Medicaid Changes

Updated June 15, 2026

Starting January 1, 2027, some adults ages 19 to 64 will have their eligibility checked every 6 months instead of once a year.

If this rule applies to you, Health First Colorado will send you a letter in the fall of 2026.

⚠️ People who do not renew on time will lose their health coverage.

  • Some adults age 19 to 64 will also need to comply with work requirements. [Learn more about work requirements.]

Who keeps 12-month renewals

  • Children 18 and younger
  • Adults age 65 and older
  • Pregnant members and members who were pregnant in the last 12 months
  • Parents or caretaker relatives whose income is 68% FPL or less
  • Members who receive home and community-based services (HCBS) waivers or other long-term services and supports (LTSS) programs
  • Members in Medicaid buy-in programs
  • Members who qualify based on blindness or disability
  • Members who have Medicare
  • Former foster care youth through age 25
  • Members who are American Indian or Alaska Native, including Indian, Urban Indian, and California Indian members

FAQs and Resources