CDPAP Information Session Interest Form Home > CDPAP Information Session Interest Form A A A CDPAP Information Session Interest Form Name(Required) First Last Email(Required) PhoneConsumers: I have confirmed with PPL HCS as my CDPAP facilitator(Required) Yes No Unsure Consumers: I have access to my Medicaid number (CIN)(Required) Yes No N/A, I am a PA PAs: I have access to required documentation and my client's CIN(Required) Yes No N/A, I am a consumer I/we prefer to be contacted by(Required) Email Phone CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.