For Mental Health Providers

Only state licensed therapists and licensure candidates who are in good standing with DORA are eligible for payment.  Victim Compensation is the payer of last resort, as such, all health insurance coverage, including Medicaid and Medicare, must be utilized before the victim compensation program can issue payment.  If you are out-of-network, you may submit a request to waive insurance to the Board.

If you have questions, please see the FAQ below or call 719-520-6000.

Mental Health Treatment Plan

All treatment plan forms MUST be typed. Every question must be answered thoroughly.  All treatment plans must be specific to each individual client. Forms that are not typed or are incomplete will be returned to the provider.

Initial Treatment Plan

This form may be submitted when you have 4 or fewer approved sessions remaining:

Progress Report and Extension Request (attachment)

*Note: Although CVC records are confidential by C.R.S. 24-4.1-107.5, a judge may order the release of records. If such order is issued, the treatment plan may be subject to discovery in court proceedings.

Frequently Asked Questions from Mental Health Providers

What other services does CVC help cover?

Please click here.

I have a client that I believe qualifies for CVC assistance, where can we find an application?

You can find an application here.

How do I get on your referral list?

We do not have a “referral” or “approved providers” list. We do keep a log of providers who are willing to work with our program. This list will be available for victims, upon request, as they are looking for a provider.  Please call 719-520-6000 and ask to speak with the Victim Compensation Administrator to be added to this list.

Where do I get the necessary paperwork to be able to work with a victim of crime in the 4^th Judicial District?

The forms are available on this website.  Please click here .

How do I know if funds have been approved for my client?

Victims will receive an e-mail or letter indicating that they have been approved for sessions. The letter will state the specific number

of sessions that have been approved.  Please ask your client for a copy of the letter and review it carefully.

How do I request more sessions?

Please submit a Progress Report and Extension Request. 

The Board will review your request and your client will be notified of the Board’s decision.

How much money is available for my client?

The Board will consider a maximum of 63 sessions per victim.  All funds are approved in stages and require the submission

of a progress report and extension request at specific intervals to continue treatment.

What rate does CVC pay?

$150 per individual session provided by a licensed provider

$75 per group/family session provided by a licensed provider

Sessions provided by a licensure candidate are paid at half the rate.

Where do I send bills/invoices, treatment plans/extensions, referrals or other requests?

Providers may submit documentation by any of the following options:

• Electronically through the web-based portal (contact the CVC program administrator for access)
• By e-mail to daovictimcompensation@da4colorado.gov
• By fax to 719-356-8399
• Mail to:

Crime Victim Compensation

105 E. Vermijo Avenue

Colorado Springs, CO 80903

Who can I call if I have questions?

Please send inquires to daovictimcompensation@da4colorado.gov or call 719-520-6000