Third Party User Access Form - Revised August 7, 2024
User Guide for completing the Third 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 December 20, 2024
Click any column header to sort numerically or alphabetically.
| Agency | Application Type | Systems | User Initials | Date Entered | Change Order # | Resolved | Date Resolved |
|---|---|---|---|---|---|---|---|
| A&I Avenues | Reactivation | iC, CCM, PeakPro | MDAR | 12/19/2024 | REQ0143888 | Yes | 12/20/2024 |
| A&I Avenues | Reactivation | iC, CCM, PeakPro | AJN | 12/19/2024 | REQ0143844 | No | |
| A&I Avenues | Application | iC, CCM, PeakPro | ALV | 12/18/2024 | REQ0143229 | No | |
| A&I Avenues | Reactivation | iC, CCM, PeakPro | ARH | 12/13/2024 | REQ0141819 | No | |
| A&I Avenues | Application | iC, CCM, PeakPro | NR | 12/12/2024 | REQ0141194 | No | |
| A&I Avenues | Application | iC, CCM, PeakPro | PMK | 11/19/2024 | REQ0133603 | Yes | 12/05/2024 |
| Champion Home Transitioning Inc (TCA) | Revocation | CCM | MM | 12/13/2024 | REQ0141883 | Yes | 12/18/2024 |
| Community Connections | Modification | iC, CCM | EAB | 12/18/2024 | REQ0143161 | No | |
| Developmental Pathways | Application | iC, CCM, PeakPro | KG | 12/17/2024 | REQ0142945 | No | |
| Developmental Pathways | Revocation | iC, CCM, PeakPro | BR | 12/17/2024 | REQ0142700 | Yes | 12/19/2024 |
| Developmental Pathways | Application | iC, CCM, PeakPro | DDM | 12/16/2024 | REQ0142417 | No | |
| Developmental Pathways | Application | iC, CCM, PeakPro | CRM | 12/16/2024 | REQ0142493 | No | |
| Developmental Pathways | Modification | iC | EBB | 12/16/2024 | REQ0142494 | No | |
| Developmental Pathways | Reactivation | CCM, PeakPro | DRK | 12/16/2024 | REQ0142501 | No | |
| Developmental Pathways | Application | iC, CCM, PeakPro | TMW | 12/12/2024 | REQ0141390 | No | |
| Developmental Pathways | Modification | iC, CCM, PeakPro | WAM | 12/11/2024 | REQ0140517 | No | |
| Developmental Pathways | Revocation | iC, CCM, PeakPro | TP | 12/09/2024 | REQ0139581 | Yes | 12/11/2024 |
| Developmental Pathways | Revocation | iC, CCM, PeakPro | DN | 12/05/2024 | REQ0138762 | Yes | 12/06/2024 |
| Developmental Pathways | Modification | iC | AMS | 12/04/2024 | REQ0138367 | Yes | 12/05/2024 |
| Developmental Pathways | Application | iC, CCM, PeakPro | AMS | 12/04/2024 | REQ0138220 | Yes | 12/05/2024 |
| Developmental Pathways | Reactivation | iC, CCM, PeakPro | AS | 12/03/2024 | REQ0137437 | Yes | 12/05/2024 |
| Developmental Pathways | Application | iC, CCM, PeakPro | IRM | 11/13/2024 | REQ0131317 | Yes | 12/03/2024 |
| Developmental Pathways | Application | iC, CCM, PeakPro | TSA | 11/07/2024 | REQ0130003 | Yes | 12/06/2024 |
| Foothills Gateway | Application | iC, CCM, PeakPro | ALP | 12/10/2024 | REQ0140065 | Yes | 12/11/2024 |
| Garfield County DHS | Reactivation | iC, PeakPro | WS | 12/03/2024 | REQ0137704 | Yes | 12/11/2024 |
| Jefferson County Social Services | Application | iC, CCM, PeakPro | DSS | 12/18/2024 | REQ0143078 | No | |
