Colorado Indigent Care Program (CICP) Information For Providers

Please contact the Department to request a blank copy of the 2017-18 Annual Provider Application

• Client Excel Application 
• Lawful Presence Affidavit - English
• Lawful Presence Affidavit - Spanish
• Lawful Presence Waiver

Provider Summary

• FY 2017 Data
• FY 2016 Data

Physician Billing

• FY 2017
• FY 2016

Pharmacy Billing

• FY 2017
• FY 2016

SAVE

• SAVE Access Request
• SAVE Modification/Revocation

• May 22, 2017 - Distribution Lists
• April 24, 2017 - April Stakeholder Forum
• March 28, 2017 - Client Application
• March 16, 2017 - FPL Update
• February 6, 2017 - Distribution List

• Section I Eligibility
• Section II Data Collection
• Section III Provider Audit
• Section IV Application
• Section V Miscellaneous Documents​

• Question and Answer Session
  Presentation
  Webinar

• Client Excel Application Training
  Presentation
  Webinar

• Income and Deductions Training
  Presentation
  Webinar

• ​​2015-16 Annual Training Presentation

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