You are here: Health Home > Medicaid > FAQs

Frequently Asked Questions about Medicaid

• Applying for Medicaid

• How do I apply?
• If I can't leave my home, can I still apply?
• When I turn in my application, what should I take with me?
• How can I get help filling out an application?

• Qualifying for Medicaid

• How do I know if I qualify for Medicaid?
• I'm not a U.S. citizen or a legal resident alien. Can I still get Medicaid?
• I receive SSI. Do I qualify for Medicaid?
• I'm taking care of other people's children. Can I get Medicaid?
• I just moved here?  Can I get Medicaid from Boulder County?
• What if I need medical help before my application is approved?
• If I have some health insurance but need more coverage, can Medicaid help?
• Are there other health care options available for my child?
• If I think I am eligible for Medicaid, should I cancel any other health insurance I might already have?
• How do I request a county/state hearing if I do not agree with the denial of my Medicaid application?
• Can I still keep part of my income if I am in a nursing home or in an intermediate care facility for the developmentally disabled?
• Will there be a lien (legal claim) placed on my estate (my assets) when I die?

• Covered Services

• Services for adults.
• Services for children.
• How do I know which medical providers (including dentists and eye doctors) take Medicaid? (PDF 228 KB)

• About Medicaid Health Plans

• What is a medical home?
• Can I still keep part of my income if I am in a nursing home (residential health care facility) or in an intermediate care facility for the developmentally disabled?
• What plans can I enroll in for Medicaid health services in Boulder County?
• What is the Medicaid Managed Care Program?
• What is the Primary Care Physician (PCP) Program?
• What is the Any Medicaid Provider Program?
• What if I need medical care before receiving my medical identification card (MID card)?
• What if I want to change the PCP listed on my MID card?
• What should I do if I have lost my MID card?
• What if my name is spelled incorrectly on my MID card?
• What should I do if the information I put on my application changes?
• Whom should I call when my doctor is not available?
• If my child or I needs to see a specialist, do I need a referral from the doctor?

• Children and Pregnant Women (EPSDT)

• I am pregnant and have Medicaid coverage. Will my baby receive Medicaid?
• Do I continue to receive Medicaid after the birth of my baby?
• My baby has just been born and I can’t provide a birth certificate for Medicaid. What should I do?
• Why do I have to bring you another copy of the birth certificate when you should have it on file?
• Whom should I call when my doctor or my child's doctor is not available?
• If my child or I needs to see a specialist, do I need a referral from my child's doctor?
• What is EPSDT?
• Who can use EPSDT services?
• What's the difference between EPSDT and Social Services?
• What should an EPSDT health checkup include?
• When should EPSDT health checkups be done?

• Payments

• Do adults have a co-pay while on Medicaid?
• Do children and pregnant women have a co-pay while on Medicaid?
• What do I do if I am out of the state and need Medicaid benefits?
• Can Medicaid help with transportation to a medical appointment?
• Why did Medicaid not cover my prescription or medical bill?