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Third Party User Access Tracker for CCM and Bridge

3rd Party User Access Form - Updated December 11, 2023

User Guide for completing the 3rd Party User Access Form

Below is a list of System Access/Modification/Revocations requests that have been recently received by HCPF. If you have submitted an application in the last 48 hours, but do not see it in the list below, please email HCPF_OCLSystemApplications@state.co.us.

 

Once an application has been completed, a date will be entered in the "Resolved" column.  Depending upon volume and available resources, applications can take 7-10 business days to process. Please make sure to submit revocation forms in a timely manner for employees who are no longer working for your agency.

Updated May 24, 2024

Click any column header to sort numerically or alphabetically.   

Agency

Application Type

SystemsUser Initials

Date Entered

Change Order #

Resolved

Date Resolved

Adult Care Management, INCApplicationiC, CCM, PeakProJE05/21/2024REQ0073187No 
Adult Care Management, INCApplicationiC, CCM, PeakProKXD05/02/2024REQ0066728No 
Adult Care Management, INCApplicationiC, CCM, PeakProMLG04/29/2024REQ0065432Yes05/20/2024
Adult Care Management, INCApplicationiC, CCM, ARS04/15/2024REQ0060671Yes05/01/2024
Advantage Transition (TCA)ApplicationCCMLND05/22/2024REQ0073831No 
Altruistic Transition Agency (TCA)ApplicationCCMDMB05/24/2024REQ0074448No 
Altruistic Transition Agency (TCA)ApplicationCCMABJ05/22/2024REQ0073451Yes05/22/2024
CCHA (RAE 6 & 7)ReactivationCCMDNS05/01/2024REQ0066384Yes05/03/2024
CCHA (RAE 6 & 7)ApplicationCCMJS04/25/2024REQ0064401Yes04/29/2024
CCHA (RAE 6 & 7)RevocationCCMEC04/23/2024REQ0063332Yes04/24/2024
CCHA (RAE 6 & 7)RevocationCCMNM04/23/2024REQ0063323Yes04/24/2024
CCHA (RAE 6 & 7)RevocationCCMSH04/23/2024REQ0063289Yes04/24/2024
CCHA (RAE 6 & 7)ReactivationCCMJMO04/10/2024REQ0059214Yes04/11/2024
CCHA (RAE 6 & 7)ReactivationCCMCMB04/04/2024REQ0057160Yes04/05/2024
Community ConnectionsApplicationBUS, iC, CCM, PeakProABM04/12/2024REQ0059910Yes04/15/2024
DDRCCOApplicationPeakProCMH05/22/2024REQ0073686Yes05/23/2024
DDRCCOApplicationiC, CCMAAW05/21/2024REQ0073139Yes05/22/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProKEL05/20/2024REQ0072394Yes05/20/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProTTB05/20/2024REQ0072387Yes05/20/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProVCD05/20/2024REQ0072380Yes05/20/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProAS05/20/2024REQ0072373Yes05/20/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProKT05/20/2024REQ0072360Yes05/20/2024
Developmental PathwaysModificationiCJJP05/07/2024REQ0068285Yes05/08/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProAAF05/07/2024REQ0068236Yes05/10/2024
Developmental PathwaysModificationCCMBEE05/02/2024REQ0066775Yes05/03/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProSP05/02/2024REQ0066771Yes05/03/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProKP05/02/2024REQ0066758Yes05/03/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProAED05/02/2024REQ0066753Yes05/03/2024
Developmental PathwaysApplicationPeakProVBA05/02/2024REQ0066516No 
Developmental PathwaysModificationCCMLSG05/01/2024REQ0066345Yes05/03/2024
Developmental PathwaysModificationiC, PeakProJND04/29/2024REQ0065209Yes04/30/2024
Developmental PathwaysModificationiC, CCMKJW04/29/2024REQ0065035Yes04/30/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProOS04/23/2024REQ0063166Yes04/24/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProMA04/23/2024REQ0063158Yes04/24/2024
