OAP Program Description
The Old Age Pension (OAP) Health and Medical Care Program provides limited medical care for individuals receiving Old Age Pension grants who do not qualify for Medicaid. This Program is funded through the $10 million Old Age Pension Health and Medical Care Fund established in the State's constitution and Colorado Revised Statutes. A Supplemental Old Age Pension Health and Medical Program also funds these services; with an additional $750,000. This program is 100% State-funded program and is not an entitlement. Accordingly, the authorized cap of $10,750,000 a year (including the Supplemental Program) cannot be exceeded.
The Old Age Pension was established in 1936 by an amendment to the State constitution creating article XXIV. This article was later amended in 1956 to add the Health and Medical Care Program and Fund in section 7 of the article. The Old Age Pension benefits specified in article XXIV of the State constitution require that a health and medical program be provided to anyone who qualifies to receive an Old Age Pension cash payment and who is not a patient in an institution for tuberculosis or mental disease. Certain sources of General Fund, primarily excise taxes, must be earmarked to cover the costs of the Old Age Pension benefits.
The Department of Human Services continues to have the statutory authority to administer the Old Age Pensions, the State Old Age Pension Fund, and the Old Age Pension Stabilization Fund.
The growing demand for health care services by this client population almost caused the OAP Health and Medical Program to exceed the available spending authority four times in the last five years. Expenditure reduction actions were necessary when expenditures under the program were expected to exceed the available spending authority. The following actions have been taken since FY 1999-00 to reduce expenditures under the program:
Clients are eligible to apply for the Colorado Indigent Care Program (CICP) for benefits not covered by the Old Age Pension Health and Medical Care Program. Information on the CICP can be found here for Clients and Applicants and here for Providers.
Clients should first contact their county office of Social/Human Services if the have any questions on recent changes regarding the OAP Health and Medical Care Program. The list of Social/Human Services is available at the following link: http://www.cdhs.state.co.us/servicebycounty.htm
If clients or providers need additional information on the Old Age Pension Health and Medical Care Program, Medicaid or the Colorado Indigent Care Program they should contact Medicaid Customer Service at 303-866-3513 (Metro Denver) or 1-800-221-3943 (Outside the Metro Denver Area).