Member Frequently Asked Questions

To save you time, we've answered many of the most common questions about Health First Colorado (Colorado's Medicaid Program), Child Health Plan Plus, and other topics below. If you still can't find the answer you need, get in touch with us.


 

Child Health Plan Plus Frequently Asked Questions

What is Child Health Plan Plus (CHP+)?

Child Health Plan Plus (CHP+) is low-cost health and dental insurance for Colorado’s uninsured children and pregnant women. CHP+ is public health insurance for children and pregnant women who earn too much to qualify for Health First Colorado (Colorado's Medicaid Program), but not enough to afford private health insurance. Get more information.

What kind of benefits are included in Child Health Plan Plus (CHP+)?

See: About Child Health Plan Plus

When can I start using benefits for Child Health Plan Plus (CHP+)?

See: About Child Health Plan Plus

When should I apply for Child Health Plan Plus (CHP+)?

You can apply for Child Health Plan Plus (CHP+) at any time. CHP+ does not have an open enrollment period.

Are children of state employees eligible for Child Health Plan Plus (CHP+)?

Yes, the children of Employees of the State of Colorado may qualify for Child Health Plan Plus (CHP+). Employees of the State of Colorado must meet income and eligibility criteria for the program.

How do I apply for Child Health Plan Plus (CHP+)?

See: How To Apply

How is Child Health Plan Plus (CHP+) different from Health First Colorado?

See: About Child Health Plan Plus and HealthFirstColorado.com for more information.

How long will it take to find out if I qualify for Child Health Plan Plus (CHP+)?

If you apply online through PEAK you may find out if you qualify immediately. If you apply by mail, it may take up to 45 days to find out if you qualify.

Is there an open enrollment period for Child Health Plan Plus (CHP+)?

You can apply for Child Health Plan Plus (CHP+) at any time. CHP+ does not have an open enrollment period.

Are there co-pays or enrollment fees for Child Health Plan Plus (CHP+)?

See: Child Health Plan Plus Fees

My child is currently a member of Health First Colorado or Child Health Plan Plus (CHP+). If I think I may qualify for Health First Colorado do I need to apply or will I be automatically enrolled since my child is already getting benefits?

You will need to complete an application even if your children are currently enrolled in Health First Colorado (Colorado's Medicaid Program) or Child Health Plan Plus (CHP+). You can apply at any time. For more information visit How To Apply.

What doctors take Child Health Plan Plus (CHP+)?

See: The Child Health Plan Plus (CHP+) section of Find a Doctor.


Medicare/Medicaid Frequently Asked Questions

I have Medicare (or will have Medicare soon). How do I get help with the Medicare costs?

Members can apply for assistance with their Medicare costs at the county department of human/social services where they live.

Will I get a refund of all the Medicare premiums I paid?

Maybe. If a refund is due, it will only go back to the month Buy-In began. Some programs can be backdated up to three months prior to the application date, if the member qualifies. The Qualified Medicare Beneficiary (QMB) program begins the first of the month after the application date. QMB cannot be backdated.

When will I get my refund of paid Medicare premiums?

Usually within a month after the county approves eligibility. If it takes longer than a month, contact your county human services office, or the State Buy-In Officer.

How will I get my refund of paid Medicare premiums?

The refund comes the same way your regular social security payment comes, direct deposit or paper check. The refund can come any day of the month.

Will the Medicare Savings Program (MSP) pay my Medicare deductible and co-insurance?

The Qualified Medicare Beneficiary (QMB) Medicare Savings Program (MSP) will pay the Medicare deductible and co-insurance. The other MSP programs (SLMB, QI-1, QDWI) will only pay the Medicare premiums.

How do I get help with my Medicare Part D costs?

Contact the State Health Insurance Assistance Program (SHIP) toll-free at 1-888-696-7213.


Provider Search Tool Frequently Asked Questions

What is the provider search tool?

