Third Party User Access Tracker for CCM and Bridge
Third Party User Access Form - Revised March 7, 2025
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 June 16, 2025
Click any column header to sort numerically or alphabetically.
| Agency | Application Type | Systems | User Initials | Date Entered | Change Order # | Resolved | Date Resolved |
|---|---|---|---|---|---|---|---|
| Region 3A - LCA | Application | CCM | HLN | 06/11/2025 | REQ0203591 | No | |
| Region 3A - LCA | Application | CCM | EEK | 06/11/2025 | REQ0203592 | No | |
| Region 3A - LCA | Application | CCM | RLH | 06/11/2025 | REQ0203593 | No | |
| Region 3A - LCA | Application | CCM | ADS | 06/11/2025 | REQ0203594 | No | |
| Region 3A - LCA | Application | CCM | JMR | 06/11/2025 | REQ0203596 | No | |
| Region 2A - LCA | Application | CCM | TMB | 06/10/2025 | REQ0203088 | Yes | 06/11/2025 |
| Region 10 - LCA | Application | CCM | TAC | 06/10/2025 | REQ0202968 | Yes | 06/11/2025 |
| Region 4 - LCA | Application | CCM | TAT | 06/10/2025 | REQ0202957 | No | |
| Region 2A - LCA | Application | CCM | JFL | 06/10/2025 | REQ0203089 | No | |
| Region 6 - LCA | Application | CCM | AMR | 06/10/2025 | REQ0202953 | Yes | 06/11/2025 |
| Weld County AAA | Revocation | iC, CCM, PeakPro | EV | 06/02/2025 | REQ0200082 | Yes | 06/03/2025 |
| Developmental Pathways | Revocation | iC, CCM, PeakPro | GP | 06/02/2025 | REQ0200084 | Yes | 06/03/2025 |
| RMHS | Revocation | iC, CCM, PeakPro | AW | 06/02/2025 | REQ0200250 | Yes | 06/03/2025 |
| RMHS | Revocation | iC, CCM, PeakPro | HP | 06/02/2025 | REQ0200251 | Yes | 06/03/2025 |
| A&I Avenues | Application | MRC | MRC | 06/02/2025 | REQ0200258 | Yes | 06/03/2025 |
| Colorado Access (RAE 3 & 5) | Application | CCM | MKJ | 06/02/2025 | REQ0200353 | No | |
| Colorado Access (RAE 3 & 5) | Application | CCM | DNA | 06/02/2025 | REQ0200363 | No | |
| Developmental Pathways | Revocation | iC, CCM, PeakPro | BG | 05/29/2025 | REQ0199529 | Yes | 05/30/2025 |
| Developmental Pathways | Revocation | iC, CCM, PeakPro | DT | 05/29/2025 | REQ0199531 | Yes | 05/30/2025 |
| Developmental Pathways | Revocation | iC, CCM, PeakPro | MW | 05/29/2025 | REQ0199533 | Yes | 05/30/2025 |
| RMHS | Revocation | iC, CCM, PeakPro | SK | 05/28/2025 | REQ0198991 | Yes | 05/29/2025 |
| Developmental Pathways | Modification | iC, CCM, PeakPro | HJ | 05/28/2025 | REQ0198988 | Yes | 05/29/2025 |
| RMHS | Revocation | iC, CCM, PeakPro | CM | 05/28/2025 | REQ0198986 | Yes | 05/29/2025 |
| Colorado Access (RAE 3 & 5) | Application | CCM | KSM | 05/28/2025 | REQ0198778 | Yes | 06/03/2025 |
| Developmental Pathways | Application | iC, CCM, PeakPro | ALH | 05/28/2025 | REQ0198776 | Yes | 05/29/2025 |
| Developmental Pathways | Revocation | iC, CCM, PeakPro | RO | 05/28/2025 | REQ0198768 | Yes | 05/30/2025 |
| The Resource Exchange | Application | iC, CCM | LAW | 05/28/2025 | REQ0198763 | Yes | 05/30/2025 |
