COHMIS Program Set Up Form (Metro Denver)

  • COHMIS Program Set Up Form

    *Please note the project set up turnaround is within 7 business days of form submission*

  • AGENCY INFORMATION

  • Today's Date*
     - -

  • PROGRAM INFORMATION

  • When does the program begin?*
     - -
  • Are you currently serving clients in this program?*
  • If the program start date is prior to the date you are submitting this form, do you plan to backdate the clients who have been served in this program but have not yet been enrolled into HMIS?
  • When does the program end (if applicable)?
     - -
  • What is the grant start date?*
     - -
  • Does this program provide vouchers for people to stay in a motel or hotel?*
  • Is this a seasonal program that only offers beds or vouchers during certain months of the year?*
  • Does this program consist of ONLY overflow beds?*

  • COORDINATED ENTRY INVOLVEMENT

  • Will this program receive referrals from Coordinated Entry/OneHome?*

  • If yes, you MUST complete the Housing Program Eligibility Form

    We will use this form to configure Coordinated Entry Eligibility components for this program in HMIS. 

    Thank you! 

  • Is this program designated by MDHI's Coordinated Entry team as a Coordinated Entry Access Point?*
  • Will you be completing Coordinated Entry (OneHome) Assessments In this Street Outreach Program?

  • FUNDING SOURCES - PLEASE READ

    Funding source (grant start) dates MUST correspond with the project operating start date. There should not be a gap between when the project begins operation and when the funding begins. You must explain any gaps in the comment section below. One example of when this is acceptable is if a program has been funded since its operating start date, and you are now adding another funding source.
  • Is this program funded by a FEDERAL funding source? (i.e., CoC, HRP (formerly ESG), RHY, VA, etc.*
  • Funding Type (Federal)
  • Is this program funded by any of the following Colorado entities?*
  • Which DOLA Funding type?
  • If this program has multiple funding sources, will 100% of clients be served under all funding sources? If not, MDHI will reach out to you for more information.*

  • SPECIAL INITIATIVES

  • Is this program part of the Mayor's "All In Mile High/AIMH" initiative in conjunction with HOST? If "yes," this program will be set up under HOST's Encampment Response Collaborative Agency in HMIS. Please contact the MDHI HelpDesk if you have questions.*
  • Is this program part of HOST's Rapid Resolution Initiative?*
  • Is this program part of the Navigation Campus Initiative?*

  • AUTO EXITS

  • Do you want to add auto exits? Auto exits are based on the last service received/last activity
  • Please specify auto exit timeframe

  • SERVICES

  • Would you like to add services to this program? If "Yes," please click on the link to the Request for HMIS Services Form that appears after submitting this form*

  • THIS SECTION IS REQUIRED FOR EMERGENCY SHELTER OR ANY HOUSING PROGRAM

  • COHMIS Housing Project Inventory Setup Form

    This form serves two purposes—confirming adequate setup of projects in HMIS, which will then be used to generate the Housing Inventory Count (HIC) which is submitted to the U.S. Department of Housing and Urban Development (HUD). This form must be filled out for Emergency Shelters, Permanent (Supportive) Housing, Transitional Housing, and Rapid-Rehousing programs.
  • Housing Inventory Start Date *THIS DATE MUST BE ON OR AFTER THE PROJECT START DATE*
     - -
  • Housing Inventory End Date (if applicable)
     - -
  • Do you have beds/vouchers dedicated to Youth or Veterans?

  • Of the total number of beds/vouchers for all clients (you must choose at least one):

  • Should be Empty: