Resources, Forms & Trainings

Form to be completed and submitted it to the Provider Services Unit with application for License/Certification as a RCCF/QRTP for any RCCF’s and QRTP’s planning to enroll with Medicaid

Full checklist of rules a Qualified Residential Treatment Program must be in compliance with prior to a new license being issued

Checklist used by Licensing to review Host Family Home Youth files

Full checklist of rules a CPA must be in compliance with prior to a new license being issued

Facility Child Abuse and Neglect (Trails) Request. Links to Colorado Department of Early Childhood Background Check web site.

Child Abuse reporting acknowledgement form

Form to be completed and submitted to the Provider Services Unit for a change in Sponsoring Agency for a Specialized Group Facility when the separate governing body remains unchanged

Application form for use for yearly renewal of a Residential Child Care Facility, including those with additional services of QRTP, PRTF, Shelter Care, or Runaway and Homeless Youth. Application form for use when a licensee has previously held a one year license which was changed to a probationary license and the licensee wants to apply for the one year license to be restored.

Application form for use for yearly renewal of a Child Placement Agency license. Application form for use when a licensee has previously held a one year license which was changed to a probationary license and the licensee wants to apply for the one year license to be restored.

Application form for use when a licensee has previously held a permanent license which was changed to a probationary license and the licensee wants to apply for the permanent license to be restored. This form is also used when the licensee would be issued a permanent license based on their service type but is temporarily unable to comply with all requirements and a provisional license is issued. The licensee would use this form to apply for the permanent license.

This is the application form for a child care license to be able to operate a Qualified Residential Treatment Program (QRTP).

Form to submit an appeal to the Appeal Panel, with instructions attached