit the form as soon as possible to ensure a smooth transition.
Form Details:
- Released on August 1, 2019;
- 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 printable 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.
