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Medicaid Eligibility Family and Children's Categories

Family Medicaid is a public health insurance program for Colorado children age 0-18 and for parents with dependent children. The program is funded jointly by a federal-state partnership and is administered by the Department of Health Care Policy and Financing.

 

Who is eligible?

 

  • Financially qualified children ages 0-18 and parents with dependent children
  • Parents whose income is at or below 60% of the Federal Poverty Level
  • Children age 6-18 whose family income is at or below 100% of the Federal Poverty Level
  • Children under the age of 6 and pregnant women whose family income is at or below 133% of the Federal Poverty Level

 

Income Level Chart - April 1, 2009 - March 31, 2010

Income Level Chart - April 1, 2008 - March 31, 2009

 

 

What does Family Medicaid cost?

 

Children and pregnant women do not have to pay any co-pays. Other adults may have a small co-pay

 

What documentation is needed?

 

  • U.S. citizens need to provide U.S. citizenship and identity information
  • Non-citizens need to provide USCIS (INS) documentation for full benefits
  • Non-citizens seeking Emergency Medical Services only do not need to provide documentation

 

Special services

 

Medicaid eligible clients under the age of 21 are eligible for special benefits through the EPSDT (Early and Periodic Screening Diagnosis and Treatment) program. Children are automatically referred to EPSDT after enrollment in Medicaid

 

How does a family apply?

 

Applications are available in English and Spanish. The application must be completed and sent to the County Departments Human/Social Services

 

Pregnant women or children who need health care right away can apply at a Presumptive Eligibility Application Site.

 

If a family has questions about the application, they can call: 303-866-3513 in the Denver metro area or toll free 1-800-221-3943 outside of the Denver metro area. Spanish speaking customer service representatives are available.

 

Apply

 

Thank you for visiting the Medicaid Eligibility web page.