Developmental PathwaysReactivationBUSAJH04/18/2024REQ0062134Yes04/19/2024
Developmental PathwaysModificationiC, CCMEAS04/18/2024REQ0062127Yes04/19/2024
Developmental PathwaysModificationiCAMK04/18/2024REQ0062116Yes04/19/2024
Developmental PathwaysModificationBUS, iC, CCM, PeakProAJV04/18/2024REQ0062042Yes04/25/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProCMV04/16/2024REQ0061304Yes04/17/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProJG04/16/2024REQ0061298Yes04/17/2024
Developmental PathwaysModificationiC, PeakProKMC04/16/2024REQ0061291Yes04/22/2024
Developmental PathwaysModificationiC, PeakProAJM04/16/2024REQ0061282Yes04/16/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProAAP04/12/2024REQ0060237Yes04/17/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProMK04/12/2024REQ0060236Yes04/17/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProKB04/12/2024REQ0060235Yes04/17/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProAW04/12/2024REQ0060232Yes04/17/2024
Developmental PathwaysModificationiC, CCMKJW04/10/2024REQ0059313Yes04/11/2024
Developmental PathwaysModificationiC, CCMKLY04/10/2024REQ0059309Yes04/11/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProSIN04/10/2024REQ0059299Yes04/11/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProJM04/10/2024REQ0059291Yes04/11/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProRRB04/10/2024REQ0059288Yes04/11/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProSMA04/10/2024REQ0059286Yes04/11/2024
Developmental PathwaysApplicationiC, CCM, PeakProMAB04/03/2024REQ0056628Yes04/09/2024
Developmental PathwaysApplicationiC, CCM, PeakProROA04/03/2024REQ0056617Yes04/16/2024
Developmental PathwaysApplicationiC, CCM, PeakProMAA04/03/2024REQ0056611Yes04/09/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProJMC04/02/2024REQ0055906Yes04/02/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProLSC04/02/2024REQ0055900Yes04/02/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProJLH04/02/2024REQ0055899Yes04/02/2024
DOLAApplicationBUS, CCMSC04/18/2024REQ0062149Yes04/24/2024
DOLAApplicationBUS, CCMCDT04/18/2024REQ0062143Yes04/24/2024
DOLARevocationBUSTP04/18/2024REQ0061960Yes04/19/2024
Focus CareApplicationCCMSMM03/28/2024REQ0054509Yes04/10/2024
Foothills GatewayApplicationiC, CCM, PeakProTNE05/21/2024REQ0073074Yes05/24/2024
Foothills GatewayApplicationiC, CCM, PeakProSJB05/21/2024REQ0073065Yes05/24/2024
Foothills GatewayApplicationiC, CCM, PeakProRAF05/21/2024REQ0073043No 
Foothills GatewayApplicationiC, CCM, PeakProECN05/21/2024REQ0073022Yes05/22/2024
Foothills GatewayModificationPeakProSJC05/17/2024REQ0072116No 
Foothills GatewayRevocationiC, CCM, PeakProDMM05/17/2024REQ0071915No 
Foothills GatewayRevocationBUS, iC, CCM, PeakProJAV05/17/2024REQ0071908No 
Foothills GatewayModificationiC, CCM, PeakProKJC05/16/2024REQ0071648Yes05/20/2024
Foothills GatewayRevocationiC, CCM, PeakProAL05/15/2024REQ0070998Yes05/15/2024
Foothills GatewayModificationiC, CCM, PeakProJRA05/14/2024REQ0070725Yes05/17/2024
Foothills GatewayApplicationiC, CCM, PeakProMKM05/14/2024REQ0070557Yes05/20/2024
Foothills GatewayApplicationiC, CCM, PeakProSJC05/14/2024REQ0070455Yes05/15/2024
Foothills GatewayModificationiC, CCM, PeakProCHB05/14/2024REQ0070445Yes05/14/2024
Foothills GatewayModificationiC, CCM, PeakProDRC05/14/2024REQ0070427Yes05/14/2024
Foothills GatewayApplicationiC, CCM, PeakProKEA05/07/2024REQ0067913Yes05/08/2024
