Colorado Medicaid Eligibility Requirements

This page provides general guidelines for the Colorado Medicaid eligibility requirements. This is an assistance program that provides medical coverage for low-income people of all ages. The department that handles the Medicaid program is Colorado Department of Health Care Policy and Financing. The name of the state program is Colorado Health Plan. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the Colorado Medicaid office.


Colorado Medicaid Overview

Colorado Health Plan is Colorado's Medicaid program, a federal and state funded program that serves needy individuals and families who meet financial and other eligibility requirements and certain other individuals who lack adequate resources to pay for medical care.


Colorado Medicaid Eligibility Requirements - Non Income

You must be a Colorado resident and a U.S. citizen or legal alien.


Documents Needed For Colorado Medicaid Application


Colorado Medicaid Benefits

Covers diagnosis, (services to find out what is wrong), physician services, check-ups, (medical and dental), family planning, maternity, prenatal, and new-born care, prescriptions, hospital services, comfort care, hospice, dental services, drug and alcohol treatment, and mental health services.


Colorado Medicaid & CHIP Eligibility Levels

Below is the modified adjusted gross income (MAGI) eligibility levels for Colorado Medicaid and Children's Health Insurance Program (CHIP).

Eligibility Levels - By Percentage Of Federal Poverty Level (FPL)

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: 142%
Age 1-5: 142%
Age 6-18: 142%
260% Medicaid: 195%
CHIP: 260%
133% 133%

Eligibility Levels - Individual By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $1,381
Age 1-5: $1,381
Age 6-18: $1,381
$2,529 Medicaid: N/A
CHIP: N/A
$1,293 $1,293

Eligibility Levels - Family Of Two By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $1,861
Age 1-5: $1,861
Age 6-18: $1,861
$3,408 Medicaid: $2,556
CHIP: $3,408
$1,743 $1,743

Eligibility Levels - Family Of Three By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $2,342
Age 1-5: $2,342
Age 6-18: $2,342
$4,288 Medicaid: $3,216
CHIP: $4,288
$2,193 $2,193

Eligibility Levels - Family Of Four By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $2,822
Age 1-5: $2,822
Age 6-18: $2,822
$5,168 Medicaid: $3,876
CHIP: $5,168
$2,643 $2,643