Community First Choice: Understanding the PMIP (Professional Medical Information Page)

Key Takeaways

• Universal Requirement: As of October 1, 2025, a PMIP is required for all Community First Choice (CFC) enrollees, including children and adults.
• The Official Form: This is the ULTC 100.2 form used to certify medical necessity for long-term care.
  
• Licensed Signatures Only: The form must be signed by an MD, DO, NP, or PA.
• Case Management Coordination: Your Case Manager uses this form to finalize the justification for functional eligibility.

What is a Professional Medical Information Page (PMIP)?
A PMIP is the formal document (officially the ULTC 100.2) required by Colorado to certify that a Medicaid member (child or adult) meets the "institutional level of care." It acts as professional medical proof that the individual requires long-term care services at home to avoid being placed in a nursing facility, hospital, or intermediate care facility.

Does this apply to both adults and children?

Yes. The Community First Choice (CFC) program is available to Colorado residents of all ages. Whether you are seeking care for an aging parent or a child with complex needs, the medical certification process is the same.

While children are also evaluated against "Age-Appropriate Guidelines" to determine what support is "above and beyond" typical parental responsibility, the PMIP remains the mandatory medical verification that a doctor must sign for the Case Manager to proceed.

Why did Colorado change the PMIP rules for CFC?

Previously, if you were enrolled only in Community First Choice (CFC) and not a separate HCBS waiver, you might not have needed this specific page. However, per HCPF Operational Memo 26-013, Colorado is aligning with federal standards to ensure every member's medical necessity is verified by a licensed professional.

At Caregivers First Choice, we see this as an opportunity for Radical Ease. By standardizing this form, it makes it much easier to transition between different Medicaid programs in the future without repeating the entire intake process.

How do I get my PMIP completed and signed?

We know you’re already managing a household and caregiving; you don’t need more bureaucracy. Here is the most efficient path:

1. Obtain the Correct Form: Use the ULTC 100.2 Professional Medical Information Page.
2. Contact Your Medical Provider: This could be a primary care doctor, pediatrician, Physician Assistant (PA), or Nurse Practitioner (NP).
3. The Clinical Review: While an office assistant can enter basic data like your address and current medications, a licensed professional must sign and date the "Signature" section.
4. Submission: Send the completed form to your assigned Case Manager
   

   Where to Submit Your Completed PMIP

   Depending on where you live in the Denver Metro or Jefferson County area, you will likely submit your form to your case manager at one of the following Case Management Agencies:

   • Jefferson County Case Management
   • A&I Avenues (A&I)
   • Rocky Mountain Human Services (RMHS)
   • Developmental Pathways (DP)

Example: The ULTC 100.2 / PMIP Form

Figure 1: The official ULTC 100.2 form. Note the "Medical Information Section" and the "Signature of Licensed Medical Professional" at the bottom, which are the most critical parts for your doctor to complete.