Colorado Medicaid is public health insurance for low-income Coloradans who qualify. Colorado Medicaid is funded jointly by a federal-state partnership and is administered by the Department of Health Care Policy & Financing.
The Affordable Care Act provides a new simplified method for calculating income eligibility for Medicaid and Child Health Plan Plus (CHP+). This new method calculates eligibility for all programs based on what is called Modified Adjusted Gross Income (MAGI). The use of MAGI standardizes income eligibility rules across all states and all medical assistance and insurance affordability programs.
You may qualify if you fall under one of the following categories:
- Children ages 0-18 whose household income does not exceed 142% Federal Poverty Level (FPL)
- Pregnant Women whose household income does not exceed 195% FPL
- Parents and Caretaker Relatives (you must have a dependent child) whose household income does not exceed 133% FPL
- Adults without dependent children whose household income does not exceed 133% FPL
Benefits and Services
If you qualify for Colorado Medicaid, some of the benefits you can receive include:
- Behavioral health
- Dental services
- Emergency care
- Laboratory services
- Maternity care
- Newborn care
- Outpatient care
- Prescription drugs
- Preventive and wellness services
- Primary care
- Rehabilitative services
See a full list of benefits and co-payments in the Colorado Medicaid Benefits & Services Overview.
What Does Colorado Medicaid Cost?
You might have to pay a small co-payment. If you are age 18 and younger, pregnant or are an American Indian or Alaska Native, you don’t pay co-pays. If you are 19 and older and not pregnant, you are responsible for small Medicaid co-pays. If you reside in a nursing facility you typically do not have to pay co-pays. Co-pays vary depending on the service. See the Colorado Medicaid Benefits & Services Overview for the list of co-pays per service.
What Information Do I Need When Applying For Colorado Medicaid?
- The name, address and contact information of each person applying;
- Social Security numbers of each member of your household seeking medical assistance (or document numbers for lawfully present individuals);
- The birth dates of each person applying;
- Employer information for each member of your household;
- Income information for each member of your household (for example, wage and tax statements such as pay stubs or W2 forms);
- Information about any other income you receive;
- Information and policy numbers for health insurance plans currently covering members of your household; and
- Citizenship and identity documentation
- If you are a non-qualified alien seeking only Emergency Medicaid Services, you do not need to provide citizenship documentation
You might be asked to provide additional information if we are unable to verify the information you submitted through our electronic data sources.
How To Apply
There are several ways you can apply:
- Online at Colorado.gov/PEAK
- In person at your local county office
- By phone at 1-800-221-3943/TDD 1-800-659-2656
- By mail
For more information on how to apply, see our How To Apply page.
If you have more questions about this program please contact the Medicaid Customer Contact Center.