| Developmental Pathways | Reactivation | PeakPro | DW | 05/27/2025 | REQ0198547 | Yes | 06/04/2025 |
| Weld County AAA | Application | iC, CCM, PeakPro | GSE | 05/27/2025 | REQ0198132 | Yes | 05/29/2025 |
| Weld County AAA | Application | iC, CCM, PeakPro | PAO | 05/27/2025 | REQ0198131 | Yes | 05/29/2025 |
| RMHS | Application | iC, CCM, PeakPro | TAM | 05/27/2025 | REQ0198130 | Yes | 06/10/2025 |
| RMHS | Application | iC, CCM, PeakPro | LJV | 05/27/2025 | REQ0198129 | Yes | 05/29/2025 |
| Developmental Pathways | Revocation | iC, CCM, PeakPro | MS | 05/22/2025 | REQ0197808 | Yes | 05/23/2025 |
| Developmental Pathways | Revocation | iC, CCM, PeakPro | DA | 05/22/2025 | REQ0197807 | Yes | 05/23/2025 |
| Weld County AAA | Application | iC, CCM, PeakPro | MAM | 05/22/2025 | REQ0197805 | Yes | 05/28/2025 |
| Weld County AAA | Application | iC, CCM, PeakPro | JMB | 05/22/2025 | REQ0197803 | Yes | 05/28/2025 |
| RMHS | Application | iC, CCM, PeakPro | CR | 05/22/2025 | REQ0197800 | Yes | 06/04/2025 |
| RMHS | Application | CCM | ES | 05/22/2025 | REQ0197799 | Yes | 05/23/2025 |
| RMHS | Application | CCM | JSB | 05/22/2025 | REQ0197798 | Yes | 05/23/2025 |
| Center for Disabilities (TCA) | Application | CCM | EC | 05/22/2025 | REQ0197801 | Yes | 05/23/2025 |
| RMHP | Application | iC, CCM, PeakPro | AMB | 05/22/2025 | REQ0197797 | Yes | 05/28/2025 |
| The Resource Exchange | Application | iC, CCM | JMO | 05/22/2025 | REQ0197793 | Yes | 05/23/2025 |
| Colorado Access (RAE 3 & 5) | Application | CCM | MS | 05/19/2025 | REQ0196412 | Yes | 05/20/2025 |
| Talent Care (TCA) | Application | CCM | MOA | 05/19/2025 | REQ0196411 | Yes | 05/22/2025 |
| A&I Avenues | Application | iC, CCM, PeakPro | AAB | 05/19/2025 | REQ0196409 | Yes | 05/28/2025 |
| A&I Avenues | Application | iC, CCM | CW | 05/19/2025 | REQ0196392 | Yes | 05/20/2025 |
| A&I Avenues | Application | iC, CCM | ALM | 05/19/2025 | REQ0196392 | Yes | 05/20/2025 |
| Developmental Pathways | Revocation | iC, CCM, PeakPro | AT | 05/19/2025 | REQ0196383 | Yes | 05/20/2025 |
| Weld County AAA | Revocation | iC, CCM, PeakPro | SH | 05/19/2025 | REQ0196898 | Yes | 05/21/2025 |
| Developmental Pathways | Revocation | iC, CCM, PeakPro | SV | 05/19/2025 | REQ0196381 | Yes | 05/20/2025 |
| A&I Avenues | Application | PeakPro | RED | 05/20/2025 | REQ0196897 | Yes | 05/22/2025 |
| The Resource Exchange | Application | iC, CCM, PeakPro | LEC | 05/20/2025 | REQ0196896 | Yes | 05/22/2025 |
| RMHS | Reactivation | iC, CCM, PeakPro | WRS | 05/20/2025 | REQ0196895 | Yes | 06/10/2025 |
| NECALG | Application | iC, CCM, PeakPro | ANB | 05/20/2025 | REQ0196894 | Yes | 05/21/2025 |
| A&I Avenues | Application | iC, CCM, PeakPro | JLA | 05/20/2025 | REQ0196893 | Yes | 05/21/2025 |
| The Resource Exchange | Reactivation | iC, CCM, PeakPro | JVM | 05/20/2025 | REQ0196892 | Yes | 05/28/2025 |