The Department of Health Care Policy and Financing website contains a provider search tool that offers a resource for Health First Colorado (Colorado's Medicaid Program) and Child Health Plan Plus members to search for and contact providers including physician and dental services. Members who use this tool to search for providers should keep in mind that they also need to contact the individual provider to confirm the provider is accepting new patients.

Why is there a need for a provider search tool?

The Department maintains all Health First Colorado provider information and works to make this information accessible so that members can find providers to deliver covered services.

What information does the provider search tool contain?

The provider search tool search results provide a list of providers sorted by providers’ names:

  • Provider Legal Name / Doing Business As name
  • Provider Type Description
  • Specialty Description
  • Location Address, City, State, and Zip
  • Phone number
  • Website links
  • Languages spoken
  • Accepting New Patients status

How frequently is provider information updated?

A report of providers is used to update the provider search tool on our websites twice a month.

What other criteria are used?

Providers must have billed a claim in the previous 12 months.

How do members use the search tool?

Members can search for providers by location, provider type, specialty, and/or name.

How do providers update their contact information?

Providers can update their contact information and new patient status anytime via the Provider Web Portal.


Pregnant Women Frequently Asked Questions

If I have a health question or concern, who should I call?

Health First Colorado (Colorado's Medicaid Program) offers a free 24-hour, 7 days a week Nurse Advice Line  at 1-800-283-3221. Help is available in both English and Spanish.

What is the Nurse Home Visitor Program?

The Nurse Home Visitor Program (NVHP) is a special program for qualifying women who are pregnant with their first child. The program is also for these first children up to their second birthday. NHVP offers case management and health education services to moms and their first babies in order to help them get the medical and social services that they need.

How much are my co-pays?

You have no co-pays for Health First Colorado-covered services and prescriptions while you are pregnant and for two months after your pregnancy ends.

Can I get help to quit smoking?

  • Contact the Colorado QuitLine at 1-800-QUIT-NOW (1-800-784-8669) for free coaching and support.
  • Talk with your health care provider about the benefits and risks of taking smoking cessation medications while you are pregnant. Health First Colorado covers two 90-day courses of smoking cessation medication with counseling to help you quit.

Are prenatal vitamins covered?

Prenatal vitamins are a free benefit for all pregnant women. Talk with your health care provider about the benefits of taking a prenatal vitamin every day. A prescription is required.

Can I get transportation to my appointments?

Free Non-Emergent Medical Transportation (NEMT) is available if you have no other means of transportation to get to and/or from health appointments for Health First Colorado-covered services. See the Non-Emergent Medical Transportation page for details.

Can I get help for depression?

Mental and behavioral health services are available to Health First Colorado (Colorado's Medicaid Program) members. Contact your primary care provider or regional organization to get connected to behavioral health services.

How do I enroll my newborn in Health First Colorado?

If you are a woman enrolled in Health First Colorado (Colorado's Medicaid Program) or CHP+ when your baby is born, you can 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. Your baby will then be automatically enrolled in health coverage until his or her first birthday.

There is also an option to report the birth of your baby to your county of residence human services office or a Medical Assistance (MA) site case worker near you. Once your baby is added to your case and you have their State ID, you are able to take your baby to the doctor.

Are breast pumps covered?

Health First Colorado (Colorado's Medicaid Program) may provide breast pumps to some members in limited cases.

  • Manual breast pumps for premature infants and infants in critical care are available for purchase.
  • Electric breast pumps are only available for purchase for premature infants and infants in critical care, and only if the infant is expected to be hospitalized for 54 days or more. Electric breast pump rental is available if the infant is expected to be hospitalized less than 54 days. Electric breast pumps require prior approval by Health First Colorado.

Breast pumps must be prescribed by a physician, physician assistant or nurse practitioner. Breast pumps must be purchased from an approved supplier, which are often pharmacies.

If you do not qualify for a breast pump through Health First Colorado, you may be able to receive a breast pump from Colorado’s Special Supplemental Nutrition Program for Women, Infants and Children (WIC). For more information, call the WIC program at 1-800-688-7777 to see if you are eligible for the WIC program and meet qualifying criteria for the pump loan program.

