This version of the form is not currently in use and is provided for reference only. Download this version of the document for the current year.
Nursing Facility Post Eligibility Treatment of Income (Peti) Medical Necessity Certification 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 the Nursing Facility Post Eligibility Treatment of Income (PETI) Medical Necessity Certification Form?
A: It is a form used in Colorado to certify the medical necessity of post-eligibility treatment in nursing facilities.
Q: Who uses the PETI Medical Necessity Certification Form?
A: The form is used by individuals who require post-eligibility treatment in nursing facilities in Colorado.
Q: What is the purpose of the form?
A: The form is used to verify the medical necessity of post-eligibility treatment and ensure that the costs are covered by the Colorado Medicaid program.
Q: How can the form be obtained?
A: The form can be obtained from the Colorado Department of Health Care Policy and Financing.
Q: What information is required on the form?
A: The form requires information about the individual's medical condition, treatment needs, and financial eligibility.
Q: Is there a cost associated with submitting the form?
A: No, there is no cost associated with submitting the PETI Medical Necessity Certification Form.
Form Details:
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.