[email protected] 1-855-266-2427 (1-855-266-CICP) For your security, please do not send any personal information (Social Security Number, medical, legal, or financial documents, etc.) by email to the Program. Please call the above number and you will receive information on sending emails safely and securely. WebPatients who do not qualify for Medicaid, CICP or the CHP+ plan may qualify for DFAP. Eligibility is based on family size and income. DFAP is not health insurance. It cannot be …
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WebColorado Indigent Care Program. The Colorado Indigent Care Program (CICP) provides discounted health care services to low income people and families. CICP is not a health insurance program. Discounted health care services are provided throughout Colorado by hospitals and clinics that participate in the CICP. Learn more about CICP here. Webof the completed form to the CICP at the address below: Health Resources and Services Administration Countermeasures Injury Compensation Program 5600 Fishers Lane, 08N146B Rockville, MD 20857 . If you have questions contact the CICP at: 1-855-266-2427 (855-266-CICP); or. HRSA.gov/CICP. Title: CICP Authorization Form WebMar 10, 2024 · Although the CICP needs all the medical documentation that supports the injury in order to process the request, requesters may submit only this Form in order to meet the filing deadline. The CICP may also provide death benefits to certain survivors. The estate of a deceased individual may also qualify for certain medical and lost employment … population of rhyl