Self-Sufficiency, Employment and Public Assistance Division
Medicaid Programs
Colorado Medicaid is public health insurance for low-income families, children, pregnant women, persons who are blind or persons with disabilities and the elderly. This program provides medical assistance to persons who meet the eligibility requirements - regardless of age. Medicaid recipients are limited to receiving services from only those providers who accept payment from Medicaid. Not all medical providers accept Medicaid payment. Other programs available through Medicaid are Colorado Family Medicaid, Aged, Blind and Disabled Medicaid, Long Term Care Medicaid, Child Health Plan Plus (CHP+), Baby Care/Kid Care and Healthy Communities. To learn more about the State's Medicaid program, please visit the Colorado Department of Health Care Policy and Financing website.
Colorado 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 Colorado Department of Health Care Policy and Financing (HCPF).
To learn about the eligibility requirements, please visit the HCPF website, or click here to use the State's eligibility determination tool.
To apply:
Applications (in English or Spanish) may be obtained in the following ways:
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Online by visiting the Children's Health Plan Plus website or the HCPF website.
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By visiting the Broomfield Health and Human Services Department at 6 Garden Center, Broomfield, CO 80020.
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By calling the Broomfield Health and Human Services Department at (720) 887-2287 or HCPF at 1-800-359-1991.
The application must be completed and submitted to the Broomfield Health and Human Services Department.
Aged, Blind or Disabled Medicaid
Medicaid is available for persons over the age of 64, or for persons who are blind or who have disabilities.
To qualify for Medicaid as an aged person, the person must:
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Be over the age of 64 and eligible for Supplemental Security Income (SSI) and/or Old Age Pension (OAP) state supplemental payments.
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Apply for SSI if not already a participant.
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Not have monthly income exceeding $699.
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Not have assets exceeding $2,000 for an individual and $3,000 for a couple.
To qualify for Medicaid as a person who is blind or disabled and under
the age of 64, the person must:
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Be determined blind or disabled by the Social Security Administration (SSA) standards.
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Apply for SSI if not already a participant.
Note: If the person is eligible for SSI from SSA, the person should
automatically receive Medicaid; however, if you are on SSI and have not been
enrolled in Medicaid, contact the Broomfield Health and Human Services
Department.
To apply:
Applications (in English or Spanish) may be obtained in the following ways:
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Online by visiting the HCPF website.
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By visiting the Broomfield Health and Human Services Department at 6 Garden Center, Broomfield, CO 80020.
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By calling the Broomfield Health and Human Services Department at (720) 887-2287 or HCPF at 1-800-359-1991.
Long Term Care Medicaid includes nursing facility care and Home and Community Based services where medical providers come into the home to render the necessary services to keep a disabled individual from being institutionalized in a nursing facility or hospital.
Disability Eligibility:
Individuals of any age requiring long term care services must meet the Social Security disability criteria either through Supplemental Security Income (SSI) eligibility or Social Security Disability Income (SSDI) eligibility. Colorado also has a state contractor who can determine disability if an individual has not been determined disabled by the Social Security Administration.
Income Eligibility:
The income limit is $2,022 per month. For those individuals who are not hospitalized, an income trust can be established if one's income exceeds $2,022 per month. There are limits for the income trust which are dependent on the county in which the applicant resides.
Only individual applicant income is considered in the eligibility determination. An applicant's spouse's income is not considered.
Resource Eligibility:
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The individual resource limit is $2,000.
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The couple resource limit is $4,000 if both members of a marital couple are applying for long term care benefits and they are sharing the same room in a nursing facility or if both are going to receive Home and Community Based Services.
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The couple resource limit is $3,000 if both members of a marital couple are applying for long term care benefits and are living in separate rooms in a nursing facility.
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The couple resource limit is $109,560 (for 2009) if one member of the couple is applying for long term care services and the other spouse is not applying for Medicaid and is not institutionalized.
Additional Eligibility Requirements:
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Applicants of long term care Medicaid must receive long term care services for 30 consecutive days before eligibility can be approved.
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Applicants of long term care Medicaid cannot transfer assets for less than fair market value within 3 years of the date of application. If any transfers were made, the applicant may be ineligible for long term care services for a period of time.
Healthy Communities provides application assistance to pregnant women and families that may be eligible for Medicaid and/or the Child Health Plan Plus Program (CHP+). The program also assists those already receiving Medicaid and/or CHP+ in understanding their benefits and accessing medical, dental, vision, mental health and specialty services. We help pregnant women find providers for their prenatal care, helping to ensure a healthy pregnancy and a healthy baby. We encourage parents to take advantage of the preventive health care benefits for their children and help them to find providers for those services. By using preventive services, children will be less likely to end up in the emergency room for a condition that could have been treated in a doctor's office, or for treatment of a condition that could have been prevented.