HCBS Provider Enrollment Information

Required Training

Home and Community Based Services (HCBS) Provider Enrollment Training for New Applications

All providers submitting new HCBS enrollment applications must:

1. Watch the Enrolling as a Health First Colorado HCBS Provider Training video
   • Slide Deck
      
2. Complete the HCBS Enrollment Training Quiz scoring 90% or higher 
   • Note: if you are re-taking this quiz, it is recommended to clear your browser's cache first.
      
3. At the end of the quiz, take a screenshot of the last screen that includes your provider name and score.  In the Provider Web Portal, attach this required documentation to your new HCBS enrollment application in order to start enrollment.

Required Documentation

General Documentation for New Enrollment Applications

• Screenshot of HCBS Enrollment Training Quiz results for new enrollment applications only
• Copy of one of the following IRS documents for Employer Identification Number (EIN) enrollments only
  • SS-4 Employer Identification Number Assignment
  • IRS 147c EIN Verification letter
• Copy of the Affidavit of Lawful Presence for SSN enrollments only
• Photocopy of government-issued photo ID (i.e. Driver's License) must be attached to application
• Affidavit of Lawful Presence - Visit Provider Services website - Provider Forms section
• Malpractice/Liability insurance information must be entered on the application. However, proof of insurance is not a required attachment.
• Copy of W-9 signed within the last six months
  • Address must match one address listed on the application
  • Doing Business As (DBA) or Trade Name must be listed on Line 2 if included on the application
• Voided check or signed bank letter
  • Voided check or bank letter address must match an address on the application
  • If a bank letter is submitted, the letter must be signed by the bank within the last six months.
  • Must include account and routing numbers
     

CDPHE Requirements

The Colorado Department of Public Health and Environment (CDPHE) is contracted by the Department of Health Care Policy and Financing (HCPF) to recommend certification and licensure for applicable HCBS providers.

Please review all requirements for each HCBS specialty to determine if certification or licensure is required for your organization.

• Letter of Intent for newly enrolling provider
• CDPHE Colorado Health Facilities Interactive (COHFI) Portal for existing providers
• CDPHE License and Certification Contact Information
   

Revalidation

The federal regulation at 42 CFR § 455.414 requires that state Medicaid agencies revalidate the enrollment of all providers, regardless of provider types and/or specialties, at least every 5 years.

When revalidating businesses (EIN enrollment) that have more than one service location, a separate revalidation for each different location is required. If a fee is required, it applies to each service location. Please review the specialty information below to determine if the fee is required.

Individuals (SSN enrollment) complete only one revalidation.

Note: New specialties are not available to be added during a revalidation. If applicable they can be added via a maintenance request once revalidation is finalized and approved.

Review the Revalidation Quick Guide before beginning a revalidation through the Provider Portal.  View HCBS Provider Specialty Codes.

After reviewing the training materials, log into the Provider Web Portal to begin revalidation.
 

Service Categories

View Acronym Glossary

I want to provide services that include: