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Third Party User Access Tracker for CCM and Bridge

3rd Party User Access Form - Revised May 31, 2024

User Guide for completing the 3rd Party User Access Form - Updated June 10, 2024

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 June 28, 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, PeakProHAH06/11/2024REQ0079716No 
Adult Care Management, INCRevocationiC, CCM, PeakProED06/07/2024REQ0078770Yes06/10/2024
Adult Care Management, INCApplicationiC, CCM, PeakProJE05/21/2024REQ0073187Yes06/20/2024
Adult Care Management, INCApplicationiC, CCM, PeakProKXD05/02/2024REQ0066728Yes06/03/2024
Assurance Support Services Agency (TCA)ApplicationCCMHTG06/20/2024REQ0082177Yes06/20/2024
Builders of Independent Living (TCA)Application CCMBNB06/20/2024REQ0082193Yes06/20/2024
Colorado Access (RAE 3 & 5)ApplicationCCMARL06/13/2024REQ0080677Yes06/18/2024
CCHA (RAE 6)RevocationCCMJMO06/27/2024REQ0084925No 
CCHA (RAE 6)RevocationCCMEP06/27/2024REQ0084865No 
CCHA (RAE 6)ApplicationCCMRAC06/07/2024REQ0078757Yes06/10/2024
CCHA (RAE 6 & 7)ApplicationCCMMGG06/18/2024REQ0081619Yes06/18/2024
CCHA (RAE 6 & 7)ApplicationCCMAEW06/18/2024REQ0081615Yes06/18/2024
CCHA (RAE 6 & 7)ApplicationCCMALZ06/14/2024REQ0081032Yes06/18/2024
CCHA (RAE 6 & 7)RevocationCCMEG06/11/2024REQ0079743Yes06/12/2024
CCHA (RAE 6 & 7)ApplicationCCMEED06/07/2024REQ0078801Yes06/10/2024
CCHA (RAE 6 & 7)ApplicationCCMTFL06/07/2024REQ0078781Yes06/10/2024
DDRCCORevocationBUS, iC, CCM, PeakProZLE06/27/2024REQ0084673No 
Developmental PathwaysModificationiC, CCMGCT06/26/2024REQ0084231No 
Developmental PathwaysRevocationBUS, iC, CCM, PeakProMR06/25/2024REQ0083670Yes06/26/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProAP06/25/2024REQ0083667Yes06/26/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProGJS06/25/2024REQ0083664Yes06/26/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProJTG06/25/2024REQ0083650Yes06/26/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProAN06/25/2024REQ0083646Yes06/26/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProKC06/25/2024REQ0083642Yes06/26/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProJS06/25/2024REQ0083638Yes06/26/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProHH06/25/2024REQ0083633Yes06/26/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProJD06/25/2024REQ0083625Yes06/26/2024
Developmental PathwaysApplicationiC, CCM, PeakProLLK06/24/2024REQ0083247Yes06/25/2024
Developmental PathwaysApplicationiC, CCM, PeakProCWC06/21/2024REQ0082654Yes06/25/2024
Developmental PathwaysApplicationCCMAMS06/10/2024REQ0079259Yes06/11/2024
Developmental PathwaysModificationiCAH06/10/2024REQ0079248Yes06/11/2024
Developmental PathwaysApplicationiC, CCM, PeakProDNA06/10/2024REQ0079225Yes06/18/2024
Developmental PathwaysModificationCCMAB06/10/2024REQ0079161Yes06/10/2024
Developmental PathwaysModificationiC, CCMMJA06/07/2024REQ0078649Yes06/07/2024
Developmental PathwaysModificationiC, CCMTJB06/07/2024REQ0078633Yes06/07/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProKLH06/07/2024REQ0078628Yes06/07/2024
Developmental PathwaysRevocationBUS, iC, CCM, PeakProKD06/07/2024REQ0078626Yes06/07/2024
Developmental PathwaysApplicationiC, CCM, PeakProGRS06/06/2024REQ0078358Yes06/17/2024
Developmental PathwaysApplicationiC, CCM, PeakProANP06/06/2024REQ0078369Yes06/10/2024
Developmental PathwaysApplicationiC, CCM, PeakProRRO06/06/2024REQ0078329Yes06/10/2024
