Information by Provider Type

Instructions for Step 1

Enrollment requirements will vary based on the provider type, so it's important to know what provider type(s) to enroll as. 

Please review the provider types available in the Colorado interChange on this web page. 

Note that if applying as more than one GROUP OR FACILITY Enrollment Type, a separate application for each is required.  

Note that an individual enrolling via SSN is restricted to one enrollment. 

Note that if waiver services are provided, select the Home and Community Based Services (HCBS) provider type.

Once the provider type is determined, proceed to step 2.

 

Terms and Definitions

RISK LEVEL

Each provider type has been designated low, moderate, or high risk.

FEE REQ’D?

The provider type may be required to pay an application fee as required by Federal regulation.

NPI REQ’D?

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

MEDICARE REQ’D?

The provider type may be required to enroll as a Medicare provider before enrolling as a Health First Colorado provider.

OOS ALLOWED?

(Out-of-state (OOS) enrollment allowed?) The provider type allows for out-of-state service locations to enroll.

BT ALLOWED?

(Border town (BT) enrollment allowed?) the provider type allows enrollment when the service location is 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.