| Jefferson County Social Services | Modification | iC, CCM, PeakPro | MP | 12/11/2024 | REQ0140548 | Yes | 12/11/2024 |
| Jefferson County Social Services | Revocation | iC, CCM, PeakPro | MNL | 12/11/2024 | REQ0140538 | Yes | 12/11/2024 |
| Jefferson County Social Services | Revocation | iC, CCM, PeakPro | KM | 12/11/2024 | REQ0140523 | Yes | 12/11/2024 |
| Jefferson County Social Services | Application | iC, CCM, PeakPro | SMM | 12/10/2024 | REQ0140357 | Yes | 12/19/2024 |
| Jefferson County Social Services | Revocation | iC, CCM, PeakPro | KG | 12/02/2024 | REQ0137316 | Yes | 12/03/2024 |
| Jefferson County Social Services | Application | iC, CCM, PeakPro | ADJ | 11/27/2024 | REQ0136444 | Yes | 12/05/2024 |
| Mi Casa Transitional Services (TCA) | Reactivation | CCM | KSE | 12/04/2024 | REQ0138064 | Yes | 12/05/2024 |
| NECALG | Application | iC, CCM, PeakPro | AB | 12/19/2024 | REQ0143573 | No | |
| NECALG | Application | iC, CCM, PeakPro | AM | 12/11/2024 | REQ0140553 | No | |
| NECALG | Application | iC, CCM, PeakPro | ANDR | 12/06/2024 | REQ0139235 | Yes | 12/18/2024 |
| NECALG | Revocation | iC, CCM, PeakPro | SR | 12/06/2024 | REQ0139124 | Yes | 12/06/2024 |
| NECALG | Revocation | iC, CCM, PeakPro | TLS | 12/06/2024 | REQ0139108 | Yes | 12/06/2024 |
| NECALG | Revocation | iC, CCM, PeakPro | LAA | 12/06/2024 | REQ0139105 | Yes | 12/06/2024 |
| NECALG | Revocation | iC, CCM, PeakPro | CP | 12/06/2024 | REQ0139103 | Yes | 12/06/2024 |
| NECALG | Revocation | iC, CCM, PeakPro | HAF | 12/06/2024 | REQ0139099 | Yes | 12/06/2024 |
| NECALG | Application | iC, CCM, PeakPro | TLS | 11/14/2024 | REQ0132027 | Yes | 12/05/2024 |
| Prowers County Public Health | Revocation | iC, CCM, PeakPro | MMT | 12/20/2024 | REQ0144241 | No | |
| Rocky Mountain Health Plans | Revocation | iC, CCM, PeakPro | KC | 12/18/2024 | REQ0143041 | Yes | 12/19/2024 |
| Rocky Mountain Health Plans | Application | iC, CCM, PeakPro | MBP | 12/16/2024 | REQ0142323 | No | |
| Rocky Mountain Health Plans | Reactivation | iC, CCM, PeakPro | SES | 12/16/2024 | REQ0142329 | No | |
| Rocky Mountain Health Plans | Modification | iC, CCM | OJW | 12/13/2024 | REQ0141643 | No | |
| Rocky Mountain Health Plans | Application | iC, CCM, PeakPro | JLM | 12/10/2024 | REQ0140038 | Yes | 12/16/2024 |
| Rocky Mountain Health Plans | Application | CCM | MEJ | 12/09/2024 | REQ0139566 | Yes | 12/18/2024 |
| Rocky Mountain Health Plans | Application | CCM | NRJ | 12/09/2024 | REQ0139545 | Yes | 12/18/2024 |
| Rocky Mountain Health Plans | Application | CCM | BNL | 12/09/2024 | REQ0139536 | Yes | 12/18/2024 |
| Rocky Mountain Health Plans | Modification | CCM | BGL | 12/09/2024 | REQ0139518 | Yes | 12/11/2024 |
| Rocky Mountain Health Plans | Reactivation | iC, CCM, PeakPro | MCF | 12/04/2024 | REQ0138186 | Yes | 12/11/2024 |
| Rocky Mountain Health Plans | Application | iC, CCM, PeakPro | JJS | 10/29/2024 | REQ0126271 | Yes | 12/05/2024 |
