Child Health Plan Plus Frequently Asked Questions
What is Child Health Plan Plus ?
Child Health Plan Plus is low-cost health and dental insurance for Colorado’s uninsured children and pregnant women. CHP+ is public health insurance for children and pregnant women who earn too much to qualify for Health First Colorado , but not enough to afford private health insurance. Get more information.
What kind of benefits are included in Child Health Plan Plus ?
See: About Child Health Plan Plus
When should I apply for Child Health Plan Plus ?
You can apply for Child Health Plan Plus at any time. CHP+ does not have an open enrollment period.
Are children of state employees eligible for Child Health Plan Plus ?
Yes, the children of Employees of the State of Colorado may qualify for Child Health Plan Plus . Employees of the State of Colorado must meet income and eligibility criteria for the program.
How do I apply for Child Health Plan Plus ?
See: About Child Health Plan Plus and HealthFirstColorado.com for more information.
How long will it take to find out if I qualify for Child Health Plan Plus ?
If you apply online through PEAK you may find out if you qualify immediately. If you apply by mail, it may take up to 45 days to find out if you qualify.
Is there an open enrollment period for Child Health Plan Plus ?
You can apply for Child Health Plan Plus at any time. CHP+ does not have an open enrollment period.
Are there co-pays or enrollment fees for Child Health Plan Plus ?
See: Child Health Plan Plus Fees
Operation Requirements For Opening A Skilled Home Health Care Business In Colorado
In order to operate a Skilled Home Health Care Business in Colorado, the business needs to be registered as a legal operating entity. The first step is to incorporate the Skilled Home Health Care Business in Colorado. The next step is to apply for a Tax ID and NPI number. 21st Century Health Care Consultants will complete all these steps for you so you don’t have the stress of doing this all on your own.
If you would like to be able to bill Medicare for services that your agency will be providing, you will need to be certified. 21st Century Health Care Consultants will guarantee that you be Medicare Accredited agency. We will come to your location and perform a mock survey so when the real survey comes you will be fully prepared and pass with no deficiencies.
How Do I Enroll In Medicaid In Colorado
If you think you may qualify for Medicaid, you can apply a number of ways:
- Online at Colorado PEAK. Colorado PEAK is a website for applying for food, cash, and medical assistance programs. Colorados state-run health insurance exchange connects with PEAK, so youll be able to enroll in Medicaid or CHIP if you start at the exchange website, too.
Don’t Miss: Medicaid Office On Dauphin Street
Guide To Pueblo Medicaid Office Locations In Colorado
There are various Pueblo Medicaid office locations you can visit. Whether you want to apply for Colorado Medicaid benefits or you have been receiving services for the program for a while, it is important that you know where your closest office is located. In order to apply for support at one of these Pueblo Medicaid offices, you need to be a legal resident in Colorado.
Medicaid in Colorado is managed partly by the state government. The other part of the program, however, is managed federally. This means that the Pueblo Medicaid office you go to needs to adhere to Colorado and federal rules and regulations. Be sure you understand these requirements before you try to apply at your Pueblo Medicaid office. Otherwise, you could encounter delays with your application.
Medicaid Rules That Must Be Followed
If a spouse remains at home, Medicaid allows that community spouse additional assets and income to support the community spouse. In addition, Medicaid allows the applicant to have a home so long as the applicant intends to return home or a spouse, minor child remains in that home. In addition, the applicant and spouse may own irrevocable prepaid burial plans.
Medicaid has strict rules regarding gifting within five years of the application. In addition, Medicaid has strict rules regarding any annuity or life estate owned by either the applicant or the spouse. Our Colorado elder law lawyers at Jorgensen, Brownell & Pepin, P.C. can assist with the understanding and application of these various rules.
Don’t Miss: Does Medicaid Cover Spinal Cord Stimulators
Provider Search Tool Frequently Asked Questions
What is the provider search tool?
The Department of Health Care Policy and Financing website offers a Find a Doctor provider search tool for Health First Colorado and Child Health Plan Plus members to search for and contact health care providers including physicians, clinics, and dentists. Members who use this tool to search for providers should keep in mind that they also need to contact the individual provider to confirm the provider is accepting new patients.
Why is there a need for a provider search tool?
The Department maintains all Health First Colorado provider information and works to make this information accessible so that members can find providers to deliver covered services.
What information does the provider search tool contain?
The provider search tool search results provide a list of providers sorted by providers’ names:
- Provider legal name / Doing Business As name
- Provider type
How frequently is provider information updated?
The data is updated daily.
How do members use the search tool?
Members can search for providers by location, provider type, specialty, and/or name.
Applying For A Tax Id And Ein Number Are Required To Open A Skilled Home Health Care Business In Colorado
To open a Skilled a Home Health Care Business in Colorado you will need to apply for Tax ID, EIN, NPI numbers and licenses. We will contact the IRS to apply for an employer ID number, also known as an EIN. The business owner also needs a state tax permit, which we will obtain from the secretary of stateâs office upon registration. The state tax permit covers income taxes and employment taxes for the business should it require additional assistance.
