A child born to a woman on Medicaid or Child Health Plan Plus, CHP+, is guaranteed continuous eligibility through the baby's first birthday. For the baby to remain eligible for benefits, they must remain in the mother's household

Although the birth of these babies can be reported to the assigned case worker, the Department wanted to provide an alternate solution.  There are three methods of reporting the birth of babies born to Medicaid and CHP+ eligible mothers: 1) doctors can fax the add-a-baby form, 2) doctors can email the add-a-baby form and 3) both doctors and clients can report the birth through this online form.

The online form provides a secure means of submitting the newborn's information to the Department. The newborn's information will be added to its mother's case within 5 business days from its receipt. Upon submitting the online form, a confirmation will appear that should be kept as documentation of the submission.

If you would like to apply for assistance for babies born to non-Medicaid or CHP+ mothers, click here for additional information in applying for medical assistance:

Click here to complete the online Add-A-Baby form.

If you prefer you can report the birth through email or fax, these requests will also be processed within 5 business days from its receipt.  Please follow the instructions below.

1. An email submission can be sent by completing and encrypting the Add-A-Baby form and emailing it as an attachment to add-a-baby@hcpf.state.co.us.   For instructions on encrypting the file, click here  .
2. A fax can be sent using the Add-A-Baby form to 303-866-4517, Attention: Shawna Moreno.

Add-A-Baby Forms:

Electronic Fill-in Form 

Handwritten Form