Quick Health Coverage

Sometimes it can take awhile for Health First Colorado (Colorado’s Medicaid Program) or CHP+ to process your application. But what happens if you urgently need healthcare while you’re waiting?

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Our Family Health Coordinators can help you get quick, temporary health coverage through Health First Colorado (Colorado’s Medicaid program) or CHP+, if you meet eligibility requirements. This process is called Presumptive Eligibility.

What Is Presumptive Eligibility?

Presumptive Eligibility (PE) allows eligible children under 19 and pregnant women to receive temporary medical coverage through Health First Colorado (Colorado’s Medicaid program) or CHP+, so you don’t miss out on important medical care.

Presumptive Eligibility allows for up to 45 days of temporary medical coverage while your eligibility for full health care benefits is being reviewed and processed. Once your eligibility is determined, the PE coverage ends.

How Do I Apply for Quick Health Care Coverage?

To apply for temporary PE health care coverage, please contact a Family Health Coordinator. You can come into our office to submit your Health First Colorado/ CHP+ application, and during the same visit we can get you temporary medical coverage if you meet eligibility requirements.

What Are the Benefits?

PE Benefits for Health First Colorado (Colorado’s Medicaid program) – Pregnant Women

  • Prenatal Care
  • Outpatient Services

Inpatient care, labor and delivery are NOT covered for pregnant women under PE. These services are covered however as Health First Colorado benefits, once your Health First Colorado application has been approved.

PE Benefits for Health First Colorado (Colorado’s Medicaid program) – Children

  • Regular Health First Colorado benefits
  • Mental health services (under Health First Colorado)
  • Dental Services

PE Benefits for CHP+ – Children and Pregnant Women

  • Full CHP+ medical benefits
  • Dental services are not covered.