Health First Colorado (Colorado's Medicaid Program) Co-Payments

The Regular Health First Colorado program allows members to get services from any Provider that accepts Health First Colorado members. There is no need to get referrals for care, but doctors are not required to take new patients either.

What is a Co-payment?
A co-payment is a small amount of money that you pay for the cost of your medical care. Health First Colorado pays most of the cost of your care, but you may have to pay a small amount. Co-payments are different for different services.

Health First Colorado members must pay the co-payment listed below when getting services, refer to 10 CCR 2505-10 Section 8.754:

Inpatient Hospital Services

  • $10.00 per covered day or 50% of the averaged allowable daily rate whichever is less

Community Mental Health Center Services

  • $2.00 per visit

Outpatient Hospital Services

  • $3.00 per visit

Rural Health Clinic/ FQHC Services

  • $2.00 per date of service

Practitioner Services

  • $2.00 per visit

Durable Medical Equipment 
(UB-outpatient and CO-1500 claims)

  • $1.00 per date of service

Optometrist Visit

  • $2.00 per visit

(UB-outpatient and CO-1500 claims)

  • $1.00 per date of service

Podiatrist Visit

  • $2.00 per visit

Radiological Services
(UB-outpatient and CO-1500 claims)

  • $1.00 per date of service

Psychiatric Services

  • $.50 per unit of service (1 unit = 15 minutes)

Prescription Services
(each prescription or refill)

  • Generic drugs - $1.00
  • Brand name drugs - $3.00

Some clients do not have to pay co-payments:

  • Clients who are ages 18 and under
  • Clients who are pregnant
  • Clients living in a nursing facility
  • American Indians and Alaska Natives