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 simplified method for calculating income eligibility for Medicaid and Child Health Plan Plus (CHP+) based on what is called Modified Adjusted Gross Income (MAGI). The MAGI rules apply to eligibility determinations for CHP+ and most Medicaid programs, except for those Medicaid programs for individuals over 65 years old and/or for people who have a disability. The use of MAGI standardizes income eligibility rules across all states.
You may qualify for Colorado Medicaid or CHP+ if you fall under one of the following categories and meet the income guidelines:
- Children ages 0-18 with household income under 260% Federal Poverty Level (FPL)
- Pregnant women, over the age of 19, whose household income is under 260% 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
For more information on income guidelines call or email the Medicaid Customer Contact Center.
Benefits and Services
If you qualify for Colorado Medicaid, some of the benefits you can receive include:
- Behavioral health
- Dental services
- Emergency care
- Family planning services
- 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 to receive some services, unless you fall into one of the categories below. Co-payments vary depending on the service.
- If you are age 18 and younger, pregnant or are an American Indian or Alaska Native, you do not pay co-payments.
- If you are a qualifying former foster care youth, you only pay co-payments for prescription drugs.
- If you reside in a nursing facility you typically do not have to pay co-payments.
See the Colorado Medicaid Benefits & Services Overview for the list of co-payments 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
If you are applying for Non-MAGI Medicaid programs for individuals over the age of 65 and/or for individuals with disabilities, you might also be asked to provide information not listed above, including:
- Whether you have a medical condition that has seriously limited your ability to do daily activities for at least a year
- Information about whether you need help with daily activities, such as dressing, eating, and bathing
- Any health care coverage received through Medicare
- Unearned income, such as Social Security Administration (SSA) or Supplemental Security Income (SSI) payments and pensions
You might be asked to provide more information if we are unable to verify what you told us through our electronic data sources.
How To Apply
There are several ways you can apply:
- Online at Colorado.gov/PEAK; this is the fastest way to apply
- In person at your local county office
- By phone at 1-800-221-3943 / State Relay: 711
- By mail
For more information on how to apply, see our How To Apply page.
Current Colorado Medicaid members: Get quick answers to your Frequently Asked Questions.
If you have more questions about this program please contact the Medicaid Customer Contact Center.