You May Like: What Is Family Planning Medicaid Nc
We Review Your Application
Applications submitted online with all correct information are approved in 1-3 business days.
Applications take longer to process if they are submitted with incorrect information or expired documents.
Once your application has been processed you will get an email to the address you used to register.
How Can I Find A Dentist Who Accepts Health First Colorado
Part of DentaQuest’s role is to help Health First Colorado increase the number of dentists who accept Health First Colorado and to help members find a dentist. Contact DentaQuest customer service at the number above, or visit DentaQuest.com to find a dentist near you. You can also search for dentists on our Find a Doctor page.
Read Also: How To Get In Touch With Medicaid
How To Apply For Medicaid In Colorado
The Colorado Medicaid application form requires applicants to provide personal information. The Medicaid application process will also ask applicants to prove their identity and eligibility for benefits. Applicants will need to provide documentation including their birth certificate, employment information and much more. Additionally, they will need to know where to apply for Medicaid and learn if they can apply for Medicaid online through the state of Colorados government website. Find out more about how to apply for Medicaid in Colorado by reading the information below.
Where do you sign up for Medicaid in Colorado?
To apply for Medicaid benefits in Colorado, residents have several options. The simplest way to sign up is to apply for Medicaid online through a Colorado PEAK account for those who have regular success to a computer. Colorados state government and lets you apply to Medicaid and other benefits programs electronically. This site can also check your eligibility for enrollment in Medicaid and other government programs.
Medicaid in Colorado is locally referred to as Health First Colorado. Applicants can apply for the Childrens Health Insurance Program , which is an extension of Medicaid at the same time they are applying for Medicaid coverage. If you are unsure of where to apply for Medicaid coverage or have questions about the Colorado Medicaid form, you can call 1-800-221-3943 for assistance.
Learn more about Medicaid requirements in our free guide.
Consider Hiring A Home Health Care Consultant
Consider partnering with a Home Care Consultant that is experienced in setting up Skilled Home Health Care Businesses in Colorado. An experienced consultant can streamline the process and expedite the approval of the home care license for Colorado and becoming a Medicare provider by one of the following accreditation bodies:
When you choose your consultant, make sure they can provide you will all the necessary tools to successfully operate a home care business. This includes paperwork for all documentation that is required to operate.
Also Check: Does Disability Count As Income For Medicaid
Policy And Procedures Are Required To Open A Skilled Home Health Care Business In Colorado
When you purchase policy and procedures make sure they are professionally written and specifically include all of Colorado’s, State and Federal requirements. A Skilled Home Health Care Business policy and procedures must in Medicare’s conditions of participation and Accrediting body requirements. Operational materials such as new patient admission packets, Personal Files, Logs, Forms, In-service Education Plans, Nursing Procedures, and Committee Minutes are also required.
What Does The Dental Benefit Cover
See the Children’s Dental Benefits page for more information about benefits for Health First Colorado members under age 21.
The adult dental benefit is available to eligible adult Health First Colorado members and covers:
- Annual dental exams and cleanings
- Diagnostic and restorative dental services
- Extractions
- Other procedures requiring *prior authorization are also available.
Emergency services and dentures are not subject to the $1,500 limit per state fiscal year.
The replacement of lost, stolen, or unrepairable broken dentures are an once per member lifetime benefit.
Read Also: General Doctor That Accepts Medicaid
How To Find A Pueblo Medicaid Office In Colorado
The Pueblo, Colorado Medicaid office is accessible to all residents who live in the area. However, keep in mind that different offices may encourage you to schedule an appointment to apply onsite with representatives.
The list of Pueblo Medicaid offices are included below. Click on the Colorado office you want to apply at to learn that facilitys contact information. Furthermore, remember that you can also use this feature to learn the following information about the different Medicaid offices in Pueblo:
- The offices contact information
- Where in Colorado the facility is located
- If the Pueblo Medicaid office has a website
Start typing or scroll down to pick from the list of Pueblo Medicaid Office Locations
Additional Ui Design And Readability Adjustments
Also Check: Dentist In Salt Lake City That Accept Medicaid
There Are Many Requirements In Opening A Skilled Home Health Care Business In Colorado
Beginning a Skilled Home Health Business in Colorado is a difficult task, as enrollment and licenses for maintaining the Skilled Home Health Business are required. The business owner needs to develop a plan the services that the agency will provide to patients who need it or the elderly in the community.