| Rocky Mountain Human Services | Modification | iC, CCM, PeakPro | LAC | 12/19/2024 | REQ0144002 | No | |
| Rocky Mountain Human Services | Application | PeakPro | EBT | 12/19/2024 | REQ0143992 | No | |
| Rocky Mountain Human Services | Application | iC, CCM, PeakPro | AMS | 12/19/2024 | REQ0143878 | No | |
| Rocky Mountain Human Services | Application | iC, CCM, PeakPro | AJM | 12/19/2024 | REQ0143868 | No | |
| Rocky Mountain Human Services | Application | iC, CCM, PeakPro | NMJ | 12/19/2024 | REQ0143854 | No | |
| Rocky Mountain Human Services | Application | CCM | NP | 12/18/2024 | REQ0143224 | No | |
| Rocky Mountain Human Services | Application | iC, CCM, PeakPro | EHW | 12/18/2024 | REQ0143215 | No | |
| Rocky Mountain Human Services | Application | PeakPro | ATH | 12/18/2024 | REQ0143210 | No | |
| Rocky Mountain Human Services | Application | iC, CCM, PeakPro | JMF | 12/18/2024 | REQ0143201 | No | |
| Rocky Mountain Human Services | Application | CCM | ANA | 12/18/2024 | REQ0143030 | Yes | 12/18/2024 |
| Rocky Mountain Human Services | Reactivation | iC, CCM | BP | 12/17/2024 | REQ0142764 | Yes | 12/18/2024 |
| Rocky Mountain Human Services | Application | CCM | JH | 12/17/2024 | REQ0142603 | Yes | 12/20/2024 |
| Rocky Mountain Human Services | Reactivation | iC, CCM | BSP | 12/16/2024 | REQ0142262 | No | |
| Rocky Mountain Human Services | Application | iC, CCM | RB | 12/16/2024 | REQ0142267 | No | |
| Rocky Mountain Human Services | Revocation | iC, CCM, PeakPro | TL | 12/11/2024 | REQ0140757 | Yes | 12/11/2024 |
| Rocky Mountain Human Services | Revocation | iC, CCM, PeakPro | AH | 12/11/2024 | REQ0140754 | Yes | 12/11/2024 |
| Rocky Mountain Human Services | Revocation | iC, CCM, PeakPro | TL | 12/11/2024 | REQ0140748 | Yes | 12/11/2024 |
| Rocky Mountain Human Services | Revocation | iC, CCM, PeakPro | DD | 12/11/2024 | REQ0140745 | Yes | 12/11/2024 |
| Rocky Mountain Human Services | Revocation | iC, CCM, PeakPro | EP | 12/11/2024 | REQ0140733 | Yes | 12/11/2024 |
| Rocky Mountain Human Services | Application | CCM | CLS | 12/06/2024 | REQ0139356 | Yes | 12/18/2024 |
| Rocky Mountain Human Services | Application | CCM | HLO | 12/06/2024 | REQ0139353 | Yes | 12/18/2024 |
| Rocky Mountain Human Services | Application | CCM | ANA | 12/06/2024 | REQ0139350 | Yes | 12/18/2024 |
| Rocky Mountain Human Services | Application | iC, CCM, PeakPro | PGW | 12/06/2024 | REQ0139345 | No | |
| Rocky Mountain Human Services | Application | iC, CCM, PeakPro | JMW | 12/06/2024 | REQ0139340 | No | |
| Rocky Mountain Human Services | Application | CCM | MC | 12/06/2024 | REQ0139269 | Yes | 12/11/2024 |
| Rocky Mountain Human Services | Application | CCM | MLN | 12/06/2024 | REQ0139264 | Yes | 12/11/2024 |
| Rocky Mountain Human Services | Application | CCM | MAV | 12/06/2024 | REQ0139220 | Yes | 12/11/2024 |