Foothills GatewayApplicationiC, CCM, PeakProRS04/23/2024REQ0063253Yes05/23/2024
Foothills GatewayApplicationiC, CCM, PeakProADH04/23/2024REQ0063237Yes04/29/2024
Foothills GatewayRevocationiC, CCM, PeakProSES04/16/2024REQ0061320Yes04/22/2024
Foothills GatewayApplicationiC, CCM, PeakProBAW04/16/2024REQ0060928Yes04/16/2024
Foothills GatewayApplicationiC, CCM, PeakProJMH04/16/2024REQ0060933Yes04/23/2024
Foothills GatewayApplicationiC, CCM, PeakProCGO04/09/2024REQ0058429Yes04/12/2024
Garfield County DHSApplicationiC, CCM, PeakProJN05/22/2024REQ0073810No 
Garfield County DHSApplicationiC, CCM, PeakProCT05/22/2024REQ0073801No 
Garfield County DHSApplicationBUS, iC, CCM, PeakProKC04/17/2024REQ0061459Yes05/17/2024
Homeward Inc. (TCA)ApplicationCCMLIM05/14/2024REQ0070698Yes05/15/2024
ImagineApplicationiC, CCM, PeakProEJH05/21/2024REQ0072985Yes05/22/2024
ImagineApplicationBUS, iC, CCMBB04/18/2024REQ0061999Yes04/24/2024
ImagineApplicationBUS, iC, CCM, PeakProARC04/18/2024REQ0061832Yes04/23/2024
ImagineModificationBUS, iC, CCMJAR04/09/2024REQ0058511Yes04/09/2024
Infiniti Home Health Care (TCA)ApplicationBUS, CCMMOK05/01/2024REQ0066029Yes05/02/2024
Jefferson County Social ServicesModificationiC, CCM, PeakProNL05/14/2024REQ0070383Yes05/14/2024
Jefferson County Social ServicesModificationiC, CCM, PeakProHMD05/14/2024REQ0070375Yes05/14/2024
Jefferson County Social ServicesModificationiC, CCM, PeakProJB05/14/2024REQ0070368Yes05/14/2024
Jefferson County Social ServicesApplicationBUS, iC, CCM, PeakProJBL04/17/2024REQ0061752Yes04/23/2024
Jefferson County Social ServicesApplicationBUS, iC, CCM, PeakProKAG04/17/2024REQ0061541Yes04/23/2024
Las Animas County Social ServicesRevocationBUS, iC, CCMCXR05/09/2024REQ0068968Yes05/10/2024
Las Animas County Social ServicesRevocationBUS, iC, CCMMEV05/09/2024REQ0068942Yes04/10/2024
Las Animas County Social ServicesApplicationBUS, iC, CCMSES04/15/2024REQ0060473Yes04/17/2024
Love Foundation 303 (TCA)ApplicationCCMLAI04/30/2024REQ0065551Yes05/02/2024
Montrose County Human ServicesApplicationiC, CCM, PeakProAJC05/14/2024REQ0070335Yes05/21/2024
Montrose County Human ServicesApplicationPeakProSLC05/08/2024REQ0068402Yes05/17/2024
Montrose County Human ServicesApplicationPeakProGI05/07/2024REQ0067849Yes05/08/2024
Montrose County Human ServicesApplicationPeakProACF05/07/2024REQ0067841Yes05/07/2024
NECALGApplicationBUS, iC, CCM, PeakProSMR04/30/2024REQ0065702Yes05/08/2024
NECALGRevocationBUS, iC, CCMVFC04/12/2024REQ0060229Yes04/17/2024
NECALGApplicationBUS, iC, CCM, PeakProLMS04/10/2024REQ0059136Yes04/17/2024
NWCCI (TCA)ApplicationCCMWT05/20/2024REQ0072762Yes05/21/2024
Prowers CountyRevocationBUS, iC, CCM, PeakProRN05/03/2024REQ0067102Yes05/06/2024
Prowers CountyApplicationBUS, iC, CCM, PeakProMMT05/03/2024REQ0067076Yes05/08/2024
Rocky Mountain Health PlansApplicationiC, CCM, PeakProHDS05/17/2024REQ0071897Yes05/21/2024
Rocky Mountain Health PlansApplicationPeakProDDE05/15/2024REQ0071219Yes05/21/2024
Rocky Mountain Health PlansApplicationPeakProARB05/09/2024REQ0069224Yes05/09/2024
Rocky Mountain Health PlansApplicationiC, CCMSDW05/09/2024REQ0069068Yes05/13/2024
Rocky Mountain Health PlansApplicationCCMJIK05/06/2024REQ0067527Yes05/08/2024
Rocky Mountain Health PlansApplicationCCMTDH05/06/2024REQ0067523Yes05/08/2024
Rocky Mountain Health PlansApplicationCCMSRE05/06/2024REQ0067517Yes05/08/2024
Rocky Mountain Health PlansApplicationCCMNJL05/06/2024REQ0067512Yes05/08/2024
Rocky Mountain Health PlansApplicationCCMNDJ05/06/2024REQ0067510Yes05/08/2024