 


Health First Colorado Regional Organizations Frequently Asked Questions

What is changing about Health First Colorado?

Health First Colorado is working to improve the delivery of services. Starting July 1, 2018, Health First Colorado is contracting with one organization in each region of the state to manage both your physical and behavioral health care.

What is a Health First Colorado regional organization?

Your regional organization manages both your physical and behavioral health care. They support a network of providers to make sure you can access health care for your body, vision, mental health, and substance use in a coordinated way. Every Health First Colorado member belongs to a regional organization. Your regional organization is on your enrollment letter. 

What is a regional organization and why are they involved in my health care?

Health First Colorado contracts with regional organizations to manage both your physical and behavioral health care. They support a network of providers to make sure you can access health care for your body, vision, mental health, and substance use in a coordinated way. Every Health First Colorado member belongs to a regional organization. Your regional organization is on your enrollment letter. 

I’ve been a Health First Colorado member for years and I have never been contacted by a regional organization. I’ve never even heard of them. Why is that?

All Health First Colorado members are part of a regional organization. The regional organizations support networks of primary care providers and behavioral health providers to make sure you can access health care. Members who are able to get most or all of their health care needs met by their primary care provider and/or behavioral health provider would likely not work directly with their regional organization. For members who have more complex needs and receive services from multiple state agencies, the regional organization is available to work with the member and their different providers to support improved coordination of services. If you think you could benefit from extra help to manage your care, contact your primary care provider or your regional organization.  Your regional organization’s contact information is on your enrollment letter. You can also contact Health First Colorado Enrollment to find out your regional organization at 1-888-367-6557. State Relay: 711 for callers with hearing or speech disabilities. Call Monday to Friday, 8 a.m. to 5 p.m. The call is free. 

What will the regional organization do exactly? How will they be involved?

Your regional organization manages both your physical and behavioral health care. They support a network of providers to make sure you can access health care for your body, vision, mental health, and substance use in a coordinated way.   Every Health First Colorado member belongs to a regional organization.  Your regional organization is on your enrollment letter. Members who are able to get most or all of their health care needs met by their primary care provider and/or behavioral health provider would likely not work directly with their regional organization. For members who have more complex needs and receive services from multiple state agencies, the regional organization is available to work with the member and their different providers to support improved coordination of services.

What is a managed care plan? How is it different from Health First Colorado?

Health First Colorado is Colorado’s Medicaid Program. Health First Colorado works with regional organizations and managed care plans to manage your health care.

How do Denver Health Medicaid Choice and Rocky Mountain Health Plans Prime work with the regional organizations?

Denver Health Medicaid Choice and Rocky Mountain Health Plans Prime are specialized networks of physical health providers that are managed by regional organizations. 

Who can be part of Denver Health Medicaid Choice?

Health First Colorado members who live in Adams, Arapahoe, Denver, and Jefferson counties and want to see a Denver Health primary care provider can choose to participate in Denver Health Medicaid Choice.

Who can be part of Rocky Mountain Health Plans Prime?

Health First Colorado members who live in Garfield, Gunnison, Mesa, Montrose, Pitkin, and Rio Blanco counties and want to see a Rocky Mountain Health Plan Prime primary care provider can choose to participate in Rocky Mountain Health Plan Prime. Note that most kids cannot enroll in Rocky Mountain Health Plan Prime.

Why do members of my household have different regional organizations?

You are assigned to the regional organization your primary care provider works with. If members of your household go to different primary care providers, they may be in a different regional organization.

Can I change to a different regional organization?

You can change your provider. If your new primary care provider is enrolled with a different regional organization, then your regional organization will change.

What if I don’t like my regional organization or they do something unethical — who do I contact to complain?

If you have a complaint, you can file it at any time. You or the person you choose to help you can complain in person, by phone, by mail or by email. You must include your name, Health First Colorado ID, address and phone number.

You can get help by calling your regional organization, or you can call the Ombudsman for Health First Colorado Managed Care at 303-830-3560 or 877-435-7123. State Relay: 711 for callers with hearing or speech disabilities. Or email help123@maximus.com.

