Healthy Communities

Healthy Communities is the case management program for children, youth under age 21, and pregnant women enrolled in Health First Colorado (Colorado's Medicaid Program) and Child Health Plan Plus (CHP+). Our goal is to improve child health by helping families make the most of their medical benefits and ensuring they get the services they need.

Call Boulder County Healthy Communities’ Family Health Coordinators for help with:

  • Choosing a doctor, finding specialists, and scheduling appointments
  • Learning about Medicaid and CHP+ benefits
  • Finding other community resources that you may need

Email: HealthyCommunities@bouldercounty.org
Phone: 303-678-6141 or 303-413-7518

Now that you’ve applied for Health First Colorado (Colorado's Medicaid Program) and the Child Health Plan Plus (CHP+) you probably have questions. What happens next? What’s covered? How do I get care? This Guide to Health First Colorado and CHP+ will answer your questions.
English | Español

 Health First Colorado

Health First Colorado (Colorado’s Medicaid Program)



Benefits Summary

Check-ups and doctor visits Home health care services Occupational therapy
Dental care Hospice services Physical therapy
Dialysis Hospital inpatient/outpatient services Prenatal and maternity care
Expanded benefits for children (EPSDT) Immunizations Prescription drugs
Emergency services Laboratory and radiology Smoking cessation
Eye exams/glasses (limited for adults) Medical equipment and supplies Speech therapy
Family planning services Mental and behavioral health services Substance abuse treatment
Hearing services Nursing facilities Transplants

Need a Ride? Call 1-855-264-6368

Health First Colorado offers free transportation to non-emergency medical visits or services.

Need Medical Advice? Call 1-800-283-3221

The free nurse advice line is open 24 hours a day, 7 days a week to answer your medical questions.

Benefits Spotlight

Children (ages 0-20) Dental: Exams, cleanings, x-rays, sealants, space maintainers, fluoride treatments, fillings, crowns, root canals, gum and oral surgery; Braces may be covered in certain cases Vision: Eye exams, glasses, and contact lenses
Adults (ages 21-64) Dental: $1,000 limit per year; Basic preventative exams, x-rays, fillings, extractions, root canals, crowns, partial or complete dentures (not subject to the $1,000 per year limit) Vision: Medically necessary eye exams; Glasses and contact lenses only following eye surgery (surgery may have been performed at any time during your life)

What is Emergency Medicaid?

Emergency Medicaid is a Health First Colorado program that provides short-term coverage for immigrants without Legal Permanent Residency or Naturalization status. Emergency Medicaid only covers life or limb threatening situations (including labor and delivery), and does not cover doctor appointments or routine care. For more information, call the Medicaid Customer Contact Center at 1-800-221-3943.

 Child Health Plan Plus (CHP+)

Child Health Plan Plus (CHP+)



Benefits Summary

For children ages 0-18 and pregnant women

Behavioral Health Family planning (birth control) Mental health services
Case Management Hearing services Nursing facilities
Check-ups Home health care services Nutritional services (limited)
Chemotherapy and radiation Hospice services Occupational therapy
Dental services ($1,000 per year per child. No dental benefit for pregnant women) Hospital inpatient and outpatient services Physical therapy
Doctor visits Immunizations (shots) Prescription drugs
Dialysis (for patients with kidney disease) Laboratory and radiology Substance abuse treatment
Emergency services Maternity Transplants
Eye exams and glasses Medical equipment and supplies Urgent care

CHP+ Dental Benefits

Delta Dental of Colorado provides dental benefits for children enrolled in CHP+. You do not need to do anything to enroll and you will get a separate card in the mail for your child's dental benefits. If you have any questions about CHP+ dental benefits or to find a dentist call Delta Dental at 1-800-610-0201 or visit deltadentalco.com/CHP.aspx.

 Health First Colorado for Children

Health First Colorado for Children

Health First Colorado provides a comprehensive set of benefits and services for children through the Early and Periodic Screening, Diagnostic and Treatment program (EPSDT) that are different from those offered to adults. All medically necessary services must be covered, even if they’re not covered for adults ages 21 and older. Sometimes these services may require a prior authorization.

Early and Periodic Screening, Diagnostic (EPSDT): What the Terms Mean

Early Identifying problems early, starting at birth
Periodic Checking children’s health at periodic, age-appropriate intervals
Screening Doing physical, mental, developmental, dental, hearing, vision, and other screening tests to detect potential problems
Diagnostic Performing diagnostic tests to follow up a risk is identified
Treatment Treating the problems found

How Often Do Kids Need Check-ups?

A well-child check-up includes a health and developmental history, an unclothed physical exam, appropriate immunizations, laboratory tests, and health education.

Age Check-Ups
Under Age 1 7 per year
1 - 2 years 3 per year
2 - 3 years 3 per year
3 to 21 years 1 per year

 ‭(Hidden)‬ Frequently Asked

 ‭(Hidden)‬ Related Links


Contacts

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

Boulder

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

Longmont

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

Boulder County HHS Logo
Follow