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Snapshots are informational only. You must apply to find out what programs or waivers you qualify for.If you are not looking to find coverage for children, please choose another category.
Click on the program names below to learn more.
If you are enrolled in the Accountable Care Collaborative (ACC), you will receive regular Health First Colorado (Colorado's Medicaid Program) benefits, and you will choose a Primary Care Medical Provider (PCMP). As a member of the ACC, you will also belong to a "Regional Care Collaborative Organization" (RCCO). Your RCCO will help to make sure your doctors and caretakers are working together to meet your health needs.
In order to be enrolled in the ACC you must first be enrolled in Health First Colorado.
Co-pay costs vary, learn more in the program information page
A Behavioral Health Organization provides Health First Colorado (Colorado's Medicaid Program) members with mental health and substance use disorder care. You do not need a referral from your doctor to go to your Behavioral Health Organization. You do not need to enroll in a Health First Colorado health plan to get behavioral health care. If you need mental health care and/or substance use disorder services, call the Behavioral Health Organization in your area. See the program information page for contact information.
If you or your child are enrolled in Health First Colorado, you will automatically be assigned a Behavioral Health Organization based on where you live. See the program information page for contact information for the BHO in your area.
Co-pay costs vary. Learn more in the program information page.
Child Health Plan Plus(CHP+) is public low-cost health insurance for certain children and pregnant women. It is for people who earn too much to qualify for Health First Colorado (Colorado's Medicaid Program), but not enough to pay for private health insurance.
Co-pays and enrollment fees vary. Learn more in the program information page.
Child Health Plan Plus (CHP+) State Managed Care covers CHP+ members before they are enrolled in a CHP+ health plan. It also covers CHP+ members in counties where CHP+ health plans do not offer coverage.
Colorado residents who are:
The Children with Autism Waiver (CWA) provides home or community-based alternatives for children with a medical diagnosis of Autism who are most in need due to the severity of their disability.
Children ages 18 and younger do not pay co-pays.
The Waiver for Children with Life Limiting Illness provides a home or community-based alternative to children with a life limiting illness.
Children who are:
Ages 18 and younger
Receiving hospital level of care
Determined by case manager to be safely served in the community
Receiving at least one CLLI waiver benefit per month while enrolled in the waiver
Meet the medical criteria:
Physician-certified diagnosis of a Life Limiting Illness
Disability determination by the Social Security Administration
Meet the financial criteria:
Income is less than 300% the Supplemental Security Income allowance per month
Countable resources less than $2,000
Respite Care Services
Children 18 and younger do not pay co-pays.
The Children’s Extensive Support Waiver (CES) provides supports and services to children with developmental disabilities or delays who have a complex behavioral or medical condition and who require near constant line of sight supervision.
Co-pay Costs: Children ages 18 and younger do not pay co-pays.
This waiver provides habilitative services for children and youth in foster care who have a developmental disability and extraordinary needs.
In order to apply for this waiver you must:
The Children’s Home and Community-Based Services Waiver (CHCBS) provides a home or community based alternative to children with significant medical needs who are at risk for acute hospital or skilled nursing facility placement.
The Colorado Indigent Care Program (CICP) provides discounted health care services to low income people and families. CICP is not a health insurance program. Services vary by providers.
You must be 18 and older
You must be at or below 250% of the Federal Poverty Level (FPL)
You must be lawfully present in the United States and a legal resident of Colorado
You cannot be eligible for Health First Colorado (Colorado's Medicaid Program) or Child Health Plan Plus (CHP+)
Discounted health care services provided by participating Colorado hospitals and clinics
No premium costs
You are allowed to have primary health insurance or have Medicare
CICP ratings are good for a full year; see program information page for exceptions
Co-pays are based on your ability to pay. This is determined by the CICP facility.
The dental benefit provides Health First Colorado (Colorado's Medicaid Program) members up to $1,000 in dental services per year.
Dental services are a program benefit for Health First Colorado members of all ages.
None. See the Health First Colorado Benefits & Services Overview for the list of co-pays per service.
The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit provides comprehensive and preventive health care services. EPSDT is key to ensuring that children and youth receive appropriate preventive, dental, mental health, developmental and specialty services.
All Health First Colorado-coverable, medically necessary services must be provided even if the service is not available under the state plan to other people who qualify for Health First Colorado. Benefits not listed are not considered to be a state plan benefit and are therefore outside of EPSDT coverage and exceptions. No arbitrary limitations on services are allowed, e.g., one pair of eyeglasses or 10 physical therapy visits per year.
Children and Youth ages 20 and younger who are enrolled in Health First Colorado.
Children under the age of 19 do not have co-pays. Co-pay costs for youth ages 19 and 20 vary, see program information page.
Health First Colorado (Colorado's Medicaid Program) is a public health assistance program for Coloradans who qualify. Children, pregnant women, parents and caretakers, people with developmental, intellectual, and physical disabilities, and adults can all potentially qualify. Note: When you apply for Health First Colorado, you are applying for both Health First Colorado and Child Health Plan Plus (CHP+). You do not need to turn in more than one application for you or your family.
You may be eligible if you meet one of these requirements:
Eligibility requirements can be complex. See the program information page for more information or visit PEAK to see if you qualify.
You might have to pay a small co-pay. If you are age 18 and younger, pregnant or are an American Indian or Alaska Native, you don’t pay co-pays. If you are 19 and older and not pregnant, you are responsible for small co-pays. If you reside in a nursing facility you typically do not have to pay co-pays. Co-pays vary depending on the service. See the Health First Colorado Benefits & Services Overview for the list of co-pays per service.
The Health First Colorado Buy-In Program for Children with Disabilities allows families who make too much to qualify for Health First Colorado (Colorado's Medicaid Program)and Child Health Plan Plus (CHP+) to “buy into” Health First Colorado coverage for their child with a disability by paying a monthly premium based on the family’s income.
If your child is enrolled in the Children’s Buy-In program, they will receive full Health First Colorado benefits. Benefits include:
Healthy Communities is a program that works to make sure your kids are getting all the care they need, including preventive services. Family Health Coordinators will help you find providers for your kids, keep track of immunization schedules, and find other resources in your community.
If you are age 18 and younger, pregnant, or living in a nursing facility, you don’t pay co-pays. If you are 19 and older, and not pregnant or residing in a nursing facility, you are responsible for small co-pays. Co-pays vary depending on the service. See the program information page for the list of co-pays per service.
The Health Insurance Buy-In Program (HIBI) is a premium assistance program for Health First Colorado (Colorado's Medicaid Program) members who qualify. If you qualify, HIBI will send monthly payments to you for all or a portion of the cost of your commercial health insurance premiums, and in some cases also reimburses you for deductibles, coinsurance, and co-pays.
Health First Colorado co-pays vary depending on the service. If you are age 18 and younger, pregnant, or living in a nursing facility, you don’t have to pay co-pays. See the program information page for the list of co-pays per service.
Pediatric Personal Care services help Health First Colorado members with physical, maintenance and supportive needs such as bathing, dressing, meal preparation and medication reminders.
There are no costs, pregnant woman & children are not charged co-pays.
Presumptive Eligibility (PE) is a program that gives temporary medical coverage right away. The coverage starts the same day you apply and lasts for at least 45 days while we process your Medical Assistance application.
There are no costs, pregnant woman & children are not charged Medicaid co-pays
School Health Services works with Health First Colorado (Colorado's Medicaid Program) families to provide health services to children who are disabled or medically at risk and receiving or have been referred for services according to an Individualized Education Program (IEP) or Individualized Family Service Plan (IFSP).
There are no co-pays for this program. Learn more in the program information page.