| Rocky Mountain Human Services | Application | CCM | BO | 12/06/2024 | REQ0139214 | Yes | 12/11/2024 |
| Rocky Mountain Human Services | Application | CCM | CN | 12/06/2024 | REQ0139212 | Yes | 12/11/2024 |
| Rocky Mountain Human Services | Application | CCM | KLB | 12/05/2024 | REQ0138829 | Yes | 12/06/2024 |
| Rocky Mountain Human Services | Application | CCM | UMM | 12/05/2024 | REQ0138745 | Yes | 12/06/2024 |
| Rocky Mountain Human Services | Reactivation | PeakPro | ASM | 12/05/2024 | REQ0138501 | Yes | 12/05/2024 |
| Rocky Mountain Human Services | Application | iC, CCM, PeakPro | SLG | 12/05/2024 | REQ0138496 | Yes | 12/11/2024 |
| Rocky Mountain Human Services | Modification | iC, CCM, PeakPro | JRV | 12/04/2024 | REQ0138234 | Yes | 12/10/2024 |
| Rocky Mountain Human Services | Application | CCM | SAM | 12/04/2024 | REQ0138230 | Yes | 12/11/2024 |
| Rocky Mountain Human Services | Application | CCM | KJH | 12/04/2024 | REQ0138226 | Yes | 12/05/2024 |
| Rocky Mountain Human Services | Application | iC, CCM, PeakPro | TAF | 12/03/2024 | REQ0137571 | Yes | 12/10/2024 |
| Rocky Mountain Human Services | Application | iC, CCM, PeakPro | SS | 11/22/2024 | REQ0135015 | Yes | 12/16/2024 |
| Rocky Mountain Human Services | Application | iC, CCM, PeakPro | RAW | 11/22/2024 | REQ0135009 | Yes | 12/03/2024 |
| Rocky Mountain Human Services | Application | iC, CCM, PeakPro | HDT | 11/22/2024 | REQ0134995 | Yes | 12/03/2024 |
| Rocky Mountain Human Services | Application | iC, CCM, PeakPro | AAG | 11/22/2024 | REQ0134990 | Yes | 12/03/2024 |
| Rocky Mountain Human Services | Application | iC, CCM, PeakPro | RJS | 11/21/2024 | REQ0134658 | Yes | 12/03/2024 |
| Rocky Mountain Human Services | Application | iC, CCM, PeakPro | MTM | 11/21/2024 | REQ0134654 | Yes | 12/03/2024 |
| Rocky Mountain Human Services | Application | iC, CCM, PeakPro | LHF | 11/21/2024 | REQ0134650 | Yes | 12/20/2024 |
| Rocky Mountain Human Services | Application | iC, CCM, PeakPro | KMG | 11/20/2024 | REQ0133922 | Yes | 12/04/2024 |
| Rocky Mountain Human Services | Application | iC, CCM, PeakPro | CJH | 11/20/2024 | REQ0133916 | Yes | 12/11/2024 |
| The Resource Exchange | Revocation | iC, CCM, PeakPro | JG | 12/18/2024 | REQ0143053 | Yes | 12/19/2024 |
| The Resource Exchange | Application | iC, CCM, PeakPro | AV | 12/12/2024 | REQ0141384 | No | |
| The Resource Exchange | Application | iC, CCM, PeakPro | MVC | 12/12/2024 | REQ0141382 | No | |
| The Resource Exchange | Application | iC, CCM, PeakPro | NJA | 12/12/2024 | REQ0141380 | No | |
| The Resource Exchange | Application | iC, CCM, PeakPro | RJH | 12/12/2024 | REQ0141378 | No | |
| The Resource Exchange | Application | iC, CCM, PeakPro | KMH | 12/12/2024 | REQ0141375 | No | |
| The Resource Exchange | Application | iC, CCM, PeakPro | SMS | 12/12/2024 | REQ0141371 | Yes | 12/19/2024 |
| The Resource Exchange | Application | iC, CCM, PeakPro | TJJ | 12/12/2024 | REQ0141369 | Yes | 12/13/2024 |