Developmental PathwaysApplicationiC, CCM, PeakProKEC06/06/2024REQ0078324Yes06/13/2024
Developmental PathwaysApplicationiC, CCM, PeakProKRL06/06/2024REQ0078347Yes06/13/2024
Developmental PathwaysApplicationiC, CCM, PeakProKAC06/06/2024REQ0078364Yes06/13/2024
Developmental PathwaysApplicationiC, CCM, PeakProMPL06/06/2024REQ0078338Yes06/21/2024
Developmental PathwaysApplicationiC, CCM, PeakProSLS06/06/2024REQ0078354Yes06/11/2024
Developmental PathwaysApplicationiC, CCM, PeakProKAE06/06/2024REQ0078311Yes06/07/2024
Developmental PathwaysApplicationPeakProVBA05/02/2024REQ0066516Yes06/06/2024
Focus Care TCARevocationBUS, iC, CCM, PeakProJSK06/03/2024REQ0076630Yes06/03/2024
Foothills GatewayApplicationiC, CCM, PeakProMEP06/25/2024REQ0084020No 
Foothills GatewayApplicationiC, CCM, PeakProEAD06/25/2024REQ0084009No 
Foothills GatewayApplicationiC, CCMLJS06/21/2024REQ0082994Yes06/25/2024
Foothills GatewayApplicationiC, CCMCAC06/21/2024REQ0082989Yes06/25/2024
Foothills GatewayApplicationiC, CCMECS06/21/2024REQ0082962Yes06/25/2024
Foothills GatewayApplicationiC, CCM, PeakProSLM06/20/2024REQ0082317No 
Foothills GatewayApplicationiC, CCM, PeakProMCA06/20/2024REQ0082302Yes06/24/2024
Foothills GatewayApplicationiC, CCM, PeakProVMC06/12/2024REQ0079927No 
Foothills GatewayApplicationiC, CCM, PeakProJKB06/04/2024REQ0077409Yes06/05/2024
Foothills GatewayApplicationiC, CCM, PeakProNGQ05/29/2024REQ0075382Yes06/21/2024
Foothills GatewayApplicationiC, CCM, PeakProELY05/28/2024REQ0075065Yes06/25/2024
Foothills GatewayApplicationiC, CCM, PeakProRAF05/21/2024REQ0073043Yes06/25/2024
Foothills GatewayModificationPeakProSJC05/17/2024REQ0072116Yes06/04/2024
Garfield County DHSRevocationBUS, iC, CCM, PeakProJN06/25/2024REQ0083618Yes06/26/2024
Garfield County DHSRevocationBUS, iC, CCMSB06/04/2024REQ0077057Yes06/04/2024
Garfield County DHSRevocationBUS, iCRLG05/28/2024REQ0074865No 
Garfield County DHSRevocationBUS, iCJCY05/28/2024REQ0074850No 
Garfield County DHSRevocationBUS, iCBD05/28/2024REQ0074843No 
Garfield County DHSApplicationBUS, iC, CCM, PeakProKS05/28/2024REQ0074828No 
Garfield County DHSApplicationBUS, iC, CCM, PeakProTGW05/28/2024REQ0074822No 
Garfield County DHSApplicationBUS, iC, CCM, PeakProMB05/28/2024REQ0074819No 
Garfield County DHSApplicationBUS, iC, CCM, PeakProBB05/28/2024REQ0074816No 
Garfield County DHSApplicationBUS, iC, CCM, PeakProART05/28/2024REQ0074810No 
Garfield County DHSApplicationiC, CCM, PeakProJN05/22/2024REQ0073810No 
Garfield County DHSApplicationiC, CCM, PeakProCT05/22/2024REQ0073801Yes06/06/2024
ImagineApplicationiC, CCM, PeakProACS06/12/2024REQ0080204Yes06/18/2024
ImagineApplicationiC, CCM, PeakProLNS06/11/2024REQ0079707Yes06/24/2024
ImagineApplicationiC, CCM, PeakProRRT06/11/2024REQ0079698No 
ImagineApplicationiC, CCM, PeakProETT06/06/2024REQ0078291Yes06/10/2024
ImagineApplicationiC, CCM, PeakProAMJ06/05/2024REQ0077851Yes06/27/2024
ImagineApplicationiC, CCM, PeakProMGL05/31/2024REQ0076396No 
Infiniti Home Health Care (TCA)ApplicationCCMIOA06/06/2024REQ0077974Yes06/06/2024
Jefferson County Social ServicesModificationiC, CCM, PeakProBRM06/24/2024REQ0083183No 
Jefferson County Social ServicesModificationiC, CCM, PeakProSMM06/24/2024REQ0083167No 
Jefferson County Social ServicesModificationiC, CCM, PeakProRMD06/24/2024REQ0083162No 
Jefferson County Social ServicesModificationiC, CCM, PeakProAMR06/24/2024REQ0083147No 
