Other Health Care Options
If you are denied Health First Colorado coverage, you may be eligible for other health care programs.
- Connect for Health Colorado is a new online health insurance marketplace that opened on October 1, 2013. This marketplace is sometimes referred to as the health insurance exchange. Individuals, families and small employers can shop for and buy health insurance through the Connect for Health Colorado website. Boulder County is a Certified Connect for Health Colorado Assistance Site and has trained Health Coverage Guides to help residents enroll in health insurance. Call 303-441-1000 or email for more information or to make an appointment with a Health Coverage Guide.
- Child Health Plan Plus a low-cost health insurance program for uninsured Colorado children ages 18 and under whose families earn too much to qualify for Health First Colorado.
- Colorado Indigent Care Program is a discount rate offered at some clinics and hospitals for eligible Colorado residents.
- Apply online at Colorado Peak
- Print the application, solicitud or pick up a copy at one of our offices
You can apply for Health First Colorado at any of our offices.
- 515 Coffman Street in Longmont
- 3460 Broadway in Boulder
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
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.
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How Do I Follow Up On My Health First Colorado Application If I Havent Heard Back From The County Where I Applied
Check the status of your application online through colorado.gov/peak, even if you applied by mail, in-person, or by phone. Youll need to create a free Colorado PEAK account to check this. Or, you can contact the Local County Services Office where it was turned in.
Once the state determines you are eligible for Health First Colorado, youll get a Health First Colorado ID card and can begin using your Health First Colorado benefits.
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.
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Unitedhealthcare Dual Complete Plans
Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plans contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. This information is not a complete description of benefits. Call TTY 711 for more information. Limitations, co-payments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.
How Does Urgent Care Help Medicaid Patients Get The Care They Need
Most urgent care centers and similar walk-in clinics allow patients to get the care they need through a wide variety of healthcare services. The types of medical services offered to patients at local urgent care centers includes:
- STD Testing
- Sore Throat and Sinus Relief
- Flu Shots
- Urinary Tract Infection
- Ear Aches
For Medicaid patients, walk-in clinics and urgent care centers also provide a cost-effective resource for medical care. Compared to emergency rooms and hospitals, a greater proportion of urgent care centers accept Medicaid as a form of payment for frequently and offer affordable self-pay rates as needed.
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American Disabilities Act Notice
In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 , UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.
How Do I Enroll With Kaiser Permanente
If you are approved for Health First Colorado, the State of Colorado will assign you a Primary Care Medical Provider . You can choose another participating primary care provider at any time by calling Health First Colorado Enrollment. If you live in the Denver/Boulder area, Kaiser Permanente may be available as a Primary Care Medical Provider.
If you are approved for CHP+, the State of Colorado will automatically assign you to a Health Maintenance Organization . Kaiser Permanente is an HMO for CHP+ in the Denver/Boulder area. To select Kaiser Permanente as your HMO, call Health First Colorado Enrollment at 303-839-2120 within 90 days of CHP+ enrollment.
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.
About The Denver Colorado Medicaid Office
The Denver Colorado Medicaid Office, located in Denver, CO, administers the Medicaid program and the Children’s Health Insurance Program , in Denver. Medicaid and CHIP are federally-funded health insurance programs for low-income individuals, families, and children. Medicaid also provides health insurance to high-risk populations, including people with disabilities and low-income elder care residents.
You may contact the Medicaid Office for questions about:
- Denver Medicaid benefits
- Applying for Medicaid in Denver
- Denver healthcare and prescription drug plans
- Doctors and dentists that accept Medicaid in Denver, CO
- Making an appointment
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What Is Medicaid How Do I Know If Im Covered By Medicaid
Medicaid is one of the U.S governments public health insurance programs designed to provide anyone who meets certain income requirements with a full year of insurance. Sometimes, Medicaid is confused with Medicare, where Medicare is the similar insurance program that provides insurance to individuals over the age of 65.
Nationally, over 51 million individuals are enrolled in Medicaid health insurance according to enrollment data. As of March of 2019, over 1.2 million individuals in Colorado are enrolled in Medicaid.
