Provider Information

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Early Intervention Program

All parties interested in contracting with Developmental Pathways Early Intervention should email m.coates@dpcolo.org for more information.

New Providers

W-9 Form

Vendors, Therapists, and Providers

Incident Reporting Guidelines

Consent to Share Form

Permission for Transdisciplinary Team Discussion

Provider Family Visit Agreement

Provider Family Visit Agreement (Spanish)

Early Intervention Incident Report

Medicaid Waiver Programs

PROGRAM APPROVED SERVICE AGENCIES

To provide services through any of the Medicaid Waivers, an organization must first become a Program Approved Service Agency (PASA). This means the organization has been granted permission by the state to provide a certain service.

The process requires two types of approvals:
1) You will need to complete a Medicaid provider application (become a Medicaid-approved vendor)
2) You will need to obtain a secondary kind of approval called the Program Approved Service Agency (PASA) approval.

Please visit https://www.colorado.gov/pacific/cdphe/program-approved-service-agency-pasa for more information.

For technical assistance or questions, please contact Bryce Hogle.