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Click here to download the CHP+ Provider Manual.
Click here to download the Provider Questionnaire. The purpose of this questionnaire is to have the most accurate and up-
to-date information to ensure you receive reimbursement in a timely
manner. Please complete and return this questionnaire with your
signed contracts. Thank you
Click here to download Frequently Asked Questions regarding the transition of administrative services to Colorado Access.
Click here to download the CHP+ Notification of Other Insurance Form. Note: This form is for CHP+ provider use only and should be used when a current CHP+ member is also enrolled in another health insurance program.
Use this form for members who need to be added into the eligibility and enrollment system. Click here to download the CHP+ Add Member Request Form. Note: This form is for CHP+ provider use only.
Use this form for clients who wish to add a member to their CHP+ policy (such as a newborn baby.)
Click here to download the CHP+ Add Baby Request Form.
Please complete this form if your legal name, service location or your
taxpayer identification number (TIN) has changed and does not match your
current contract information.
Click here to download the CHP+ Provider Address Change Form.
Please complete and submit this form to add or terminate a provider
from your practice or organization.
Click here to download the CHP+ Provider Clinical Staff Update Form.
CHP+ has a wide range of free materials for distribution that contain helpful information for families interested in the programs. CHP+ offers applications, brochures and brochure holders, and posters for distribution and display across the state.
Click here to access the CHP+ site directly!
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Adobe Acrobat® Reader® are either registered trademarks or trademarks of Adobe Systems Incorporated in the United States and/or other countries.
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