Jefferson County Social ServicesModificationiC, CCM, PeakProVLM06/12/2024REQ0080249No 
Jefferson County Social ServicesModificationiC, CCM, PeakProARH06/12/2024REQ0080246No 
Jefferson County Social ServicesModificationiC, CCM, PeakProLAG06/12/2024REQ0080243No 
Jefferson County Social ServicesModificationiC, CCM, PeakProCWC06/12/2024REQ0080232No 
Jefferson County Social ServicesModificationiC, CCM, PeakProCML06/07/2024REQ0078737No 
Jefferson County Social ServicesModificationiC, CCM, PeakProSMH06/07/2024REQ0078732No 
Jefferson County Social ServicesModificationiC, CCM, PeakProLAW06/07/2024REQ0078729No 
Jefferson County Social ServicesModificationiC, CCM, PeakProTJO06/07/2024REQ0078706No 
Jefferson County Social ServicesModificationiC, CCM, PeakProLMW06/07/2024REQ0078704No 
Jefferson County Social ServicesModificationiC, CCM, PeakProKAK06/07/2024REQ0078695No 
Jefferson County Social ServicesModificationiC, CCM, PeakProPP06/07/2024REQ0078693No 
Jefferson County Social ServicesModificationiC, CCM, PeakProTDH06/07/2024REQ0078690No 
Jefferson County Social ServicesModificationiC, CCM, PeakProCAK06/06/2024REQ0078467No 
Jefferson County Social ServicesModificationiC, CCM, PeakProLEB06/06/2024REQ0078461No 
Jefferson County Social ServicesModificationiC, CCM, PeakProSDC06/06/2024REQ0078455No 
Jefferson County Social ServicesModificationiC, CCM, PeakProEK06/06/2024REQ0078445No 
Jefferson County Social ServicesModificationiC, CCM, PeakProLAP06/06/2024REQ0078436No 
Jefferson County Social ServicesModificationiC, CCM, PeakProMNL06/06/2024REQ0078430No 
Jefferson County Social ServicesModificationiC, CCM, PeakProCMH06/06/2024REQ0078422No 
Jefferson County Social ServicesModificationiC, CCM, PeakProANP06/06/2024REQ0078369No 
Jefferson County Social ServicesModificationiC, CCM, PeakProKAC06/06/2024REQ0078364No 
Jefferson County Social ServicesModificationiC, CCM, PeakProSLS06/06/2024REQ0078354No 
Jefferson County Social ServicesModificationiC, CCM, PeakProKRL06/06/2024REQ0078347No 
Jefferson County Social ServicesModificationiC, CCM, PeakProKAO06/06/2024REQ0078255No 
Jefferson County Social ServicesModificationiC, CCM, PeakProLER06/06/2024REQ0078250No 
Jefferson County Social ServicesModificationiC, CCM, PeakProJAG06/06/2024REQ0078247No 
Jefferson County Social ServicesModificationiC, CCM, PeakProDT06/06/2024REQ0078233No 
Jefferson County Social ServicesModificationiC, CCM, PeakProKDD06/06/2024REQ0078220No 
Jefferson County Social ServicesModificationiC, CCM, PeakProCIG06/06/2024REQ0078215No 
Jefferson County Social ServicesModificationiC, CCM, PeakProPMB06/06/2024REQ0078203No 
Jefferson County Social ServicesModificationiC, CCM, PeakProMEP06/06/2024REQ0078153No 
Jefferson County Social ServicesModificationiC, CCM, PeakProECM06/06/2024REQ0078136No 
Jefferson County Social ServicesModificationiC, CCM, PeakProCMC06/06/2024REQ0078120No 
Jefferson County Social ServicesModificationiC, CCM, PeakProMTB06/06/2024REQ0078100No 
Jefferson County Social ServicesModificationiC, CCM, PeakProMLL06/06/2024REQ0078087No 
Jefferson County Social ServicesApplicationCCM, PeakProTMY06/04/2024REQ0077417Yes06/24/2024
Jefferson County Social ServicesRevocationBIDM, BUS, iC, CCM, PeakProDJH06/04/2024REQ0077190Yes06/04/2024
Las Animas County Social ServicesReactivationiC, CCMCRS06/24/2024REQ0083131Yes06/24/2024
Las Animas County Social ServicesModificationiC, CCMSDG06/20/2024REQ0082478Yes06/20/2024
