Appendix A

State of Colorado
Colorado Department of Health Care Policy and Financing
1570 Grant Street
Denver, CO 80203
Health First Colorado Member Contact Center   800-221-3943(toll free)
TDD/TTY   800-659-2656 (toll free)
Website   https://hcpf.colorado.gov
Office of Administrative Courts
1525 Sherman Street, 4th Floor
Denver, Colorado 80203
Phone: 303-866-2000
FAX: 303-866-5909
Colorado Indigent Care Program
Program-related Assistance   303-866-2580
Email:   cicpcorresondence@state.co.us
https://hcpf.colorado.gov/colorado-indigent-care-program

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