Rocky Mountain Health PlansApplicationCCMLSF05/06/2024REQ0067505Yes05/08/2024
Rocky Mountain Health PlansApplicationCCMKDK05/06/2024REQ0067494Yes05/08/2024
Rocky Mountain Health PlansApplicationCCMKDW05/06/2024REQ0067488Yes05/08/2024
Rocky Mountain Health PlansRevocationBUS, iC, CCM, PeakProMAJ05/06/2024REQ0067314Yes05/06/2024
Rocky Mountain Health PlansApplicationiC, CCM, PeakProTLT05/02/2024REQ0066692Yes05/08/2024
Rocky Mountain Health PlansRevocationBUS, iC, CCM, PeakProTAL04/29/2024REQ0065066Yes04/30/2024
Rocky Mountain Health PlansApplicationPeakProCRT04/25/2024REQ0064265Yes05/15/2024
Rocky Mountain Health PlansApplicationiC, CCM, PeakProEAC04/23/2024REQ0063349Yes05/23/2024
Rocky Mountain Health PlansRevocationBUS, iC, CCM, PeakProCAP04/23/2024REQ0063182Yes04/24/2024
Rocky Mountain Health PlansApplicationiC, CCM, PeakProKSW04/17/2024REQ0061412Yes04/25/2024
Rocky Mountain Health PlansApplicationiC, CCM, PeakProRRM04/17/2024REQ0061404Yes04/22/2024
Rocky Mountain Health PlansApplicationiC, CCM, PeakProKRP04/17/2024REQ0061397Yes04/22/2024
Rocky Mountain Health PlansModificationPeakProHAR04/17/2024REQ0061377Yes04/17/2024
Rocky Mountain Health PlansApplicationPeakProBJB04/10/2024REQ0059157Yes04/11/2024
Rocky Mountain Health PlansApplicationiC, CCM, PeakProMTG04/10/2024REQ0059145Yes04/23/2024
Rocky Mountain Health PlansRevocationBUS, iC, CCMSJP04/08/2024REQ0057831Yes04/11/2024
Rocky Mountain Health PlansModificationiC, CCMRML04/04/2024REQ0057099Yes04/05/2024
Rocky Mountain Health PlansModificationiC, CCMTLC04/04/2024REQ0057075Yes04/05/2024
Rocky Mountain Health PlansModificationiC, CCMAES04/04/2024REQ0057067Yes04/05/2024
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProLEB05/22/2024REQ0073783No 
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProSEK05/22/2024REQ0073756Yes05/22/2024
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProMLH05/22/2024REQ0073738No 
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProCEC05/22/2024REQ0073721No 
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProMDL05/22/2024REQ0073476No 
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProJAA05/22/2024REQ0073428No 
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProKLS05/21/2024REQ0073356No 
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProKN05/21/2024REQ0073344No 
Rocky Mountain Human ServicesModificationiC, CCM, PeakProSLB05/21/2024REQ0073275Yes05/22/2024
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProELB05/21/2024REQ0073082No 
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProJKW05/20/2024REQ0072683Yes05/22/2024
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProMKK05/20/2024REQ0072662Yes05/22/2024
Rocky Mountain Human ServicesApplicationPeakProTAS05/16/2024REQ0071637Yes05/21/2024
Rocky Mountain Human ServicesApplicationPeakProJJD05/16/2024REQ0071622Yes05/22/2024
Rocky Mountain Human ServicesApplicationPeakProSJU05/16/2024REQ0071452No 
Rocky Mountain Human ServicesApplicationPeakProRMH05/15/2024REQ0070985Yes05/20/2024
Rocky Mountain Human ServicesApplicationiC, CCMJNG05/13/2024REQ0069912Yes04/15/2024
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProKZH05/10/2024REQ0069445Yes05/17/2024
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProLRC05/10/2024REQ0069437Yes05/23/2024
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProAJB05/09/2024REQ0069001Yes05/20/2024
Rocky Mountain Human ServicesReactivationiC, CCMBEE05/09/2024REQ0068931Yes05/10/2024
Rocky Mountain Human ServicesApplicationPeakProADS05/08/2024REQ0068432Yes05/09/2024
