Colorado Medicaid (Health First Colorado)Updated April 9, 2021 Medicaid
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 Name||Health First Colorado|
|Apply Online||Colorado PEAK|
|Appeal a Denial||Office of Administrative Courts|
|Find a Local Office||County Departments|
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:*
- Be responsible for a child 18 years of age or younger
- 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)|
*For households with more than eight people, add $6,038 per additional person.
Available Services Include:
|Ambulance services||Organ & transplants|
|Behavioral health||Outpatient hospital services|
|Dental services||Physical, occupational, or speech therapy|
|Emergency room||Prescription drugs|
|Family planning||Preventive and wellness services|
|Home health||Provider visits|
|Laboratory services||Substance use treatment|
|Maternity & newborn care||Telemedicine|
|Mental health services||Urgent care centers|
|Non-emergency medical transportation||Vision care|
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.
|Outpatient emergency for non-emergency||$6|
|Outpatient hospital services||$4|
|Primary Care Physician and specialist services||$2|
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.