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Prenatal Services

Presumptive Eligibility


If you are pregnant, you may qualify for a program called Presumptive Eligibility (PE). PE is a program that provides immediate temporary medical coverage for outpatient services for pregnant women. You must complete an application and appear eligible to get the temporary health care benefits. The temporary coverage lasts for at least 45 days while your eligibility for full health care benefits is determined. Click here to find a PE Site in your area.


Finding a Prenatal Care Provider


For assistance finding a provider that accepts Medicaid, click here and select the specialty criteria on the right. You'll find Ob/Gyns, certified nurse-midwives, nurse practitioners, and all other types of Medicaid providers in your area. For additional help finding Medicaid providers or services, call the Medicaid Customer Contact Center at 1-800-221-3943 or you can email us at customer.service@hcpf.state.co.us.

 

Early and Periodic Screening, Diagnosis and Treatment (EPSDT)


EPSDT services are available to Medicaid clients age 20 and under and pregnant woman. Healthy Communities Outreach and Case Management Coordinators can help you find Medicaid providers, arrange transportation to health appointments, provide referrals to community resources, and other helpful services.

 

Special Programs for Pregnant Women


Prenatal Plus
The Prenatal Plus program is a special program for pregnant women on Medicaid that provides case management, nutrition counseling, and psychosocial services to pregnant women who are at risk for negative maternal and infant health outcomes due to lifestyle, behavior, and non-medical parts of a woman's life the could affect her pregnancy.  Click here for a directory of Prenatal Plus providers.   

 

Nurse Home Visitor Program
A special program for low-income women who are pregnant with their first child. The program is also for these first children up to their second birthday. NHVP offers case management and health education services to moms and their first babies in order to help them get the medical and social services that they need. Click here for a directory of local providers.

 

Special Connections 
A special program for pregnant women on Medicaid who have alcohol and/or drug abuse problems. Case management, counseling, and health education are provided through this program.  Residential treatment is also available. Call the Department of Human Services’ Office of Behavioral Health at 303-866-7400 to find a provider in your area.

 

Health Concerns or Questions

Medicaid offers a free 24-hour nurse advice line - 1-800-283-3221

 

No Copays

You have no copays for Medicaid-covered services and prescriptions while you are pregnant and for two months after your pregnancy ends.

 

Smoking Cessation

  • Do you smoke? Are you ready to quit? Contact the Colorado QuitLine
    at 1-800-Quit-Now 1-800-784-8669 or Colorado QuitLine for free coaching and support.

  • Talk with your health care provider about the benefits and risks of taking smoking cessation medications while you are pregnant. Medicaid covers two 90-day courses of smoking cessation medication with counseling to help you quit.

  • Are you committed to keeping your baby safe from second hand smoke? Find the Smoke Free Homes Pledge here: Raise Smoke-Free Kids

     

Prenatal Vitamins

Prenatal vitamins are a free benefit for all pregnant women. Talk with your health care provider about the benefits of taking a prenatal vitamin every day. A prescription is required.

 

Help with Depression

Mental and behavioral health services are available to clients on Medicaid. All Medicaid-covered mental and behavioral health services are provided through Behavioral Health Organizations. Please contact the Behavioral Health Organization in your area to set up an appointment.

 

Transportation

Free Non-Emergent Medical Transportation is available if you have no other means of transportation to get to and/or from health appointments for Medicaid-covered services. If you live in one of the following counties: Adams, Arapahoe, Boulder, Broomfield, Denver, Douglas, Jefferson or Larimer, please call First Transit at 1-855-CO4-NEMT (1-855-264-6368) for transportation arrangements. If you live outside of these counties, please contact your county department of human/social services for information on how to access Non-Emergent Medical Transportation. You need to call at least two days before your health appointment.

 

Enrolling your Newborn

In order for your baby to be enrolled, you or your health care provider must notify us of the birth of your baby. You can call your county department human/social services or click here for instructions on submitting an online form as soon as possible.

 

Breast Pumps

Medicaid may provide breast pumps to some clients in limited cases.

 

  • Manual breast pumps for premature infants and infants in critical care are available for purchase.

  • Electric breast pumps are only available for purchase for premature infants and infants in critical care, and only if the infant is expected to be hospitalized for 54 days or more. Electric breast pump rental is available if the infant is expected to be hospitalized less than 54 days. Electric breast pumps require prior approval by Medicaid.

     

Breast pumps must be prescribed by a physician, physician assistant or nurse practitioner. Breast pumps must be purchased from an approved supplier, which are often pharmacies.

 

If you do not qualify for a breast pump through Medicaid, you may be able to receive a breast pump from Colorado’s Special Supplemental Nutrition Program for Women, Infants and Children (WIC). For more information call the WIC program at 1-800-688-7777.

 

Planning for the Future

Medicaid covers a wide variety of birth control methods. All family planning services and products are free. For more information about family planning benefits, click here.

 

Additional Links and Resources