In Colorado, there are two types of Medicaid programs people can enroll in. The first is Health First Colorado, which is the state-provided Medicaid program for families and individuals. The second are private Medicaid plans, or managed care plans, administered through private companies including Denver Health and Rocky Mountain Health.
A majority of healthcare providers are required to accept Medicaid coverage by law for basic healthcare services. However, some providers may not accept Medicaid for depending upon the type of service they need. In this instance, patients on Medicaid may want to make sure they have a convenient urgent care center available for their immediate medical needs.
Contact Your County Human Services Department
Colorado has a state-supervised and county-administered human services system. County departments are the main provider of direct services to Colorado’s families, children and adults. Find your county human services department by using the map or alphabetical list below.
- Adams County Department of Human Services – Westminster
772 Colorado St., Suite #1Springfield, CO 81073
448 East First St., Suite 166Salida, CO 81201
233 Main St., Suite ASan Luis, CO 81152
631 Main St., Suite 100Ordway, CO 81063
1675 W. Garden of the Gods Rd.Colorado Springs, CO 80907
2960 Dory Hill Rd., Suite 100Black Hawk, CO 80422
Hot Sulphur Springs, CO 80451
- Gunnison and Hinsdale Counties Department of Health and Human Services – Gunnison
10 Burnett Ct., First FloorDurango, CO 81301
508 South 10th Ave., Suite 2Sterling, CO 80751
109 West Main, Room 203Cortez, CO 81321
177 Sherman St., Unit 107Ridgway, CO 81432
Bailey Office Phone: 816-5939
Bailey Office Physical Address : 59865 Highway 285, 2nd Floor, Bailey, Colorado 80421
Bailey Office Mailing Address: P.O. Box 1193, Bailey, Colorado 80421
Fairplay Office Phone: 836-4139
Fairplay Office Physical Address: 825 Clark Street, Fairplay, Colorado80440
Fairplay Mailing Address: P.O. Box 968,Fairplay, Colorado80440
All Offices are closed Fridays – Office hours are 7:00 a.m. to 6:00 p.m Monday through Thursday
- Phillips County Department of Social Services – Holyoke
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Help With Medicaid Sign
Medicaid, currently known as Health First Colorado, is an insurance program for low-income individuals funded by the state and the federal government. Medicaid will pay for your doctor and dentist visits, emergency room care, medicine, preventive care such as health screenings and immunizations and other procedures and treatments, including care received outside of the Stout Street Health Center. We can help you enroll.
Medicaid/Health First Colorado services include:
- Hospital and Emergency Room Care
- Maternity, Prenatal, and Newborn Care
- Family Planning
- Physical, Occupational, and Speech Therapy
- Breast and Cervical Cancer Program
Can My Children Qualify For Health First Colorado Even If I Dont
Yes, families may find that only their children qualify for Health First Colorado coverage, or qualify for the Child Health Plan Plus program.
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What Is The Difference Between Health First Colorado Benefits And Connect For Health Colorado Health Plans
Health First Colorado and Connect for Health Colorado both offer health coverage. If you qualify for Health First Colorado, your health care will be free or at a lower cost to you and your eligible family members and you are not eligible to get financial assistance on a Connect for Health Colorado health plan.
Families may find that their children qualify for Health First Colorado or CHP+ coverage while the parents qualify to receive financial assistance on a Connect for Health Colorado health plan.
from 8 a.m. to 6 p.m.
Unitedhealthcare Senior Care Options Plan
UnitedHealthcare SCO is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plans contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our SCO program.
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How Do I Transfer My Prescriptions
Once you are assigned to Kaiser Permanente, you can speak with a pharmacy representative who can help you transfer your prescription, call Member Services.
303-338-3800, or 711
Open Monday through Fridayfrom 8 a.m. to 6 p.m.
When you call, please have your prescription number and the name and phone number of the pharmacy where you wish to transfer them from ready. Well handle the rest.
You can also visit New Member Prescription Transfer for more information on how to transfer your prescriptions.
See If You Can Sign Up For Health First Colorado
You may qualify for Health First Colorado if you meet the monthly income guidelines:
Can I still sign up for a plan through Connect for Health Colorado if I qualify for Health First Colorado?
