Forms & Rules

Health First Colorado (Colorado's Medicaid Program) and Child Health Plan Plus Rules

Application Assistance Sites

Client Correspondence & Noticing

Sample Health First Colorado Notice of Action--sent to applicants to notify of Denial, Approval, Termination and/or Changes.

• Notice of Action (NOA) mock up - Marketplace pass - Health First Colorado deny (new client)
• Notice of Action (NOA) mock up - Marketplace pass - Health First Colorado deny (existing client)
• Notice of Action (NOA) mock up - Marketplace pass - Health First Colorado pass
• Notice of Action (NOA) appeal rights

Deficit Reduction Act (DRA) Forms

• DRA Web page
• Citizenship and Identity Documentation Received Form
• Affidavit to Establish Identity - English
• Affidavit to Establish Identity - Spanish