Child Health Plan Plus (CHP+)

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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.

Who Qualifies?

  • Children age 18 and under and pregnant women age 19 and over.
  • Applicants with household income under 260% of the Federal Poverty Level (FPL). See Do You Qualify For Child Health Plan Plus? for more details.
  • Colorado Residents
  • Lawfully residing children and pregnant women with no five year waiting period
  • Applicants not eligible for Health First Colorado
  • Applicants who do not have other health insurance

Benefits and Services

CHP+ covers:

  • Primary Care
  • Emergency Care and Urgent Care
  • Hospital Services
  • Dental Care (for children and for pregnant women starting October 1, 2019)
  • Prescriptions
  • Immunizations
  • Maternity Care (prenatal, delivery and postpartum care)
  • Mental/Behavioral Health Care

What Does It Cost?

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.

Where do I go to pay my annual enrollment fee?

  • Pay online at Colorado.gov/PEAK. This is the fastest way to pay your enrollment fee.
  • Mail your payment to P.O. Box 17548, Denver, CO 80217. You can make your check out to "Child Health Plan Plus" or "CHP+".
  • Drop off your payment in person at 655 Bannock Street, Denver, CO 80204.

What if I'm pregnant now?

You may qualify for the CHP+ Prenatal Program. See our CHP+ For Pregnant Women brochure for more details.

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.

 

Which doctors can I visit?

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.

To find a CHP+ doctor or other provider see our Find a Doctor page.

How do I get dental benefits?

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.

Who do I call if I have questions about my benefits?

Your CHP+ Managed Care Organizations (MCO) can help you understand your CHP+ benefits.

What if I need a new membership card?

To get a new membership card, contact your CHP+ Managed Care Organizations (MCO).

How long does CHP+ coverage last?

  • For children, CHP+ coverage begins the date the application is received at the CHP+ office, an Application Assistance Site, or a county office. Coverage lasts at least 12 months.
  • For pregnant women, CHP+ Prenatal Care Program coverage begins the date the application is received at the CHP+ office, an Application Assistance Site, or a county office. Coverage will last for at least 60 days after your pregnancy ends.

How do I renew CHP+ coverage?

  • Children enrolled in CHP+ must reapply every year. CHP+ will send you a packet about 3 months before your child’s coverage ends. Complete this and return it to CHP+ as soon as possible. If you do not receive a renewal packet, call CHP+ Customer Service at (800) 359-1991 to ask for one.
  • Clients who have an active PEAK account will also have the ability to pay enrollment fees and update their information at any time. 
  • Pregnant women enrolled in the CHP+ Prenatal Care Program cannot renew coverage after their pregnancy ends. If you do become pregnant again, however, you can apply again.

Can I enroll my newborn baby?

Call CHP+ Customer Service at (800) 359-1991 to see if your baby qualifies for CHP+.

What if I move?

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.

What if I get a bill from the doctor?

Your CHP+ Managed Care Organizations (MCO) can help you get medical bills paid.

How can I apply?

Visit the How To Apply page for more information.

When will I find out if I qualify?

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.

What if I need immediate care?

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.

What if I have other questions?

See our Child Health Plan Plus Frequently Asked Questions.

How can I get more help?

  • You can call CHP+ Customer Service at 1-800-359-1991. CHP+ Customer Service is available Monday through Friday, 8 a.m. to 6 p.m. (se habla español).
     
  • The CHP+ mailing address is: Department of Health Care Policy & Financing, P.O. Box 17548, Denver CO 80217.
 
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