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HCBS

HCBS Waiver Services

Standard Provider Application enrollment most often requires the use of an EIN, with a few exceptions for enrollment using a SSN. This is a direct pay, or billing entity, where reimbursements are reported to the IRS as enrolled using EIN or SSN as indicated below.

Please find the applicable provider type and access all documentation needed in the following table.

Standard Provider Application

♦ EIN or SSN as indicated below
♦ Billing/direct pay entity with IRS reporting

Checklist

Additional Documentation

Adult Day Services (EIN)

X

Insurance Requirements

Alternative Care Facility (ACF) (EIN or SSN)

X

Alternative Care Facility Letter
Insurance Requirements

ACF Provider Training

Behavioral Programming (EIN)

X

 

Behavioral Therapies (Autism) (EIN or SSN)

X

 

Brain Injury (BI) Assistive Technology (EIN)

X

 

Children with Life Limiting Illness (CLLI)

• Home Health, Hospice, Personal Care/Homemaker Services (EIN)
• Therapy and Counseling (EIN or SSN)

X

 

Children’s Case Management (EIN)

X

 

Colorado Choice Transitions (CCT)

• Assistive Technology, Care Giver Education, Community Transition Services, Enhanced Nursing Services, Home Delivered Meals, Independent Living Skills Training, Intensive Case Management, Peer Mentorship, Transitional Specialized Day Rehabilitation Services (EIN)
• Dental and Vision (SSN)
• Home Modifications, Transitional Behavioral Health Supports, Transitional Substance Abuse Counseling (EIN or SSN)

X

Letter of Intent for CMHS, EBD, BI

Letter of Intent for DD, SLS

Community Mental Health Services (BI only) (EIN or SSN)

X

 

Community Transition Services (EIN)

X

 

Day Treatment (EIN)

X

 

Developmental Disabilities (EIN or SSN)

• Children’s Extensive Support
• Day Habilitation Services
• Individual Residential Services & Supports, and/or
• Supported Living Services

X

 

Developmental Disabilities - Children's Habilitative Residential Program (CHRP) (EIN or SSN)

X

 

Developmental Disabilities - Colorado Choice Transitions (CCT) DD/SLS (EIN or SSN)

X

 

Developmental Disabilities - Group Home Services (EIN or SSN)

X

 

Electronic Monitoring (EIN or SSN)

X

Electronic Monitoring Letter
Insurance Requirements

Home Modification (EIN or SSN)

X

Home Modification Letter
Insurance Requirements

In-Home Support Services (IHSS) (EIN)

X

 

Independent Living Skills Training (EIN)

X

 

Non-Medical Transportation (NMT) (EIN or SSN)

X

Non-Medical Transportation Letter

Personal Care/Homemaker (EIN)

X

Personal Care/ Homemaker Letter
Insurance Requirements

Substance Abuse Counseling (BI only) (EIN or SSN)

X

 

Supported Living Program (EIN)

X

 

Transitional Living Program (EIN)

X