- Yes. You can still purchase a private health insurance plan at full price if you qualify for Health First Colorado.
- NOTE: If you qualify for Health First Colorado or CHP+, you will not qualify for financial help to lower the cost of your health insurance plan through Connect for Health Colorado. You will pay full price for your health insurance plan.
I applied through Connect for Health Colorado and was told that my application was sent to Health First Colorado. Whats next?
- Watch your mail or email. You will get a notification from the State of Colorado with your application results. You will also receive a letter or email if more information is needed to complete the process.
- You may also check the results of your application through your PEAK account.
- If you do not have a PEAK account, you can create one at Colorado.gov/PEAK.
- You can use your Connect for Health Colorado log-in and password information to sign into PEAK.
- You can also use PEAK to manage your Health First Colorado or CHP+ benefits, print benefit cards, report changes and more.
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Health First Colorado Program Who Might Be Eligible
- Individuals and families who meet income limits
- Children under 19For information about childrens Medicaid benefits see Healthy Communities.
- Pregnant Women
- Children with a disability
- People ages 16-64 who are working and have a disability
- Health First Colorado Buy-in Program for Working Adults with Disabilities provides adults with disabilities, who earn too much income or have too many resources the opportunity to purchase Health First Colorado benefits. Clients will pay a monthly premium based on their income. For more information see, HCPF:Adult Buy-In.
If you need nursing home or home and community based services , please see below for information about Long-term Care Medicaid.
People Age 65 and Over: People age 65 or older who are eligible for Supplemental Security Income and/or Old Age Pension state supplemental payments are eligible for Health First Colorado.
Where Can I Find An Urgent Care That Accepts Medicaid In Denver Co
The good news for Medicaid recipients in Denver is that all of our AFC Urgent Care Denver locations accept Medicaid health insurance! Simply visit any our walk-in clinics in Denver to get the healthcare services you need for your family.
The specific types of Medicaid health plans accepted by our AFC locations includes:
- Health First Colorado
- Rocky Mountain HMO
- Denver Health Medicaid Choice
Medicaid patients shouldnt have to wait to get urgent healthcare services. These patients deserve a fast, affordable, and convenient healthcare provider that addresses all of their unique medical requirements.
AFC Urgent Care Denver has five locations in Denver Leetsdale , Cherry Creek , Denver Speer , Denver Park Hill , and Denver Highlands . If you need more information, use the maps below to get directions and contact each clinic directly!
AFC Urgent Care Denver Leetsdale:
850 S Monaco Pkwy, Suite 10Denver, CO 80224
AFC Urgent Care Denver Speer:
777 E Speer Blvd.
What Are The Income Rules In Colorado On Medicaid
Do you think you have too many assets to qualify for Medicaid assistance with nursing home costs? Think again.
At The Hughes Law Firm, P.C., in Denver, we help people just like you qualify for Medicaid benefits as well as provide assistance with many issues of elder law, VA benefits and estate planning. Let our lawyers help you understand how Colorados Medicaid income rules work.
Who Is Eligible For Medicaid In Colorado
Since 2016, Colorado Medicaid has been called Health First Colorado. Each state sets eligibility criteria for the covered populations, which must meet minimum standards set by the federal government.
Colorados income limits for Medicaid qualification are:
- 147% of FPL for children ages 0-18 children with family incomes up to 265% of FPL qualify for Child Health Plan Plus
- 200% of FPL for pregnant women pregnant women with family income up to 260% of FPL qualify for CHP+
- 138% of FPL for adults under the age of 65
Note that income refers to an ACA-specific version of modified adjusted gross income . All of the above income limits include a 5% income disregard thats added to MAGI for the purposes of determining Medicaid/CHIP eligibility for children, pregnant women, and nonelderly adults.
Colorado is also one of the states that uses state Medicaid funds to provide coverage for lawfully present children and pregnant women who have not yet been in the U.S. for five years . This has mostly been the case since 2009, but the provision was extended to apply to all income-eligible, lawfully present children and pregnant women.
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