Colorado Medicaid Program

Medicaid Eligibility

Colorado Medicaid is public health insurance for families, children, pregnant women, persons who are blind or persons with disabilities and the elderly for Colorado residents.

Family Medicaid and CHP+ are public health insurance programs for families, children and pregnant women. When you apply, you are applying for both Family Medicaid and CHP+. The program you qualify for depends upon family size, income and the age of the applicant.

Applicants


If you are pregnant, looking for medical assistance for your family or applying on behalf of a child, please print and complete the application for Colorado Public Health Insurance for Families (Joint Application):

Turn in your completed application and required documents to your County Department of Human/Social Services, for the location nearest you, click here.

NOTE:  You may also qualify for Presumptive Eligibility (PE) if you are pregnant or are under the age of 19.  Submit the above application to your local PE Site, click here to find the location nearest you.  Your application for Medicaid/CHP+ will be forwarded to your local County Department of Human/Social Services on your behalf.

If you are 64 years old or younger and have not been determined disabled by the Social Security Administration, please print and complete ALL of the following forms:

  • Application for Assistance
    • Information You Need to Know ; keep for your records
    • Receipt; turn in with your the application; this will be returned to you as proof that you submitted your application

Medicaid Eligibility for Persons Age 65 and Over

Information for Persons Aged 65 or Older

Who is eligible?

If you are age 65 or older and eligible for Supplemental Security Income (SSI) and/or Old Age Pension (OAP) state supplemental payments you will be eligible for Medicaid.

If you have not applied for SSI you should at a Social Security Administration field office.

  • If you are on SSI and have not been enrolled in Medicaid or if you have not applied for OAP please contact your County Departments Human/Social Services.
  • The income limit is $699.
  • The asset limit for an individual is $2,000 and $3,000 for a couple.

Please visit Long-term Care Medicaid if you need nursing home or home and community based services (HCBS).

Apply

Thank you for visiting the Medicaid Eligibility web page.
  • Disability Application
  • Release Form ; allows the State Disability Determination Vendor to request your medical information which is required as a part of the disability determination process.

Turn in your completed application and required documents to your County Department of Human/Social Services,  for the location nearest you, click here.

If you are 65 years  or older, or if you have been determined disabled by the Social Security Administration, please print and complete ALL of the following forms:

  • Application for Assistance [English] or [Spanish ]
    • Information You Need to Know ; keep for your records
    • Receipt; turn in with your the application; this will be returned to you as proof that you submitted your application

Turn in your completed application and required documents to your County Department of Human/Social Services,  for the location nearest you, click here.

Medicaid Eligibility Family and Children’s Programs

Family Medicaid is a public health insurance program for Colorado children age 0-18 and for parents with dependent children. The program is funded jointly by a federal-state partnership and is administered by the Department of Health Care Policy and Financing.

Who is eligible?

  • Financially qualified children ages 0-18 and parents with dependent children
  • Parents whose income is at or below 60% of the Federal Poverty Level
  • Children age 6-18 whose family income is at or below 100% of the Federal Poverty Level
  • Children under the age of 6 and pregnant women whose family income is at or below 133% of the Federal Poverty Level

Income Level Chart – April 1, 2009 – March 31, 2010

Income Level Chart – April 1, 2008 – March 31, 2009

What does Family Medicaid cost?

Children and pregnant women do not have to pay any co-pays. Other adults may have a small co-pay

What documentation is needed?

  • U.S. citizens need to provide U.S. citizenship and identity information
  • Non-citizens need to provide USCIS (INS) documentation for full benefits
  • Non-citizens seeking Emergency Medical Services only do not need to provide documentation

Special services

Medicaid eligible clients under the age of 21 are eligible for special benefits through the EPSDT (Early and Periodic Screening Diagnosis and Treatment) program. Children are automatically referred to EPSDT after enrollment in Medicaid

How does a family apply?

Applications are available in English and Spanish. The application must be completed and sent to the County Departments Human/Social Services

Pregnant women or children who need health care right away can apply at a Presumptive Eligibility Application Site.

If a family has questions about the application, they can call: 303-866-3513 in the Denver metro area or toll free 1-800-221-3943 outside of the Denver metro area. Spanish speaking customer service representatives are available.Apply

Medicaid Eligibility for Persons Under Age 64

Medicaid Eligibility for Persons Who are Blind or Persons with Disabilities Who are Under Age 64

Who is eligible?

  • If you are under the age of 64 and do not have dependant children, you must be determined blind or disabled by the Social Security Administration (SSA) standards.
  • If you are eligible for Supplemental Security Income (SSI) from SSA then you will automatically receive Medicaid.
  • If you have not applied for SSI you should apply at a SSA field office.
  • If you are on SSI and have not been enrolled in Medicaid, please contact your County Departments Human/Social Services.

Please visit Long-term Care Medicaid if you need nursing home or home and community based services (HCBS).

Thank you for visiting the Medicaid Eligibility web page.