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.

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

  • Choosing a doctor, finding specialists, and scheduling appointments
  • Learn what Medicaid and CHP+ covers
  • Find 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 Medicaid 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 Medicaid and CHP+will answer your questions.
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 Medicaid

Medicaid



Benefits & Services

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

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 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 & Services

For children ages 0-18 and pregnant women

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

 EPSDT

Early and Periodic Screening, Diagonostic (EPSDT)

Medicaid 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.

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. The American Academy of Pediatrics recommends that children receive the following number of check-ups per year:

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

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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

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