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(CDASS) Client Referral Form - PCG Public Partnerships

(CDASS) Client Referral Form - PCG Public Partnerships 2026

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The document outlines the Consumer Directed Attendant Support Services (CDASS) program, detailing the client referral process, responsibilities of clients and authorized representatives, and the necessary forms for participation. It includes sections for client information, medical attestation, case management details, and guidelines for managing attendant support. The document emphasizes the importance of stable health conditions for eligibility and provides instructions for budgeting and hiring attendants. Additionally, it describes the process for creating, revising, and closing service authorizations within the PPL portal.

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Click ‘Get Form’ to open the (CDASS) Client Referral Form in the editor.
Begin by filling out the 'Client Information' section. Enter the client's name, waiver type, date of birth, social security number, complete address, telephone numbers, email address, and preferred CDASS start date.
In the 'Authorized Representative (AR)' section, indicate whether an AR is required. If yes, provide their details including name, relationship to client, and contact information.
Complete the 'Case Management' section by entering the SEP agency and case manager's information. Add any relevant comments that may assist in processing.
Review all entries for accuracy before saving your progress. Utilize our platform’s features to easily edit or adjust any fields as necessary.
Once completed, save your form and share it directly from our platform for free with your case management agency.

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What is the income limit to get Medicaid in Colorado?

Client/Authorized Representative, Case Manager or IHSS Agency must complete Care Plan Mediation Request and send to CDCO. 2. CDCO will process the referral and contact the Case Manager with in 1 business day to collect information.

What is Cdass in Colorado?

CDASS is a service delivery option that helps people with brain injuries, mental health issues, physical disabilities, spinal cord injuries and aging direct their care and attendant services.

What is the Cdass program in Colorado?

Through CDASS, individuals are empowered to hire, train and manage attendants of their choice to best fit their unique needs. Consumer Direct Care Network Colorado (CDCO) serves as the Training and Support contractor for the CDASS program. We guide individuals through training and provide program guidance.

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What is the self direction program in Colorado?

Self-direction, also called consumer-direction, is a way for people who need long-term care to receive support and stay in their homes and communities. If you are enrolled in Health First Colorado (Colorados Medicaid program), you may qualify for a certain amount of care at home.

How much does Cdass pay in Colorado?

Average CDASS hourly pay ranges from approximately $15.97 per hour for Nursing Assistant to $30.00 per hour for Personal Assistant. Salary estimated from 13 past and present job postings on Indeed.

(CDASS) Client Referral Form - PCG Public Partnerships 2026

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