Rocky Mountain Human ServicesApplicationCCM, PeakProMKA05/07/2024REQ0068065No 
Rocky Mountain Human ServicesApplicationPeakProLDA05/06/2024REQ0067637Yes05/09/2024
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProDAG04/29/2024REQ0065337Yes05/06/2024
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProAAW04/25/2024REQ0064210Yes05/07/2024
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProAAA04/24/2024REQ0063704Yes04/29/2024
Rocky Mountain Human ServicesApplicationiC, CCMRL04/22/2024REQ0062684Yes05/06/2024
Rocky Mountain Human ServicesRevocationBUS, iC, CCMMA04/16/2024REQ0061051Yes04/17/2024
Rocky Mountain Human ServicesApplicationiC, CCMJMB04/09/2024REQ0058600Yes04/11/2024
Rocky Mountain Human ServicesApplicationiC, CCMADS04/03/2024REQ0056240Yes04/10/2024
Rocky Mountain Human ServicesModificationBUS, iC, CCMBNN04/01/2024REQ0055361Yes04/01/2024
TelligenApplicationBUS, iC, CCMJT04/02/2024REQ0055988Yes04/03/2024
The Resource ExchangeApplicationiC, CCM, PeakProDMF05/24/2024REQ0074456No 
The Resource ExchangeReactivationiC, CCMRMK05/23/2024REQ0073934No 
The Resource ExchangeApplicationiC, CCMAEK05/15/2024REQ0070951Yes05/16/2024
The Resource ExchangeModificationiCJMO05/14/2024REQ0070338Yes05/14/2024
The Resource ExchangeApplicationBUS, iC, CCM, PeakProSES05/09/2024REQ0068951Yes05/13/2024
The Resource ExchangeApplicationiCCLR05/08/2024REQ0068636Yes05/10/2024
The Resource ExchangeApplicationBUS, iC, CCM, PeakProJWS05/07/2024REQ0068113Yes05/22/2024
The Resource ExchangeApplicationBUS, CCM, PeakProAMT05/07/2024REQ0068093Yes05/13/2024
The Resource ExchangeApplicationiCAKM05/07/2024REQ0068024Yes05/09/2024
The Resource ExchangeApplicationiCCMC05/07/2024REQ0067997Yes05/07/2024
The Resource ExchangeApplicationiC, CCM, PeakProKML05/01/2024REQ0066126Yes05/17/2024
The Resource ExchangeApplicationiC, CCM, PeakProCTG04/30/2024REQ0065570Yes05/17/2024
The Resource ExchangeModificationiCKSE04/30/2024REQ0065521Yes05/02/2024
The Resource ExchangeModificationiCTMG04/30/2024REQ0065509Yes05/02/2024
The Resource ExchangeModificationiCMKW04/29/2024REQ0065438Yes04/30/2024
The Resource ExchangeModificationiCWSF04/24/2024REQ0063843Yes04/25/2024
The Resource ExchangeModificationiC, CCMSSP04/23/2024REQ0063195Yes04/25/2024
The Resource ExchangeModificationiC, CCMMCB04/23/2024REQ0063188Yes04/25/2024
The Resource ExchangeApplicationiC, CCMDLM04/19/2024REQ0062288Yes04/24/2024
The Resource ExchangeApplicationiC, CCM, PeakProLLG04/17/2024REQ0061676Yes04/17/2024
The Resource ExchangeApplicationiC, CCM, PeakProMKM04/17/2024REQ0061370Yes04/22/2024
The Resource ExchangeApplicationBUS, CCMWSF04/10/2024REQ0058881Yes04/11/2024
The Resource ExchangeApplicationiC, CCMMAE04/09/2024REQ0058362Yes04/16/2024
The Resource ExchangeApplicationiC, CCMKMQ04/09/2024REQ0058353Yes04/16/2024
The Resource ExchangeApplicationiC, CCMRMA04/09/2024REQ0058343Yes04/16/2024
The Resource ExchangeApplicationiC, CCMJES04/09/2024REQ0058323Yes04/16/2024
The Resource ExchangeModificationiCSLA04/08/2024REQ0057844Yes04/08/2024
The Resource ExchangeApplicationiCJAN04/05/2024REQ0057348Yes04/09/2024
The Resource ExchangeApplicationCCMNMM04/03/2024REQ0056269Yes04/16/2024
Transitioning Home TCAApplicationCCMNEM05/06/2024REQ0067350Yes05/08/2024
Transitioning Home TCAApplicationCCMMJ04/12/2024REQ0060241Yes04/15/2024
Transitioning Home TCAApplicationCCMDAE04/12/2024REQ0059929Yes04/12/2024
Tree of HopeApplication CCMLJC04/29/2024REQ0065151Yes05/02/2024
Weld County ModificationBUS, iC, CCMJAD04/04/2024REQ0057148Yes04/05/2024