Las Animas County Social ServicesModificationiC, CCMHAC06/20/2024REQ0082469Yes06/20/2024
Rocky Mountain Health PlansApplicationiC, CCM, PeakProGMK06/26/2024REQ0084217No 
Rocky Mountain Health PlansModificationiC, CCM, PeakProCD06/24/2024REQ0083200Yes06/25/2024
Rocky Mountain Health PlansApplicationiC, CCM, PeakProKJN06/20/2024REQ0082599Yes06/25/2024
Rocky Mountain Health PlansApplicationiC, CCMWAS06/20/2024REQ0082384No 
Rocky Mountain Health PlansApplicationiC, CCMJCC06/20/2024REQ0082250Yes06/20/2024
Rocky Mountain Health PlansApplicationiC, CCMHDB06/20/2024REQ0082223Yes06/20/2024
Rocky Mountain Health PlansApplicationiC, CCMBGN06/20/2024REQ0082214Yes06/20/2024
Rocky Mountain Health PlansRevocationBUS, iC, CCM, PeakProKJS06/13/2024REQ0080468Yes06/13/2024
Rocky Mountain Health PlansApplicationCCMMLM06/12/2024REQ0080022Yes06/12/2024
Rocky Mountain Health PlansModificationBUS, iC, CCM, PeakProSBD06/12/2024REQ0079874No 
Rocky Mountain Health PlansApplicationPeakProJGS06/11/2024REQ0079671Yes06/18/2024
Rocky Mountain Health PlansApplicationPeakProMVM06/11/2024REQ0079664Yes06/18/2024
Rocky Mountain Health PlansApplicationPeakProKDC06/11/2024REQ0079444Yes06/18/2024
Rocky Mountain Health PlansApplicationPeakProMCA06/11/2024REQ0079420Yes06/18/2024
Rocky Mountain Health PlansApplicationiC, CCM, PeakProRLG06/11/2024REQ0079396No 
Rocky Mountain Health PlansModificationiC, CCM, PeakProJCY06/11/2024REQ0079381Yes06/21/2024
Rocky Mountain Health PlansApplicationiC, CCM, PeakProKJN06/05/2024REQ0077715Yes06/07/2024
Rocky Mountain Health PlansModificationPeakProEMR06/03/2024REQ0076618No 
Rocky Mountain Health PlansModificationPeakProTMA06/03/2024REQ0076614Yes06/21/2024
Rocky Mountain Health PlansApplicationiC, CCM, PeakProCLI05/31/2024REQ0076469Yes06/10/2024
Rocky Mountain Health PlansModificationBUS, iC, CCM, PeakProSHS05/28/2024REQ0074805Yes06/20/2024
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProSMK06/27/2024REQ0084921No 
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProMPC06/27/2024REQ0084914No 
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProAJB06/27/2024REQ0084912No 
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProBLB06/27/2024REQ0084689Yes06/27/2024
Rocky Mountain Human ServicesApplicationCCM, PeakProDKA06/26/2024REQ0084278No 
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProTAM06/26/2024REQ0084239Yes06/26/2024
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProETW06/26/2024REQ0084248No 
Rocky Mountain Human ServicesApplicationCCM, PeakProMKT06/26/2024REQ0084179No 
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProTSL06/21/2024REQ0082986Yes06/26/2024
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProMAM06/21/2024REQ0082985Yes06/26/2024
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProLCH06/21/2024REQ0082981No 
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProAM06/21/2024REQ0082974No 
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProTAM06/20/2024REQ0082541Yes06/24/2024
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProHRS06/20/2024REQ0082374No 
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProSET06/20/2024REQ0082359Yes06/26/2024
Rocky Mountain Human ServicesRevocationBUS, iC, CCMAS06/11/2024REQ0079368Yes06/11/2024
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProRDH06/10/2024REQ0079173Yes06/26/2024
Rocky Mountain Human ServicesRevocationBUS, iC, CCM, PeakProDR06/10/2024REQ0079111Yes06/10/2024