I received a letter with a new primary care provider listed on it. What does this mean?

Your primary care provider works with you to keep you healthy and keep track of your health history and health care needs. When you get to know your primary care provider and they get to know you, you can make health care decisions with someone you trust.

The primary care provider listed on your letter is the one our records show you see most frequently or is located close to your address.  If you want to change your primary care provider, contact Health First Colorado Enrollment at 1-888-367-6557. State Relay: 711 for callers with hearing or speech disabilities. Call Monday to Friday, 8 a.m. to 5 p.m. The call is free. 

Can I change my primary care provider if I don’t like the one I’ve been assigned to?

Yes, you can change your primary care provider at any time. Contact Health First Colorado Enrollment at 1-888-367-6557. State Relay: 711 for callers with hearing or speech disabilities. Call Monday to Friday, 8 a.m. to 5 p.m. The call is free. 

The doctor listed for me on my letter is not the one I want or is wrong. If I visit the doctor I want to see, will Health First Colorado pay the bill?

If the provider on your letter is not who you usually see, contact Health First Colorado Enrollment to change your provider. You can reach them at 1-888-367-6557. State Relay: 711 for callers with hearing or speech disabilities. Call Monday to Friday, 8 a.m. to 5 p.m. The call is free. 

Health First Colorado will pay:

  • If the provider you see is a Health First Colorado participating provider.
  • If the benefits and services you receive from the provider are covered Health First Colorado benefits and services.

Please remember: For some benefits and services your provider may need to submit a preauthorization request.

The primary care provider listed for me on my letter is not the one I want. If I visit the primary care provider I want to see before I notify Health First Colorado that I want to change my primary care provider, will Health First Colorado pay the bill?

If the provider on your letter is not who you usually see, contact Health First Colorado Enrollment to change your provider. You can reach them at 1-888-367-6557. State Relay: 711 for callers with hearing or speech disabilities. Call Monday to Friday, 8 a.m. to 5 p.m. The call is free. 

Health First Colorado will pay if you see the provider you want before you change your provider with Health First Colorado Enrollment:

  • If the primary care provider you see is a Health First Colorado participating provider.
  • If the benefits and services you receive from the primary care provider are covered Health First Colorado benefits and services.

Please remember: For some benefits and services your primary care provider may need to submit a preauthorization request.

Who is my primary care provider? Is it a clinic or person?  

Your primary care provider is the clinic or person you usually go to for most of your care. If the person you usually see is not available, you may see a different person at the clinic or practice.

How do I get behavioral health services?

To learn more about how to get behavioral health services, review your member handbook or reach out to your regional organization.  

If you have a mental health or substance use crisis, or you or someone you know is thinking of suicide, and you cannot reach your provider, call Colorado Crisis Services at 844-493-TALK (844-493-8255). Or text TALK to 38255*. You can call or text 24 hours a day, every day of the year. State Relay: 711 for callers with hearing or speech disabilities.

Do I make provider appointments and cancellations through the regional organization?

No. Continue to schedule appointments with your provider’s office directly. If you need help with finding providers or other services, your regional organization can help.

Are my medical benefits changing?

No. Your medical benefits are not changing.

Are my behavioral health benefits changing?

No. Your behavioral health benefits are not changing.

I’m a Health First Colorado (Colorado’s Medicaid program) member outside of the Denver/Boulder area. Can I be assigned to a Kaiser Permanente provider in Denver/Boulder? I’m willing to travel.

No. Kaiser Permanente is only contracted as a Health First Colorado provider in Denver/Boulder and can only see Health First Colorado members in the Denver/Boulder service area. Health First Colorado members will receive a letter between July 2-23 telling them their assigned primary care provider and regional organization. Health First Colorado Enrollment can help you find a new primary care provider. You can reach them at 1-888-367-6557. State Relay: 711 for callers with hearing or speech disabilities. Call Monday to Friday, 8 a.m. to 5 p.m. The call is free. 

