Provider Information

Provider Alerts

Colorado Medicaid and CHP+ Provider Revalidation & Enrollment Begins September 15, 2015

New federal regulations established by the Centers for Medicare and Medicaid Services (CMS) require enhanced screening and revalidation of all Medicare, Medicaid, and CHP+ providers.

Beginning September 15, 2015, all Colorado providers who want to continue, or begin, providing services to Medicaid and CHP+ members after March 31, 2016, will be required to enroll and revalidate their licensure and business information under new federal enrollment screening criteria.

Based on CMS’ provider type and risk designation, this process may include a criminal background check, fingerprinting, and unannounced site visits – including pre-enrollment site visits for some providers. Visit our provider resources page for information specific to your provider type and information specific to the HCBS service provided (if applicable). Providers who fail to revalidate and enroll by March 31, 2016 may have their claims suspended or denied.

Please view this Revalidation Information packet for more information.

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Internal Information Forms

Use the MS Word version to fill in the form on your PC. Save the document for your records and email to Provider Relations at You may also print the document, fill it out and mail it to Colorado Health Networks at:

9925 Federal Drive, Suite 100
Colorado Springs, CO 80921
or fax to:
(719) 538-1433