Rocky Mountain Human ServicesRevocationBUS, iC, CCM, PeakProLC06/10/2024REQ0079106Yes06/10/2024
Rocky Mountain Human ServicesRevocationBUS, iC, CCM, PeakProJL06/10/2024REQ0079098Yes06/10/2024
Rocky Mountain Human ServicesRevocationBUS, iC, CCM, PeakProAR06/10/2024REQ0079078Yes06/10/2024
Rocky Mountain Human ServicesRevocationBUS, iC, CCM, PeakProCH06/10/2024REQ0079072Yes06/10/2024
Rocky Mountain Human ServicesModificationiCKSD06/07/2024REQ0078620Yes06/07/2024
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProCCA06/06/2024REQ0078399Yes06/12/2024
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProELM06/06/2024REQ0078379Yes06/20/2024
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProMEM06/06/2024REQ0078189Yes06/07/2024
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProMEH06/06/2024REQ0078184Yes06/07/2024
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProMCB06/06/2024REQ0078178Yes06/07/2024
Rocky Mountain Human ServicesApplicationPeakProKRJ06/05/2024REQ0077906Yes06/06/2024
Rocky Mountain Human ServicesApplicationPeakProRME06/05/2024REQ0077618Yes06/06/2024
Rocky Mountain Human ServicesApplicationPeakProKNG06/05/2024REQ0077604Yes06/06/2024
Rocky Mountain Human ServicesApplicationPeakProGTL06/05/2024REQ0077586Yes06/07/2024
Rocky Mountain Human ServicesApplicationPeakProEFR06/05/2024REQ0077569Yes06/07/2024
Rocky Mountain Human ServicesApplicationPeakProELD06/05/2024REQ0077564Yes06/20/2024
Rocky Mountain Human ServicesApplicationPeakProDSS06/05/2024REQ0077555Yes06/06/2024
Rocky Mountain Human ServicesApplicationPeakProMLT06/05/2024REQ0077539Yes06/06/2024
Rocky Mountain Human ServicesApplicationPeakProMSE06/05/2024REQ0077537Yes06/05/2024
Rocky Mountain Human ServicesApplicationPeakProLEB06/05/2024REQ0077533Yes06/05/2024
Rocky Mountain Human ServicesApplicationPeakProJAR06/05/2024REQ0077529Yes06/05/2024
Rocky Mountain Human ServicesApplicationPeakProICB06/05/2024REQ0077521No 
Rocky Mountain Human ServicesApplicationPeakProBCR06/05/2024REQ0077515Yes06/20/2024
Rocky Mountain Human ServicesApplicationPeakProAJL06/05/2024REQ0077509Yes06/05/2024
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProLEB05/22/2024REQ0073783Yes06/05/2024
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProKLS05/21/2024REQ0073356Yes06/04/2024
Rocky Mountain Human ServicesApplicationiC, CCM, PeakProELB05/21/2024REQ0073082Yes06/04/2024
Rocky Mountain Human ServicesApplicationPeakProSJU05/16/2024REQ0071452Yes06/24/2024
Rocky Mountain Human ServicesApplicationCCM, PeakProMKA05/07/2024REQ0068065Yes06/06/2024
The Resource ExchangeModificationiC, CCMMSM06/27/2024REQ0084826No 
The Resource ExchangeModificationiC, CCM 06/27/2024 No 
The Resource ExchangeModificationiC, CCM 06/27/2024 No 
The Resource ExchangeModificationiC, CCM 06/27/2024 No 
The Resource ExchangeModificationiC, CCMTYA06/27/2024REQ0084666Yes06/27/2024
The Resource ExchangeApplicationiC, CCMLEB06/24/2024REQ0083519Yes06/26/2024
The Resource ExchangeApplicationiC, CCMDRM06/24/2024REQ0083497Yes06/26/2024
The Resource ExchangeApplicationiC, CCMWCC06/24/2024REQ0083490Yes06/26/2024
The Resource ExchangeApplicationiC, CCMSTH06/24/2024REQ0083484Yes06/26/2024
The Resource ExchangeApplicationiC, CCMLCP06/24/2024REQ0083471Yes06/26/2024
The Resource ExchangeModificationiCBB06/21/2024REQ0082660Yes06/21/2024
The Resource ExchangeModificationiC, CCMBLB06/03/2024REQ0076793Yes06/03/2024
The Resource ExchangeApplicationiC, CCM, PeakProDMF05/24/2024REQ0074456Yes06/26/2024