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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 an individual needing behavioral health services, please choose another category.
Click on the program names below to learn more.
Health First Colorado (Colorado's Medicaid Program) members are eligible for behavioral health services, including mental health and substance use disorder care. If you need mental health care and/or substance use disorder services, talk to your primary care provider or contact your regional organization.
All Health First Colorado members can get behavioral health services.
Co-pay costs vary depending on the service. View the co-pay amounts per service in the Health First Colorado Benefits & Services Overview.
Colorado Choice Transitions (CCT) is a program to help transition Health First Colorado members out of nursing homes and long-term care facilities and into home and community-based settings. As a member of the CCT program you would also receive enhanced-services designed to promote independence.
In order to be enrolled in CCT you must:
Co-pay costs vary, learn more in the program information page
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 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-payments are based on your ability to pay. This is determined by the CICP facility.
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.
Every Health First Colorado member has a primary care provider. Members and primary care providers belong to a regional organization that helps make sure Health First Colorado members get the health care and services they need. Regional organizations can also help members understand and manage physical and behavioral health benefits, find specialists or other providers, and connect members with transportation, food assistance or other social services, if needed.
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-payment. 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 Insurance Buy-In Program (HIBI) is a premium assistance program for Health First Colorado 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.
HIBI participants receive monthly payments for a portion of the cost of their commercial health insurance premiums.
Program participants receive benefits from both the HIBI program and Health First Colorado at the same time.
Program participants may also receive reimbursements for payments made toward deductibles, coinsurance and co-pays, whether visiting a Health First Colorado enrolled provider or a provider within the network.
In some cases, COBRA continuation health insurance is offered to recently terminated employees for up to 18 months. For more information, contact your benefits coordinator.
Health First Colorado co-payments 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.
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-payment Costs: Children ages 18 and younger do not pay co-pays.
The BI waiver is a program to provide a home or community based alternative to hospital or specialized nursing facility care, for persons with a brain injury.
The Prenatal Plus program is a special program for at-risk pregnant women. If you are enrolled in the Prenatal Plus program, you will be provided with case management, nutrition counseling, and psycho-social services. The services are meant to lower risk for negative maternal & infant health outcomes due to lifestyle, behavioral, and other non-medical parts of a woman's life that could affect her pregnancy
In order to be enrolled in Prenatal Plus you must be:
There are no costs, pregnant woman are not charged Health First Colorado co-pays
Special Connections is a program for pregnant women on Health First Colorado who have alcohol and/or drug abuse problems. Special Connections helps women have healthier pregnancies and healthier babies by providing case management, counseling, and health education during pregnancy and up to one year after delivery. Special Connections services are in addition to any prenatal care you receive from her doctor or nurse-midwife.
Women who are:
Services can be outpatient or residential depending on your level of risk. Services include: