Information by Provider Type

Instructions for Step 1

Revalidation and enrollment requirements will vary based on your provider type, so it's important that you know what provider type(s) you are or want to enroll as. 

Please review the available provider types supported in the Colorado interChange (our new claims payment system) on this web page; these are the ONLY provider types the Online Provider Enrollment tool will accept. 

Note that if you are applying as more than one type of provider (Provider Type) your Enrollment Type may be different for each application (you need to submit a separate application for each type of provider you want to enroll as).

After you have found your provider type you may move on to step 2.

Frequently Asked Questions

I provide waiver services. What provider type is this?

You are likely referring to the Home and Community Based Services (HCBS) provider type.

More Frequently Asked Questions

Terms and Definitions

RISK LEVEL

Your provider type has been designated low, moderate, or high risk as required by Federal regulation; please see our Revalidation and Enrollment FAQs for more information.

FEE REQ’D?

Your provider type may be required to pay an application fee as required by Federal regulation. Please see our Revalidation and Enrollment FAQs for more information.

NPI REQ’D?

Your provider type may be required to have a National Provider Identifier (NPI).

MEDICARE REQ’D?

Your provider type may be required to enroll as a Medicare provider before enrolling as a Colorado Medicaid provider.

OOS ALLOWED?

(Out-of-state enrollment allowed?) Most of our providers are located in Colorado, but we do allow certain types of providers to enroll even if they are located out-of-state.

BT ALLOWED?

(Border town enrollment allowed?) Most of our providers are located in Colorado, but we do allow certain types of providers to enroll if they are located in an approved border town. Please see “Appendix F" for a list of approved border towns.

Provider Types

Click on the provider types below for more enrollment details.