| The Resource Exchange | Application | iC, CCM, PeakPro | EAJ | 05/20/2025 | REQ0196891 | Yes | 05/21/2025 |
| The Resource Exchange | Modification | iC, CCM, PeakPro | JBL | 05/20/2025 | REQ0196890 | Yes | 05/28/2025 |
| A&I Avenues | Application | iC, CCM, PeakPro | SAS | 06/12/2025 | REQ0203634 | Yes | 06/16/2025 |
| A&I Avenues | Revocation | iC, CCM, PeakPro | JM | 06/06/2025 | REQ0201837 | Yes | 06/06/2025 |
| A&I Avenues | Reactivation | PeakPro | BJB | 06/05/2025 | REQ0201690 | Yes | 06/09/2025 |
| A&I Avenues | Reactivation | PeakPro | KMW | 06/04/2025 | REQ0201060 | Yes | 06/09/2025 |
| Action Transition Agency (TCA) | Application | CCM | WM | 06/11/2025 | REQ0203475 | Yes | 06/13/2025 |
| Advantage Transition Agency LLC (TCA) | Application | CCM | JJC | 06/04/2025 | REQ0201034 | Yes | 06/04/2025 |
| Colorado Access (RAE 3 & 5) | Application | CCM | JCM | 06/11/2025 | REQ0203505 | Yes | 06/12/2025 |
| Colorado Access (RAE 3 & 5) | Application | CCM | DNA | 06/02/2025 | REQ0200363 | Yes | 06/03/2025 |
| Colorado Access (RAE 3 & 5) | Application | CCM | MKJ | 06/02/2025 | REQ0200353 | Yes | 06/03/2025 |
| Colorado Community Health Alliance (RAE 6 & 7) | Application | CCM | FP | 06/12/2025 | REQ0203953 | No | |
| Dept of Human Services | Application | iC, CCM | APB | 06/13/2025 | REQ0204017 | Yes | 06/13/2025 |
| Developmental Pathways | Modification | iC | AAM | 06/16/2025 | REQ0204637 | No | |
| Developmental Pathways | Modification | iC | KRL | 06/16/2025 | REQ0204623 | No | |
| Developmental Pathways | Modification | iC, CCM, PeakPro | DH | 06/16/2025 | REQ0204614 | No | |
| Developmental Pathways | Revocation | iC, CCM, PeakPro | KI | 06/16/2025 | REQ0204404 | Yes | 06/16/2025 |
| Developmental Pathways | Modification | iC | JAC | 06/12/2025 | REQ0203637 | Yes | 06/12/2025 |
| Developmental Pathways | Revocation | iC, CCM, PeakPro | KD | 06/11/2025 | REQ0203533 | Yes | 06/16/2025 |
| Developmental Pathways | Reactivation | PeakPro | XJ | 06/11/2025 | REQ0203489 | Yes | 06/13/2025 |
| Developmental Pathways | Application | iC, CCM, PeakPro | KAE | 06/11/2025 | REQ0203467 | No | |
| Developmental Pathways | Reactivation | iC | AE | 06/11/2025 | REQ0203383 | Yes | 06/16/2025 |
| Developmental Pathways | Application | iC, CCM, PeakPro | ELP | 06/10/2025 | REQ0203036 | No | |
| Developmental Pathways | Revocation | iC, CCM, PeakPro | SH | 06/10/2025 | REQ0202611 | Yes | 06/10/2025 |
| Developmental Pathways | Modification | iC, CCM, PeakPro | TDR | 06/09/2025 | REQ0202498 | Yes | 06/10/2025 |
| Developmental Pathways | Modification | iC, CCM, PeakPro | ARF | 06/09/2025 | REQ0202495 | Yes | 06/10/2025 |
| Developmental Pathways | Application | iC, CCM, PeakPro | WM | 06/09/2025 | REQ0202487 | Yes | 06/10/2025 |