| The Resource Exchange | Application | iC, CCM, PeakPro | CISC | 12/12/2024 | REQ0141363 | No | |
| The Resource Exchange | Application | iC, CCM, PeakPro | DDD | 12/12/2024 | REQ0141361 | Yes | 12/19/2024 |
| The Resource Exchange | Application | iC, CCM, PeakPro | ARG | 12/12/2024 | REQ0141360 | No | |
| The Resource Exchange | Application | iC, CCM, PeakPro | AMU | 12/12/2024 | REQ0141358 | No | |
| The Resource Exchange | Application | iC, CCM, PeakPro | BAZ | 12/12/2024 | REQ0141353 | No | |
| The Resource Exchange | Application | iC, CCM, PeakPro | NLS | 12/12/2024 | REQ0141347 | No | |
| The Resource Exchange | Application | CCM, PeakPro | SOG | 12/12/2024 | REQ0141340 | No | |
| The Resource Exchange | Application | iC, CCM, PeakPro | KNK | 12/04/2024 | REQ0137973 | Yes | 12/09/2024 |
| The Resource Exchange | Revocation | iC, CCM, PeakPro | HR | 12/02/2024 | REQ0136917 | Yes | 12/03/2024 |
| The Resource Exchange | Revocation | iC, CCM, PeakPro | KH | 12/02/2024 | REQ0136914 | Yes | 12/03/2024 |
| The Resource Exchange | Revocation | iC, CCM, PeakPro | DS | 12/02/2024 | REQ0136911 | Yes | 12/03/2024 |
| The Resource Exchange | Revocation | iC, CCM, PeakPro | OC | 12/02/2024 | REQ0136909 | Yes | 12/03/2024 |
| The Resource Exchange | Revocation | iC, CCM, PeakPro | CB | 12/02/2024 | REQ0136905 | Yes | 12/03/2024 |
| The Resource Exchange | Revocation | iC, CCM, PeakPro | MG | 12/02/2024 | REQ0136901 | Yes | 12/03/2024 |
| The Resource Exchange | Revocation | iC, CCM, PeakPro | RL | 12/02/2024 | REQ0136899 | Yes | 12/03/2024 |
| The Resource Exchange | Revocation | iC, CCM, PeakPro | JE | 12/02/2024 | REQ0136897 | Yes | 12/03/2024 |
| The Resource Exchange | Revocation | iC, CCM, PeakPro | TS | 12/02/2024 | REQ0136895 | Yes | 12/03/2024 |
| The Resource Exchange | Revocation | iC, CCM, PeakPro | CM | 12/02/2024 | REQ0136893 | Yes | 12/03/2024 |
| The Resource Exchange | Revocation | iC, CCM, PeakPro | MC | 12/02/2024 | REQ0136892 | Yes | 12/03/2024 |
| The Resource Exchange | Revocation | iC, CCM, PeakPro | NB | 12/02/2024 | REQ0136885 | Yes | 12/03/2024 |
| The Resource Exchange | Revocation | iC, CCM, PeakPro | WV | 12/02/2024 | REQ0136883 | Yes | 12/05/2024 |
| The Resource Exchange | Revocation | iC, CCM, PeakPro | DM | 12/02/2024 | REQ0136882 | Yes | 12/05/2024 |
| The Resource Exchange | Revocation | iC, CCM, PeakPro | JP | 12/02/2024 | REQ0136880 | Yes | 12/05/2024 |
| The Resource Exchange | Revocation | iC, CCM, PeakPro | LD | 12/02/2024 | REQ0136877 | Yes | 12/05/2024 |
| The Resource Exchange | Application | iC, CCM, PeakPro | ADJ | 11/12/2024 | REQ0130604 | Yes | 12/06/2024 |
| Weld County AAA | Reactivation | iC, CCM, PeakPro | JC | 12/17/2024 | REQ0142721 | Yes | 12/20/2024 |
| Weld County AAA | Reactivation | iC, CCM, PeakPro | KM | 12/05/2024 | REQ0138820 | Yes | 12/11/2024 |
| Weld County AAA | Application | iC, CCM, PeakPro | HIA | 11/19/2024 | REQ0133369 | Yes | 12/03/2024 |