Healthy Communities

Healthy Communities is the Case Management program for Children’s Medicaid and CHP+. Our goal is to improve child health by helping families make the most of their child’s medical benefits and ensuring that children get the services they need.

Healthy Communities can help you:

  • Choose a doctor, find specialists, and help schedule appointments.
  • Get to your appointments.
  • Arrange other medical needs for your family, including prenatal care.
  • Connect your child with a dentist and eye doctor.
  • Understand what is covered by Medicaid and CHP+.
  • Link you with community resources.
Now that you’ve applied for Medicaid and the Child Health Plan Plus (CHP+) you probably have questions. What happens next? What’s covered? How do I get care?

What does Medicaid cover?

The federally mandated benefits package for children on Medicaid (from birth through age 20) on Medicaid is called EPSDT. EPSDT benefits include:

  • Doctor Visits (Physical Examination)
  • Surgeries
  • Emergency Services
  • Hospitalization
  • Immunizations
  • Prescription Drugs
  • Diagnostic services, such as an EKG, X-ray
  • Durable Medical Equipment and Disposable Supplies (DME)
  • A growth and development check
  • Urine and blood (including lead screening) (12 and 24 months) or (36 to 72 months if not previously tested) tests, if needed
  • Mental Health Services
  • Vision Testing
  • Hearing Tests and Treatments, including hearing aids
  • Dental Services, including orthodontia (special condition)
  • Prenatal Care
  • Family Planning or abstinence information
  • Therapies such as occupational (OT), physical (PT), and speech therapy (SP)
  • Home Health Services
  • Care out of the state of Colorado (only if a provider is not available within the state)
  • Health Education
  • Outreach and Case Management Services (Healthy Communities)
  • 24/7 Medicaid Nurse Advice Line
  • Transportation to Medical Appointments
  • Note: This list does not include everything that EPSDT might cover. if it is medically necessary.

What Does CHP+ cover?

Here are just a few of the health services CHP+ covers:

  • Regular checkups
  • Immunizations (shots)
  • Prescriptions (medicine)
  • Hospital services
  • Eye glasses
  • Hearing aids
  • Dental care (for children) services, up to $600 per year

How often should my child receive a checkup?

  • Birth to one year - 6 to 8 checkups per year
  • One year to two years - 2 to 3 checkups per year, every 3 to 6 months
  • Three years to six years - 1 checkup per year
  • Seven to twenty years - 1 checkup every 1 to 2 years

Why are checkups important?

Checkups or well child visits helps the child’s overall health and functioning, as health problems may be hidden. The earlier the health problems are found, the easier it is to correct them or stop them from becoming serious. Some health problems can lead to permanent disability if left untreated.

For more information, contact the Healthy Communities:

529 Coffman, Suite 200, 303-678-6141
3482 Broadway, Boulder, 303-413-7518
Submit a question online

 Related Links

 Frequently Asked


Housing & Human Services

Phone: 303-441-1000
Fax: 303-441-1523
Submit a question or comment

Mailing Address

P.O. Box 471
Boulder, CO 80306


Benefits: 3460 Broadway
Map & Directions
Housing: 2525 13th St, Suite 204
Housing Phone: 303-441-3929
Housing Fax: 720-564-2283
Hours: 8 a.m.-4:30 p.m. M-F


515 Coffman St.
Map & Directions
Hours: 8 a.m.-4:30 p.m. M-F

Boulder County HHS Logo