PMIP Colorado: The Professional Medical Information Page Explained

The Professional Medical Information Page — PMIP — is a required intake document that Colorado Case Management Agencies need before they can schedule an assessment for waiver services. As of 2026, no PMIP means no intake appointment. It's the gatekeeper form, and it trips up families who don't know about it until they call the CMA and get told to come back when it's done.

What the PMIP Contains

The PMIP is a structured medical summary that captures:

• Primary diagnoses — developmental, psychiatric, medical
• Functional limitations — what the individual can and cannot do independently in daily living, communication, self-care, mobility
• Current medications and their purposes
• Medical history relevant to the disability determination
• Provider recommendations for support needs

The form is completed with the individual's medical information and signed by a licensed medical professional, such as a physician, physician assistant, nurse practitioner, or nurse. It's not a self-reported document.

Why the CMA Requires It

The PMIP feeds into the CMA's developmental disability determination and level-of-care assessment. Colorado uses the PMIP to pre-screen whether the individual is likely to meet the institutional level-of-care threshold required for HCBS waiver enrollment. Without it, the CMA doesn't have the medical foundation to proceed with the intake.

Think of it as the medical counterpart to the SSA's Adult Disability Report (SSA-3368). The SSA form goes to the federal system for SSI purposes. The PMIP goes to the state-level CMA system for waiver purposes. Both are required, and neither satisfies the other.

The Colorado Single Assessment (CSA)

The PMIP is one piece of a larger puzzle. Colorado is transitioning its assessment tools to the Colorado Single Assessment (CSA), a comprehensive evaluation that creates a unified profile of a member's medical, functional, and support needs across all programs.

For new adults enrolling in HCBS waivers, the CMA currently uses the Interim Support Level Assessment (ISLA) — a subset of CSA questions that assigns a Support Level. The Support Level determines the individual's authorized service budget: how many hours of personal care, day habilitation, supported employment, and other services the waiver will fund.

Members who were assessed under the old Supports Intensity Scale (SIS) keep their current Support Level unless a formal Support Level Review is requested due to a change in condition. If you believe the assigned Support Level underestimates your adult child's needs, you can request an SLR through the case manager.

Getting the PMIP Done

1. Download the current form from your CMA or HCPF — use the version they provide rather than a generic or outdated copy
2. Schedule an appointment with the primary care provider specifically for the PMIP. Don't try to squeeze it into a routine 15-minute visit — the doctor needs time to document functional limitations thoroughly
3. Bring supporting documentation to the appointment: the most recent psychological evaluation, school IEP, adaptive behavior assessment, and any specialist reports. The more context the doctor has, the stronger the PMIP
4. Follow up within a week — some providers delay paperwork. Call the office and confirm the PMIP has been faxed or mailed to the CMA
5. Call the CMA to confirm receipt and schedule the intake assessment

Common PMIP Problems

The provider writes too little. A PMIP that says "intellectual disability" and nothing else doesn't give the CMA what it needs for the level-of-care determination. Push for specific functional descriptions: "requires physical prompting for all self-care tasks," "cannot manage medication independently," "needs 1:1 supervision in community settings."

The provider is unfamiliar with the form. Many primary care doctors haven't seen a PMIP before. Bringing a completed example (redacted) or the CMA's instructions for providers can help.

The provider charges for it. Medical records and form completion fees are not uncommon. If cost is an issue, community health centers and Federally Qualified Health Centers may complete the form at lower cost or on a sliding scale.

The Colorado SSI at 18 & Adult Disability Benefits Guide includes a document inventory checklist that covers the PMIP alongside every other form in the adult benefits pipeline — so you know what needs to go where and in what order.

See more Colorado guides →