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Child Health Plan Plus (CHP+) is public low-cost health insurance for certain children and pregnant women. It is for people who earn too much to qualify for Health First Colorado (Colorado's Medicaid Program), but not enough to pay for private health insurance.
CHP+ covers:
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. Prenatal women, American Indians and Alaskan Natives do not have to pay annual enrollment fees or co-pays.
The standard fees are:
American Indians and Alaskan Natives do not have to pay a fee
Families earning more than 214% of the Federal Poverty Level will pay higher fees (see the CHP+ Income Chart):
You may also have to pay small co-pays when you or your child receives CHP+ services. There are no co-pays for preventative care, such as prenatal care and check-ups. Other services may require co-pays that vary based on your income. Native Americans and Alaskan Natives do not have to pay co-pays.
The chart below is a summary of co-pays -- not an all-inclusive list.
Each year, the maximum amount of money (referred to as out-of-pocket limit) that you are required to spend on health care payments for all members of your household that are enrolled in CHP+ is 5% of your annual income. For more information about your out-of-pocket limit, please contact CHP+ customer service at 1-800-359-1991.
You may qualify for the CHP+ Prenatal Program. See our CHP+ For Pregnant Women brochure for more details.
It is free to enroll in the CHP+ Prenatal Care Program and you do not have co-pays. All pregnancy care is free, including prenatal care, labor and delivery, and visits after you deliver.
If you are found eligible, your coverage will last for at least 60 days after your pregnancy ends. Coverage will end 60 days after the last day of the month when your pregnancy ended. For example, if you give birth on June 26th, your coverage will last until August 30th.
Once CHP+ is notified of your baby’s birth, your baby will be given CHP+ coverage for a full year from their date of birth. To enroll your newborn, call CHP+ Customer Service at (800) 359-1991.
You may visit any of our prenatal providers. For medical care not related to your pregnancy, you may need to see a family health care provider. Find a CHP+ prenatal program doctor or other provider.
If you are pregnant, you may qualify for a program called Presumptive Eligibility (PE). PE is a way for pregnant women to receive prenatal care right away without having to wait to see if you are eligible. To apply, you must visit a PE Site and they will do a quick review. If found eligible you will get enrolled for up to 60 days while you wait to see if you qualify. Find a PE Site in your area.
Yes. Fill out one application. CHP+ will see if your children qualify for CHP+ and if you qualify for the CHP+ Prenatal Care Program.
Public Notice: Post Award Forum on the progress of Colorado's Title XXI 1115 Demonstration - Adult Prenatal Coverage in Child Health Plan Plus (Project Number 21-W-0001 4/8)
Colorado’s Title XXI Section 1115 waiver, Adult Prenatal Coverage in Child Health Plan Plus (CHP+), was most recently renewed to be effective from August 1, 2015 through July 31, 2020. The demonstration expanded the income eligibility for uninsured pregnant Medicaid expansion clients who would have been covered under CHP+ if not for the federal poverty level (FPL) expansion of 142% to 195%[1]. The state has targeted this population to achieve three key objectives:
1. Decrease the uninsured rate for pregnant women;
2. Increase prenatal and postpartum care for pregnant women enrolled in the demonstration; and;
3. Increase the number of healthy babies born to pregnant women enrolled in the demonstration.
On May 27, 2020, The Colorado Department of Health Care Policy and Financing presented on the demonstration’s progress, interim results, and implementation, at the quarterly State Medical Assistance and Services Advisory Council meeting. A recording of this presentation and the accompanying materials are available for review at:
Presentation Recording
Presentation PowerPoint
Approved Demonstration
CMS Approved Evaluation Design
Historical Documents for Colorado's Demonstration
The State is posting the recording to allow all interested parties the opportunity to learn about the progress of the demonstration and provide comments and feedback to the Department. All comments, concerns or issues submitted by July 10, 2020, will be responded to by the State and included in the demonstration’s future progress reports under the post award forum section.
Send written comments by July 10, 2020, to: Colorado Department of Health Care Policy & Financing Attn: CHP+ 1115 Prenatal Waiver Application 1570 Grant Street Denver, CO 80203-1818 Or you may send an email to Jeffrey Jaskunas.
Learn more about the Section 1115 demonstration program.
[1] The FPLs listed in this section are post-MAGI-converted levels.
CHP+ works with Managed Care Organizations (MCOs) to provide medical care. Each MCO has their own network of doctors that your child can see on CHP+. The county you live in will determine which MCO your child enrolls with. If more than one MCO is available in your county, you must select an MCO.
CHP+ members have the option of joining a Managed Care Organizations (MCO). An MCO is an organized system that provides a wide range of health care services including Primary Care Providers (PCP) to manage your health care needs. Each MCO uses different hospitals, pharmacies and doctors for the counties it serves.
For those clients that are part of or applying for CHP+ Prenatal benefits, Presumptive Eligibility, or reside in El Paso, Sedgwick or Teller counties please refer to the State Managed Care Network information below.
If you have any other questions regarding your MCO please contact the MCO or visit their website:
To find a CHP+ doctor or other provider see our Find a Doctor page.
DentaQuest provides dental benefits to all eligible and enrolled CHP+ child members and to pregnant women beginning October 1, 2019. These benefits include preventive and diagnostic services, restorative services, endodontic, periodontic, prosthodontic, oral surgery, and limited orthodontic services. There will be a maximum allowable of $1000.00 per member per calendar year (January 1 - December 31). As with all CHP+ benefits, higher income families may be required to pay a small fee or co-payment when they receive services. CHP+ Prenatal women will not be charged co-payments for dental services. If you have any questions about CHP+ dental benefits call DentaQuest at 1-888-307-6561, TTY 711.
Please visit the DentaQuest Member Access page. After registration, you will be able to search for a dentist, check your benefits, and download your member ID card.
DentaQuest Customer Relations: Toll free: 1-888-307-6561, TTY: 711 Email: memberaccess.dentaquest.com
Claims and Appeals:DentaQuest AppealsPO Box 2906Milwaukee, WI 53201
Complaints and Grievances:DentaQuest Complaints and GrievancesPO Box 2906Milwaukee, WI 53201
Your CHP+ Managed Care Organizations (MCO) can help you understand your CHP+ benefits.
To get a new membership card, contact your CHP+ Managed Care Organizations (MCO).
Call CHP+ Customer Service at (800) 359-1991 to see if your baby qualifies for CHP+.
Call us and tell us your new address as soon as you move. CHP+ sends letters to families letting them know about their benefits, so it is very important that we have a correct address. If you move out of state, you no longer qualify for CHP+ benefits. To find programs in other states, visit insurekidsnow.gov.
Your CHP+ Managed Care Organizations (MCO) can help you get medical bills paid.
Visit the How To Apply page for more information.
If you apply online through PEAK you may find out if you qualify immediately. If you apply by mail, it may take up to 45 days to find out if you qualify.
You may qualify for a program called Presumptive Eligibility (PE). PE is a way for children and pregnant women to receive care right away without having to wait to see if you are eligible. To apply, you must visit a PE Site and they will do a quick review. If found eligible you will get enrolled for up to 60 days while you wait to see if you qualify. Find a PE Site in your area.
See our Child Health Plan Plus Frequently Asked Questions.
