| Office of Administrative Courts 1525 Sherman Street, 4th Floor Denver, Colorado 80203 Phone: 303-866-2000 FAX: 303-866-5909 | |
|---|---|
| State of Colorado Colorado Department of Health Care Policy & Financing 303 E. 17th Avenue Suite 1100 Denver, CO 80203 | |
| Colorado Indigent Care Program hcpf.colorado.gov/colorado-indigent-care-program | |
| Health First Colorado Member Contact Center | 800-221-3943 (toll free) |
| TDD/TTY | 800-659-2656 (toll free) |
| Website | https://hcpf.colorado.gov |
| Program-related Assistance | 303-866-2580 |
| Email: | cicpcorresondence@state.co.us |
Appendix A Revisions Log
| Revision Date | Appendix | Made by |
|---|---|---|
| 12/01/2016 | Updated for Fiscal Agent | HPE (now Gainwell) |
| 12/27/2016 | No changes required in Colorado iC Stage II Provider Billing Manual Comment Log v0_2.xlsx | HPE (now Gainwell) |
| 1/10/2017 | Updates based on Colorado iC Stage II Provider Billing Manual Comment Log v0_3.xlsx | HPE (Now Gainwell) |
| 1/26/2017 | Updates based on Department 1/20/2017 approval email | HPE (now Gainwell) |
| 5/22/2017 | Updates based on Fiscal Agent name change from HPE to DXC | Gainwell |
| 6/7/2022 | Converted PDF to web page | HCPF |
| 8/16/2023 | Updated Department address | HCPF |