Is Kaiser Permanente accepting additional Health First Colorado members at this time?

No. Kaiser Permanente is not accepting additional Health First Colorado members at this time. Health First Colorado Enrollment can help you find a new primary care provider. You can reach them at 1-888-367-6557. State Relay: 711 for callers with hearing or speech disabilities. Call Monday to Friday, 8 a.m. to 5 p.m. The call is free. 

I used to see a Kaiser Permanente provider when I was on Health First Colorado, is Kaiser Permanente accepting Health First Colorado members who were previously enrolled with them?

No. Kaiser Permanente is not accepting additional Health First Colorado members at this time and is not able to make any exceptions.  Health First Colorado Enrollment can help you find a new primary care provider. You can reach them at 1-888-367-6557. State Relay: 711 for callers with hearing or speech disabilities. Call Monday to Friday, 8 a.m. to 5 p.m. The call is free. 

I currently see a Kaiser Permanente as my primary care provider, can I change my provider?

Yes. You can change your primary care provider at any time. It is important to know that if you choose a primary care provider outside of Kaiser Permanente, you will not be able to see a Kaiser Permanente in the future. Kaiser Permanente is not accepting new or previously enrolled Health First Colorado members at this time and is not able to make any exceptions. Health First Colorado Enrollment can help you find a new primary care provider. You can reach them at 1-888-367-6557. State Relay: 711 for callers with hearing or speech disabilities. Call Monday to Friday, 8 a.m. to 5 p.m. The call is free. 

I used to have private health insurance through Kaiser Permanente, now that I am covered by Health First Colorado, can I continue to be enrolled in Kaiser Permanente?

No. Kaiser Permanente is not accepting new Health First Colorado members and is not able to make any exceptions. This includes members who may have had Kaiser Permanente as private insurance. . Health First Colorado Enrollment can help you find a new primary care provider. You can reach them at 1-888-367-6557. State Relay: 711 for callers with hearing or speech disabilities. Call Monday to Friday, 8 a.m. to 5 p.m. The call is free. 

What is a Regional Accountable Entity?

A Regional Accountable Entity is also known as a regional organization. Every member of Health First Colorado (Colorado’s Medicaid Program) has a primary care provider and belongs to a regional organization that helps connect you with the health care you need. Your regional organization manages both your physical and behavioral health care. They support a network of providers to make sure you can access health care for your body, vision, mental health, and substance use in a coordinated way.  Your regional organization is on your enrollment letter. You can also find out your regional organization by calling Health First Colorado Enrollment at 303-839-2120, 1-888-367-6557 (outside of Denver), Monday-Friday, 8:00 a.m. to 5:00 p.m.; State Relay: 711 for callers with hearing or speech disabilities.

Are regional organizations part of Health First Colorado or something else?

Regional organizations are a part of Health First Colorado. Health First Colorado contracts with seven regional organizations. 

Every member of Health First Colorado (Colorado’s Medicaid Program) has a primary care provider and belongs to a regional organization that helps connect you with the health care you need. Your regional organization manages both your physical and behavioral health care. They support a network of providers to make sure you can access health care for your body, vision, mental health, and substance use in a coordinated way.  Your regional organization is on your enrollment letter. You can also find out your regional organization by calling Health First Colorado Enrollment at 303-839-2120, 1-888-367-6557 (outside of Denver), Monday-Friday, 8:00 a.m. to 5:00 p.m.; State Relay: 711 for callers with hearing or speech disabilities.

Will my regional organization change if I move? Will my providers change if I move?

You can keep your same provider if you want to. If you would like to change providers after you move, there is a chance your regional organization will change. You can work with your provider or regional organization to figure out what is best for you.

It is important to keep your information up to date, you can update your contact information at your local County Department of Human or Social Services office or online at CO.gov/PEAK.

Do I have to change my primary care provider?

No, you don’t have to change primary care providers. If you like the one you have been assigned to, you don’t have to do anything. If you want to change your primary care provider, contact Health First Colorado Enrollment at 1-888-367-6557. For TDD/TTY, call 888-876-8864. Call Monday to Friday, 8 a.m. to 5 p.m. The call is free. 