| Developmental Pathways | Application | iC, CCM, PeakPro | TJS | 06/09/2025 | REQ0202483 | Yes | 06/10/2025 |
| Developmental Pathways | Application | iC, CCM, PeakPro | SND | 06/09/2025 | REQ0202478 | Yes | 06/10/2025 |
| Developmental Pathways | Application | iC, CCM, PeakPro | PB | 06/09/2025 | REQ0202468 | No | |
| Developmental Pathways | Application | iC, CCM, PeakPro | KW | 06/09/2025 | REQ0202462 | Yes | 06/10/2025 |
| Developmental Pathways | Application | iC, CCM, PeakPro | KSJ | 06/09/2025 | REQ0202456 | Yes | 06/12/2025 |
| Developmental Pathways | Application | iC, CCM, PeakPro | KP | 06/09/2025 | REQ0202454 | Yes | 06/10/2025 |
| Developmental Pathways | Application | iC, CCM, PeakPro | JDB | 06/09/2025 | REQ0202449 | Yes | 06/10/2025 |
| Developmental Pathways | Revocation | iC, CCM, PeakPro | AK | 06/09/2025 | REQ0202428 | Yes | 06/09/2025 |
| Developmental Pathways | Revocation | iC, CCM, PeakPro | ES | 06/09/2025 | REQ0202421 | Yes | 06/09/2025 |
| Developmental Pathways | Application | iC, CCM, PeakPro | FOF | 06/05/2025 | REQ0201752 | Yes | 06/09/2025 |
| Developmental Pathways | Application | iC, CCM, PeakPro | DAN | 06/05/2025 | REQ0201744 | Yes | 06/09/2025 |
| Developmental Pathways | Application | iC, CCM, PeakPro | CJG | 06/05/2025 | REQ0201735 | Yes | 06/10/2025 |
| Developmental Pathways | Application | iC, CCM, PeakPro | CEH | 06/05/2025 | REQ0201729 | Yes | 06/11/2025 |
| Developmental Pathways | Application | iC, CCM, PeakPro | CRW | 06/05/2025 | REQ0201726 | Yes | 06/09/2025 |
| Developmental Pathways | Application | iC, CCM, PeakPro | AAH | 06/05/2025 | REQ0201707 | Yes | 06/09/2025 |
| Developmental Pathways | Reactivation | PeakPro | OF | 06/05/2025 | REQ0201684 | Yes | 06/09/2025 |
| Developmental Pathways | Revocation | iC, CCM, PeakPro | TW | 06/05/2025 | REQ0201454 | Yes | 06/06/2025 |
| Developmental Pathways | Application | iC, CCM, PeakPro | KCM | 06/04/2025 | REQ0201234 | Yes | 06/09/2025 |
| Developmental Pathways | Application | iC, CCM, PeakPro | TLH | 06/04/2025 | REQ0201228 | Yes | 06/10/2025 |
| Developmental Pathways | Application | iC, CCM, PeakPro | AEC | 06/04/2025 | REQ0201225 | Yes | 06/12/2025 |
| Developmental Pathways | Application | iC, CCM, PeakPro | AMO | 06/04/2025 | REQ0201221 | Yes | 06/06/2025 |
| Developmental Pathways | Application | iC, CCM, PeakPro | AM | 06/04/2025 | REQ0201219 | Yes | 06/10/2025 |
| Developmental Pathways | Application | iC, CCM, PeakPro | MAB | 06/04/2025 | REQ0201213 | Yes | 06/10/2025 |
| Developmental Pathways | Application | iC, CCM, PeakPro | JTB | 06/04/2025 | REQ0201208 | Yes | 06/10/2025 |
| Developmental Pathways | Revocation | iC, CCM, PeakPro | SH | 06/04/2025 | REQ0201073 | Yes | 06/04/2025 |
| Foothills Gateway | Reactivation | iC, CCM, PeakPro | OAK | 06/16/2025 | REQ0204655 | No | |
| Foothills Gateway | Revocation | iC, CCM, PeakPro | SC | 06/03/2025 | REQ0200488 | Yes | 06/03/2025 |