Before Obtaining A Home Care License In Colorado
At first it is imperative to comprehend the differences between starting a non medical home care business versus a skilled medical home care business in Colorado. Skilled Medical Home Care Agencies as the name infers requires a physicians order and the care is given by actual skilled nurses. Non Medical home care agencies in Colorado offers non medical care such as companion and personal care. Fundamentally non-medical home care in Colorado help with every day living exercises, dinner arrangement, housekeeping and transportation. Such home care agencies are regularly indispensable for people to stay protected and happy in their homes. Private compensation as opposed to 3rd party pay sources are the most well-known type of payment for non-medical home care in Colorado. 21st Century Home Health Care had the most experience with the Colorado Home Care and Home Health Care License processes, call us today for a free consultation.
Recommended Reading: I Am Pregnant And Need To Apply For Medicaid
What You Need To Apply
- Social security numbers for applicants who have them
- Immigration document numbers for non-citizens
- The name, address, contact info, and birth date for applicants
- Employer and income information for everyone in your household. Examples include pay stubs or W2 forms.
- Other income information including Social Security Administration or Supplemental Security Income payments and mentions
- Information and policy numbers for health insurance plans covering members of your household, including Medicare
We may ask for more information if we cant verify what you tell us through our electronic data sources.
Apply now
What Is Child Health Plan Plus
Child Health Plan Plus is public low-cost health insurance for certain children and pregnant women. CHP+ has different rules for qualifying than Health First Colorado. Some individuals who earn too much for Health First Colorado qualify for CHP+.
CHP+ covers doctor visits, emergency care, preventive care such as screenings and immunizations, and other procedures and treatments. CHP+ can help you and your family get healthy and stay healthy.
What Does CHP+ Cost?
CHP+ costs vary depending on your household size and income. CHP+ members may have to pay an annual enrollment fee. This fee is due within 30 days of your CHP+ approval. If the enrollment fee is not paid within the 30 days allowed then the family will be denied and will need to re-apply. Some CHP+ clients may also have to pay co-pays to their health care provider at the time of service. Pregnant women, American Indians and Alaskan Natives do not have to pay annual enrollment fees or co-pays.
Don’t Miss: How Much Do You Have To Earn To Get Medicaid
Health First Colorado Partners With Dentaquest
Health First Colorado has partnered with DentaQuest to help our members find a dentist and help us manage our members’ dental benefits. All Health First Colorado members will receive member identification cards along with a welcome packet from DentaQuest with information about your dental benefit coverage, how to use your dental benefits, and where to get information if you have questions.
DentaQuest operates a customer service center to specifically answer Health First Colorado members’ dental questions. DentaQuest’s Member Services is available Monday through Friday between 8 a.m. and 5:00 p.m. Mountain Time at: 1-855-225-1729, TTY: 711, or at DentaQuest.com.
Aca Medicaid Eligibility Expansion In Colorado
One of the Affordable Care Acts primary strategies for reducing the uninsured rate is Medicaid expansion to cover low-income adults under the age of 65.
Medicaid expansion was a required element of the ACA as originally written. However, a coalition of states challenged Medicaid expansion and several other provisions of the ACA, and the case ended up before the Supreme Court in 2012. While the Court rejected most of the challenges, it did rule that Medicaid expansion was optional.
Fortunately for Colorados uninsured residents, the state opted to expand Medicaid. Then-Governor John Hickenlooper signed the legislation authorizing Medicaid expansion in May 2013.
As of late 2013, when the exchanges and Medicaid expansion were first up and running, about 45% of Colorados 737,000 uninsured qualified for Medicaid or CHP+ according to the Kaiser Family Foundation. And under the ACA, another 22% qualified for premium subsidies to help them afford private health insurance through the health insurance marketplace.
Coupled with the widespread job losses in the early days of the pandemic, Medicaid/CHIP enrollment has grown significantly across the country in 2020 and 2021. By early 2021, Medicaid enrollment in Colorado had surpassed 1.5 million people, and was nearly double what it had been in 2013.
As of December 2020, Medicaid expansion enrollment in Colorado was 488,200, accounting for nearly a third of the states total Medicaid/CHIP enrollment.
Don’t Miss: Yearly Income To Qualify For Medicaid
Notes Comments And Feedback
Despite our very best efforts to allow anybody to adjust the website to their needs, there may still be pages or sections that are not fully accessible, are in the process of becoming accessible, or are lacking an adequate technological solution to make them accessible. Still, we are continually improving our accessibility, adding, updating and improving its options and features, and developing and adopting new technologies. All this is meant to reach the optimal level of accessibility, following technological advancements. For any assistance, please reach out to
Colorado Has Accepted Federal Medicaid Expansion
- 1,563,445 Number of Coloradoans covered by Medicaid/CHIP as of May 2021
- 780,025 Increase in the number of Coloradoans covered by Medicaid/CHIP fall 2013 to May 2021
- 50% Reduction in the uninsured rate from 2010 to 2019
- 100% Increase in total Medicaid/CHIP enrollment in Colorado since Medicaid expansion took effect
You May Like: Priority Health Medicaid Find A Doctor
