Bill of Rights
Notice of Privacy
Notice of Non-Discrimination
How to appoint a representative with CMS Form 1696
Send this form to the same location where you are sending (or have already sent) your appeal if you are filing an appeal, grievance or complaint if you are filing a grievance or complaint, or an initial determination or decision if you are requesting an initial determination or decision.
If additional help is needed, contact 1-800-MEDICARE (1-800-633-4227) or your Medicare plan. TTY users please call 1-877-486-2048.
Grievances & Appeals
If you wish to file a grievance or appeal for denial of coverage, please use our form on this page.
Call 1-800-MEDICARE or 1-800-633-4227. To reach the State Administering Agency, please call (303) 866-2993 where you will be directed to the PACE contact person. In addition, you may call the Colorado PACE ombudsman at Disability Law Colorado at (303) 772-0300.