| Foothills Gateway | Reactivation | PeakPro | KEO | 05/17/2025 | REQ0195894 | Yes | 05/20/2025 |
| Garfield County DHS | Reactivation | PeakPro | KC | 06/11/2025 | REQ0203368 | Yes | 06/16/2025 |
| Jefferson County | Reactivation | iC, CCM | AS | 06/13/2025 | REQ0204244 | Yes | 06/16/2025 |
| Jefferson County | Reactivation | iC, CCM | JML | 06/13/2025 | REQ0204218 | Yes | 06/16/2025 |
| Jefferson County | Reactivation | PeakPro | IK | 06/12/2025 | REQ0203964 | Yes | 06/16/2025 |
| Montrose County Human Services | Application | iC, CCM, PeakPro | PYM | 06/11/2025 | REQ0203499 | Yes | 06/16/2025 |
| Northeast Health Partners (RAE 2) | Application | CCM | KNG | 06/04/2025 | REQ0201191 | Yes | 06/04/2025 |
| RMHP | Revocation | PeakPro | SRC | 06/10/2025 | REQ0202626 | Yes | 06/12/2025 |
| RMHP | Revocation | iC, CCM, PeakPro | MJA | 06/05/2025 | REQ0201411 | Yes | 06/05/2025 |
| RMHP | Modification | iC, CCM | BJB | 05/16/2025 | REQ0195708 | Yes | 05/16/2025 |
| RMHS | Modification | iC, CCM, PeakPro | DLA | 06/13/2025 | REQ0204040 | No | |
| RMHS | Application | PeakPro | LVS | 06/12/2025 | REQ0203727 | Yes | 06/13/2025 |
| RMHS | Application | PeakPro | LO | 06/12/2025 | REQ0203722 | Yes | 06/13/2025 |
| RMHS | Application | PeakPro | KMG | 06/12/2025 | REQ0203719 | No | |
| RMHS | Application | CCM, PeakPro | HMW | 06/11/2025 | REQ0203568 | No | |
| RMHS | Reactivation | iC, CCM, PeakPro | JTM | 06/11/2025 | REQ0203551 | No | |
| RMHS | Reactivation | PeakPro | KDH | 06/11/2025 | REQ0203520 | No | |
| RMHS | Application | iC, CCM, PeakPro | JC | 06/11/2025 | REQ0203136 | No | |
| RMHS | Reactivation | PeakPro | EJC | 06/06/2025 | REQ0201827 | Yes | 06/11/2025 |
| RMHS | Application | CCM, PeakPro | SBO | 06/04/2025 | REQ0201673 | Yes | 06/09/2025 |
| RMHS | Application | iC, CCM, PeakPro | MLK | 06/04/2025 | REQ0201669 | Yes | 06/09/2025 |
| RMHS | Application | iC, CCM, PeakPro | CLK | 06/04/2025 | REQ0201663 | Yes | 06/10/2025 |
| RMHS | Application | iC, CCM, PeakPro | JAL | 06/04/2025 | REQ0201325 | Yes | 06/06/2025 |
| RMHS | Application | iC, CCM, PeakPro | CJF | 06/04/2025 | REQ0201320 | Yes | 06/12/2025 |
| RMHS | Application | iC, CCM, PeakPro | RRB | 06/04/2025 | REQ0201317 | Yes | 06/09/2025 |
| RMHS | Application | CCM, PeakPro | JMD | 06/04/2025 | REQ0201313 | Yes | 06/10/2025 |
| RMHS | Application | CCM, PeakPro | RIB | 06/04/2025 | REQ0201308 | Yes | 06/09/2025 |
| RMHS | Reactivation | PeakPro | LEB | 06/04/2025 | REQ0201298 | No | |
| RMHS | Reactivation | PeakPro | AGDE | 06/04/2025 | REQ0201140 | Yes | 06/05/2025 |
| RMHS | Reactivation | CCM | KJH | 06/04/2025 | REQ0201135 | Yes | 06/05/2025 |
| RMHS | Application | iC, CCM, PeakPro, COGNOS | NVB | 05/16/2025 | REQ0195581 | No | |
| The Resource Exchange | Application | iC, CCM, PeakPro | TLC | 06/11/2025 | REQ0203427 | No | |
