Health First Colorado Add-A-Baby Emergent Request Form
This page is for providers to submit an emergent request to add a baby to an existing Health First Colorado (Colorado’s Medicaid Program) case. An emergent request is only for babies who need intensive medical attention for Border, SYNAGIS, or Neonatal Intensive Care Unit (NICU).
For all other requests to add a baby to a Health First Colorado case:
Members: Add your newborn to your case online by reporting a change through your PEAK account at Colorado.gov/PEAK, or using the PEAKHealth mobile app. You can also report the birth of your baby to your county of residence human services office or a Medical Assistance (MA) site case worker near you.
Providers: Report the birth of the baby to the member’s county of residence human services office.
PLEASE NOTE: If you have already submitted an online form for an emergent request and it has been over 15 business days, and you have not received a response, please email email@example.com. Please use the mother's State ID when inquiring.