Do the regional organizations help other people too? I have family members/ neighbors who don’t have Health First Colorado or any other health care and they need help.

Regional organizations are for Health First Colorado members only. If someone you know needs health care, they can apply online at CO.gov/PEAK or at their local County Department of Human/Social Services.

What are behavioral health services?

Health First Colorado (Colorado's Medicaid Program) members have comprehensive mental health and substance use disorder services through their regional organization. Behavioral health providers can get you medically necessary behavioral health services, like therapy or medications. Get more information on behavioral health services.

My specialist is the doctor I see the most and the one I use as a primary doctor, will I not be allowed to do this anymore?

You can keep seeing the specialist the way you have been. If you have any trouble with this, contact your regional organization.

I have several different providers I see to get the care I need. Is it okay if they are in different regional organizations? Will I have to switch some providers so they are all in the same regional organization?

You can receive services from any provider that accepts Health First Colorado. You will not need to switch providers so they are all in the same regional organizations.

Can I enroll in regular Health First Colorado (Colorado’s Medicaid Program)?

You are enrolled in regular Medicaid. From now on all Health First Colorado Members are assigned to a primary care provider and a regional organization. Members still have their choice of primary care provider. In addition, members may see Health First Colorado providers of their own choosing even though they are assigned to a primary care provider and regional organization.

If you want to change your primary care provider you can do so at any time by calling Health First Colorado Enrollment at 1-888-367-6557. For TDD/TTY, call 888-876-8864. Call Monday to Friday, 8 a.m. to 5 p.m. The call is free.

Why do I need to have a primary care provider?

Health First Colorado thinks it is important for all members to have a primary source of medical care to help a member understand and coordinate their health needs. All members of Health First Colorado are now required to have an assigned primary care provider and a regional organization. Members still have their choice of primary care provider. In addition, members may see Health First Colorado providers of their own choosing even though they are assigned to a primary care provider.

If you want to change your primary care provider you can do so at any time by calling Health First Colorado Enrollment at 1-888-367-6557. For TDD/TTY, call 888-876-8864. Call Monday to Friday, 8 a.m. to 5 p.m. The call is free.

I had Prior Authorization Requests (PARs) for pharmacy and Durable Medical Equipment (DME) before July 1, 2018. Now that I am enrolled in a regional organization, will the pharmacy and DME PARs I had before July 1, 2018 change?

No. The pharmacy and DME PARs you had before July 1, 2018 for will not change because you are assigned to a regional organization.  Your pharmacy and DME PARs will continue to be good for the time they have been approved for.

I had Prior Authorization Requests (PARs) for physical health services before July 1, 2018. Now that I am enrolled in a regional organization, will the physical health service PARs I had before July 1, 2018 change?

No. The physical health service PARs you had before July 1, 2018 for will not change because you are assigned to a regional organization. Your physical health PARs will continue to be good for the time they have been approved for.


Former Foster Care Youth Frequently Asked Questions

What is former foster care youth Health First Colorado?

Qualifying former foster care youth from Colorado can get free Health First Colorado (Colorado's Medicaid Program) coverage up until the age of 26. Former foster care youth who qualify do not have to pay co-pays for services. You do not have to apply for this.

Who qualifies for former foster care youth Health First Colorado?

Youth in foster care in Colorado under the state's or tribes' responsibility and enrolled in Health First Colorado (Colorado's Medicaid Program) qualify for the extension. Former foster care Health First Colorado extends medical assistance to age 26 for former foster care youth that were in Colorado foster care at ages 18, 19, 20 or 21 and enrolled in Health First Colorado. This is done automatically. You do not have to apply. You are considered a former foster care youth if you were under the following types of care in Colorado:

  • Certified kinship care
  • Non-Certified kinship care (when the county has custody)
  • Foster home care
  • Group home care
  • Group center care
  • Children’s Habilitation Residential Program (CHRP)
  • Residential Child Care Facilities (RCCF) programs
  • Psychiatric Residential Treatment Facilities (PRTF) programs
  • Independent living programs or
  • Youth committed to the Division of Youth Corrections living in one of the above, non-secure locations

I was in foster care but emancipated out before my 18th birthday or was permanently adopted (left foster care). Can I qualify for former foster care youth Health First Colorado?