| The Resource Exchange | Application | iC, CCM, PeakPro | RLT | 06/11/2025 | REQ0203421 | Yes | 06/12/2025 |
| The Resource Exchange | Application | iC, CCM, PeakPro | NSM | 06/11/2025 | REQ0203415 | Yes | 06/12/2025 |
| The Resource Exchange | Application | iC, CCM, PeakPro | MLT | 06/11/2025 | REQ0203405 | Yes | 06/12/2025 |
| The Resource Exchange | Application | iC, CCM, PeakPro | MHC | 06/11/2025 | REQ0203404 | No | |
| The Resource Exchange | Application | CCM, PeakPro | KMG | 06/11/2025 | REQ0203401 | No | |
| The Resource Exchange | Application | iC, CCM, PeakPro | AT | 06/11/2025 | REQ0203395 | Yes | 06/16/2025 |
| The Resource Exchange | Modification | CCM | MSM | 06/06/2025 | REQ0202099 | Yes | 06/10/2025 |
| The Resource Exchange | Modification | iC | TLP | 06/04/2025 | REQ0201131 | Yes | 06/06/2025 |
| The Resource Exchange | Modification | CCM, PeakPro | KLA | 06/03/2025 | REQ0200461 | Yes | 06/05/2025 |
| The Resource Exchange | Application | iC, CCM, PeakPro | SML | 05/16/2025 | REQ0195567 | Yes | 05/20/2025 |
| The Resource Exchange | Application | iC, CCM, PeakPro | RMB | 05/16/2025 | REQ0195566 | Yes | 05/19/2025 |
| The Resource Exchange | Application | iC, CCM, PeakPro | MFY | 05/16/2025 | REQ0195564 | Yes | 05/20/2025 |
| The Resource Exchange | Application | iC, CCM, PeakPro | LVJ | 05/16/2025 | REQ0195563 | Yes | 05/20/2025 |
| The Resource Exchange | Application | iC, CCM, PeakPro | KMM | 05/16/2025 | REQ0195562 | Yes | 05/16/2025 |
| The Resource Exchange | Application | iC, CCM, PeakPro | HMK | 05/16/2025 | REQ0195561 | Yes | 05/16/2025 |
| The Resource Exchange | Application | iC, CCM, PeakPro | ESG | 05/16/2025 | REQ0195560 | Yes | 05/19/2025 |
| The Resource Exchange | Application | iC, CCM, PeakPro | DNS | 05/16/2025 | REQ0195559 | Yes | 05/19/2025 |
| The Resource Exchange | Application | iC, CCM, PeakPro | SMS | 05/16/2025 | REQ0195558 | Yes | 05/22/2025 |
| The Resource Exchange | Application | iC, CCM, PeakPro | AAQ | 05/16/2025 | REQ0195557 | Yes | 05/22/2025 |
| Touch of Care (TCA) | Application | CCM | YDA | 06/04/2025 | REQ0201258 | Yes | 06/06/2025 |
| Weld County AAA | Application | iC, CCM, PeakPro | SJC | 06/11/2025 | REQ0203513 | Yes | 06/13/2025 |
| Weld County AAA | Revocation | iC, CCM, PeakPro | TP | 06/12/2025 | REQ0203918 | Yes | 06/12/2025 |
| Weld County AAA | Revocation | iC, CCM, PeakPro | LS | 06/12/2025 | REQ0203915 | Yes | 06/12/2025 |
| Weld County AAA | Revocation | iC, CCM, PeakPro | BS | 06/12/2025 | REQ0203910 | Yes | 06/12/2025 |
| Weld County AAA | Revocation | iC, CCM, PeakPro | CC | 06/12/2025 | REQ0203909 | Yes | 06/12/2025 |
| Weld County AAA | Revocation | iC, CCM, PeakPro | JCM | 06/12/2025 | REQ0203904 | Yes | 06/12/2025 |
| Weld County AAA | Revocation | iC, CCM, PeakPro | KRW | 06/12/2025 | REQ0203901 | Yes | 06/12/2025 |