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Children's Habilitation Residential Program Waiver (CHRP) Support Need Level Review and Negotiated Rate Request Form
Please utilize this form to submit a request for a Support Need Level Review or Negotiated Rate for CHRP Habilitation services to the Colorado Department of Health Care Policy and Financing.
For efficient processing, ensure that you are thoroughly responding to each question and providing the necessary supporting documentation. Lack of sufficient information or incomplete responses could result in a denial.
If you encounter any difficulty completing this form or would like to schedule a technical assistance call, please outreach
hcpf_chrp@state.co.us
for support.
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