No, you must have been in foster care at ages 18, 19, 20 or 21 and enrolled in Health First Colorado (Colorado's Medicaid Program) to qualify. If you left foster care before your 18th birthday, you do not qualify.

You may still be able to qualify for regular Health First Colorado. To find out how go to the How To Apply page.

I was a foster care youth in another state. Can I qualify for former foster care youth Health First Colorado?

No, you must have been in foster care in Colorado to qualify.

I was in Youth Corrections until I was 18 years old. Can I qualify for former foster care youth Health First Colorado?

Yes, if you were in Youth Corrections on or after your 18th birthday and were receiving Health First Colorado (Colorado's Medicaid Program) at the time, you may qualify.

What benefits and services does former foster care youth Health First Colorado cover?

Former foster care youth Health First Colorado (Colorado's Medicaid Program) offers all the same benefits and services as regular Health First Colorado such as: doctor visits, behavioral health, hospitalization, rehabilitative services, laboratory services, outpatient care, prescription drugs, emergency care, dental care, maternity care, and newborn care.

Former foster care youth Health First Colorado also covers preventive and wellness services including aspirin use, blood pressure screening, breast cancer screening, cholesterol screening, depression screening, healthy diet counseling, sexually transmitted disease prevention counseling, tobacco use screening and counseling, and other services.

After finding out you qualify for former foster care youth Health First Colorado, your benefits will start right away. If you are not feeling well but are not sure if you need to go to the doctor, call the Nurse Advice Line at 1-800-283-3221. This hotline is just for Health First Colorado members and you can call it 24 hours a day, 7 days a week.

In an emergency, you should get care from the closest hospital that can help you. The law requires providers to examine you to determine if your medical condition is life threatening and provide you with medical care until your life is no longer in danger.

For more information see our Health First Colorado Benefits & Services page or contact the Health First Colorado Customer Contact Center.

Are dental services covered by former foster care youth Health First Colorado?

Yes, beginning April 1, 2014 all Health First Colorado (Colorado's Medicaid Program) members will have access to dental services. Youth under 21 will be able to get additional dental services. Family Health Coordinators can tell you more about the dental service you may be able to get if you are under 21.

I think I may qualify for former foster care youth Health First Colorado but have not been contacted. What should I do?

You should contact your local county Human Services office. They can help figure out if you qualify for the former foster care youth Health First Colorado.

As a qualifying former foster care youth, do I have to pay co-pays for services?

No, former foster care youth do not have to pay co-pays for Health First Colorado-covered services. For more information see our Benefits & Services page or contact the Health First Colorado Customer Contact Center.

I am a qualifying former foster care youth and am attending college outside of Colorado. Can I qualify for former foster care youth Health First Colorado?

If you retain residency in Colorado while you are temporarily out of the state for school, you can qualify for former foster care outh Health First Colorado. Health First Colorado (Colorado's Medicaid Program) will cover services provided by out-of-state providers on a case-by-case basis. You should contact the Health First Colorado Customer Contact Center for more information on seeing a provider outside of Colorado.

As a qualifying former foster care youth, do I have access to Early Periodic Screen Diagnosis and Treatment (EPSDT) services as part of former foster care youth Health First Colorado?

Once you reach the age of 21, you can no longer get Early Periodic Screening, Diagnosis and Treatment (EPSDT) services. Adult services are provided and you do not have co-pays. If you are a qualifying former foster care youth from age 18 through age 20, Early Periodic Screening, Diagnosis and Treatment Services will still be available to you. 

Do I need to do anything to ensure I can get my health services?

It is important to keep your address up to date with your county Human Services office. We need your up-to-date mailing address to make sure you get your Health First Colorado card in the mail and other important letters from us. You can also update your address online through Colorado.gov/PEAK.

