Medicaid

Medicaid is free or low-cost health and dental coverage for low-income families including children, adults, pregnant women, people who are blind or disabled, and the elderly.

 About Medicaid

Colorado Medicaid is public health insurance coverage for children, families, pregnant women, adults, the elderly, and people with disabilities. There are several different Medicaid programs. When you apply for Medicaid, your eligibility will be determined based on the information you put in your application. Your age, family size, income and other information asked for in the application are used to ensure you are enrolled in the program that best meets your needs.

To be eligible for Colorado Medicaid you must be a US Citizen or eligible immigrant, a Colorado resident, and meet program specific income requirements. Some Medicaid categories will consider resources.

For more information about Colorado’s Medicaid programs see the Department of Health Care Policy and Financing’s website. The Department of Health Care Policy and Financing is the state agency that administers Medicaid, the Child Health Plan Plus (CHP+) and other healthcare programs for Coloradans who qualify.

Colorado Medicaid Dental Providers List

Eligible adults enrolled in Medicaid in Colorado now have access to up to $1,000 per year in preventive dental care.

 Eligibility

Eligibility

Colorado medicaid program, who might be eligible?
Families and Children: For Children, Parents, and Pregnant women.

  • Children under age 19
  • Pregnant women
  • Parents of Medicaid eligible children
  • Meet income limits (resources are not considered)
For information about children’s Medicaid benefits see Healthy Communities.

People Under age 64: For adults ages 19-64, and people with disabilities or blind and under age 64

Who might be eligible?

  • Adults ages 19-64
  • Children with a disability
  • People ages 16-64 who are working and have a disability
    • Medicaid Buy-In Program for Working Adults with Disabilities (Adult Buy-In) provides adults with disabilities, who earn too much income or have too many resources to qualify for Regular Medicaid, the opportunity to purchase Medicaid. Regular Medicaid benefits include, but are not limited to, office visits, hospitalizations, x-rays, home health services, durable medical equipment, and prescription medications. Clients will pay a monthly premium based on their income. For more information see, HCPF:Adult Buy-In.
  • People who are eligible for Supplemental Security Income (SSI).
    • If you receive SSI, then you will automatically receive Medicaid. If you receive SSI and have not been enrolled in Medicaid, please contact your local county department of human/social services.
    • If you have not yet applied for SSI, you should apply at a Social Security Administration (SSA) office.
  • People who receive Old Age Pension (OAP) grants who do not qualify for other Medicaid programs. This program provides limited medical care only.

If you need nursing home or home and community based services (HCBS), please see below for information about Long-term Care Medicaid.

People Age 65 and Over: People age 65 or older who are eligible for Supplemental Security Income (SSI) and/or Old Age Pension (OAP) state supplemental payments are eligible for Medicaid.

  • If you have not applied for SSI you should at a Social Security Administration field office.
  • If you are on SSI and have not been enrolled in Medicaid or if you have not applied for OAP please contact Boulder County Department of Housing and Human Services at 303-441-1000.
  • The income limit is $710.
  • The asset limit for an individual is $2,000 and $3,000 for a couple.

 Long-Term Care

Long-Term Care

Long-Term Care Medicaid includes nursing facility care and Home and Community-Based Services where medical providers come into the home to provide the necessary services to keep a disabled individual from being institutionalized in a nursing facility or hospital.

  • The income limit is $2,130 a month.
    • For those individuals who are not hospitalized an income trust can be established if income exceeds $2,130 a month. There are limits for the income trust which are dependent on which county the applicants resides.
    • Only individual applicant income is considered in the eligibility determination. An applicant's spouse's income is not considered.
  • The individual resource limit is $2,000.
    • 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.
    • The couple resource limit is $3,000 if both members of a marital couple are applying for long-term care benefits are living in separate rooms in a nursing facility.
    • The couple resource limit is $115,920 (2013 limit) 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.
  • Level of Care Eligibility
    • Case management agencies evaluate applicants of long-term care to determine if their medical condition qualifies them to receive long-term care services. This approval is necessary for eligibility.
  • Additional Eligibility Requirements:
    • Applicants of long-term care Medicaid must receive long-term care services for 30 consecutive days before eligibility can be approved.
    • Applicants of long-term care Medicaid cannot transfer assets for less than fair market value within 5 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.

Medicaid May Also be Available if You:


 Health Care Options

Other Health Care Options

If you are denied Medicaid coverage, you may be eligible for other health care programs.

  • Connect for Health Colorado is a new online health insurance marketplace that opened on October 1, 2013. This marketplace is sometimes referred to as the “health insurance exchange.” Individuals, families and small employers can shop for and buy health insurance through the Connect for Health Colorado website. Boulder County is a Certified Connect for Health Colorado Assistance Site and has trained Health Coverage Guides to help residents enroll in health insurance. Call 303-441-1000 or email healthcoverage@bouldercounty.org for more information or to make an appointment with a Health Coverage Guide.
  • Child Health Plan Plus (CHP+) - a low-cost health insurance program for uninsured Colorado children ages 18 and under whose families earn too much to qualify for Medicaid for more information call 303-441-1589.
  • Colorado Indigent Care Program (CICP) is a discount rate offered at some clinics and hospitals for eligible Colorado residents.

 How to Apply

How to Apply

  • You can apply for Medicaid at any of our offices.
    • 1921 Corporate Center Circle in Longmont
    • 3460 Broadway in Boulder
  • Print the application solicitud or pick up a copy at one of our offices
  • Fax, mail, email or deliver it in-person to one of our offices
  • Apply online at Colorado Peak
  • For more information call, 303-441-1000

If you are applying for family medical benefits please call Boulder County Healthy Kids for application assistance at 303-441-1589.


 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

1921 Corporate Center Circle, Suite 3F
Map & Directions
Hours: 8 a.m.-4:30 p.m. M-F

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