Colorado Medicaid (Health First Colorado)
Updated April 3, 2023 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 |
Expanded Medicaid | Yes |
Website | healthfirstcolorado.com |
Phone | 800-221-3943 |
Apply Online | Colorado PEAK |
Appeal a Denial | Office of Administrative Courts |
Find a Local Office | County 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 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 |
Hospice | Radiation therapy |
Immunizations | Specialist visits |
Laboratory services | Substance use treatment |
Maternity & newborn care | Telemedicine |
Mental health services | Urgent care centers |
Non-emergency medical transportation | Vision 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.
Local Colorado Springs life insurance agency helps you get life insurance that doesn't count against Colorado Medicaid assets.