You can also view your Health First Colorado card from the PEAKHealth mobile app. PEAKHealth is for current Health First Colorado members. You must have a Colorado.gov/PEAK account or create one to sign in. PEAKHealth can be downloaded at the Apple iTunes Store or Android/Google Play App Store for free. PEAKHealth is not for people who want to apply for benefits. With the PEAKHealth app and a PEAK Account you can:

  • Update your contact and household information
  • Learn about how to stay healthy
  • Find a Health First Colorado doctor
  • View an electronic version of your Health First Colorado card
  • View your Health First Colorado benefits

Do I need to provide anything else to my county Human Services office?

Each year you will be sent a Health First Colorado Recertification Letter. The letter will ask you if anything has changed, such as your address or a change in your incarceration status. You will need to let us know if anything has changed. If nothing has changed, you will still get your services. You can also update your address online through Colorado.gov/PEAK.

I received a Proof of Eligibility Letter. Do I need to always use this?

A Proof of Eligibility Letter was sent to you because your name was not in the automated Health First Colorado (Colorado's Medicaid Program) system. Your name is now in our system. You no longer need to show your Proof of Eligibility Letter to providers.

When will I receive my Health First Colorado card?

Health First Colorado cards will be sent to the last known address we have on file for you. Make sure you update your address with your county Human Services office every time you move. You can also update your address online through Colorado.gov/PEAK.

You can view your Health First Colorado card from the PEAKHealth mobile app. PEAKHealth is for current Health First Colorado members. You must have a Colorado.gov/PEAK account or create one to sign in. PEAKHealth can be downloaded at the Apple iTunes Store or Android/Google Play App Store for free. PEAKHealth is not for people who want to apply for benefits. With the PEAKHealth app and a PEAK Account you can:

  • Update your contact and household information
  • Learn about how to stay healthy
  • Find a Health First Colorado doctor
  • View an electronic version of your Health First Colorado card
  • View your Health First Colorado benefits

Can I reinstate my Health First Colorado benefit if I resume residency in Colorado or am released from incarceration?

Yes, report your new address and status to your county Human Services office.

I am a former foster care youth who qualifies for former foster care youth Health First Colorado. Can I update my address through Colorado.gov/PEAK?

Yes, if you qualify for former foster care youth Health First Colorado (Colorado's Medicaid Program) you can create a login for Colorado.gov/PEAK and update your mailing address and other information about you online. You will need to provide the following information to set up an account on Colorado.gov/PEAK:

I am a former foster care youth who qualifies for former foster care youth Health First Colorado. Can I request a new Health First Colorado card through Colorado.gov/PEAK?

Yes, if you qualify for former foster care youth Health First Colorado (Colorado's Medicaid Program) you can request a new Health First Colorado card online. You will need to provide the following information to set up an account on Colorado.gov/PEAK:

You should always bring your photo identification with you when you see your health care provider or go to the pharmacy.  You do not need a copy of your Helath First Colorado ID card to get medical services.

I was told Medicaid pays for services only after other types of coverage pay first.  What are some of the other types of coverage that pay for my services before former foster care youth Health First Colorado?

Health First Colorado is the payer of last resort in most situations.  This means former foster care youth Health First Colorado pays for services only after any other coverage you may have pays first.  If you have other health coverage, you should report that information to Health First Colorado either through PEAK or by contacting your county Human Services office.

The following types of coverage may be required to pay for your services before Health First Colorado:

  • Employer insurance
  • Worker’s compensation
  • Medicare
  • COBRA
  • Veteran’s (VA) health care program
  • Casualty insurance
  • Vision insurance
  • Pharmacy insurance

Where can I get more help?

If you are under the age of 21, Health First Colorado (Colorado's Medicaid Program) has individuals in your community called Family Health Coordinators who can help you learn about what benefits you get with Health First Colorado.

For more information contact the Health First Colorado Customer Contact Center at 1-800-221-3943/ State Relay 711.

 
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