Client eligibility and enrollment
Before Health Navigation or Clinical Services are provided, organizations must verify the woman meets eligibility requirements. Eligible women must complete the consent form and sign the lawful presence affidavit prior to services being provided. Health Navigation and Clinical Services eligibility and enrollment requirements are found in Section 5: Health Navigation and Clinical Services of the Program Manual. The tools below relate to some of the eligibility and enrollment requirements.
Tools for eligibility and enrollment
2. Have a family income at or below 250 percent of federal poverty level (self-report).
3. Assess insurance status.
During eligibility assessment, all uninsured clients should be referred to Health First Colorado or Connect for Health Colorado for assessment of eligibility for Health First Colorado or subsidized marketplace health insurance coverage.
5. Client Profile Tool (optional, except in cases of enrollment into Health First Colorado’s Breast and Cervical Cancer Treatment Program (BCCP))
*In accordance with 8 U.S.C. § 1642(d) the services provided by nonprofit, charitable organizations are exempt from lawful presence verification requirements pursuant to 8 USC §§ 1611 and 1621 for provision of federal, state or local public benefits. Non-profit charitable organizations receive this designation from the Internal Revenue Service. To meet the requirements of this exemption, the organization must be both a non-profit and a charitable organization. To be a non-profit, the organization must have a 501(c)(3) designation. Federally Qualified Health Centers (FQHCs) that are not solely government owned are also exempt from lawful presence verification requirements for the services that are within the federally authorized scope for an FQHC pursuant to 42 U.S.C. § 254b(b)(1) (definition of required primary health services). Organizations must submit documentation of status to CDPHE.