Health First Colorado is Colorado's Medicaid program. It provides health coverage to low-income residents, including children, pregnant women, parents, seniors, and individuals with disabilities.

Program NameHealth First Colorado
Expanded MedicaidYes
Websitehealthfirstcolorado.com
Phone800-221-3943
Apply OnlineColorado PEAK
Appeal a DenialOffice of Administrative Courts
Find a Local OfficeCounty Departments

Eligibility Requirements

To be eligible for Colorado Medicaid, you must be a resident of the state of Colorado, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.

You must also be one of the following:*

  • Pregnant
  • Be responsible for a child 18 years of age or younger
  • Blind
  • Have a disability or a family member in your household with a disability
  • Be 65 years of age or older

* ACA Medicaid expansion covers eligible low-income adults.

Annual Household Income Limits (before taxes)

Household Size*Maximum Income Level (Per Year)
1$17,131
2$23,169
3$29,207
4$35,245
5$41,284
6$47,322
7$53,360
8$59,398

*For households with more than eight people, add $6,038 per additional person.

Available Services Include:

Ambulance servicesOrgan & transplants
Behavioral healthOutpatient hospital services
Dental servicesPhysical, occupational, or speech therapy
Emergency roomPrescription drugs
Family planningPreventive and wellness services
Home healthProvider visits
HospiceRadiation therapy
ImmunizationsSpecialist visits
Laboratory servicesSubstance use treatment
Maternity & newborn careTelemedicine
Mental health servicesUrgent care centers
Non-emergency medical transportationVision care

Copayments

Some services covered by Health First Colorado (Colorado’s Medicaid Program) have a copay. Copays are dollar amounts some members must pay to their provider when they receive certain services.

Hospital services$10
Outpatient surgery$0
Outpatient emergency for non-emergency$6
Outpatient hospital services$4
Primary Care Physician and specialist services$2
Clinic services$2
Laboratory services$1
Radiology services$1
Prescription drugs$3 

Copay Maximum

There is a monthly copay maximum for Health First Colorado members. This means once a member has paid up to a certain amount in copays in a month, they don’t have to pay any more copays for the rest of that month.

This maximum is based on a formula: 5% of the member’s monthly household income. For example, a household with a monthly income of $900 would pay no more than $45 in copays for that month.