How do I update my account to include a pregnancy?

Tell Health First Colorado or Child Health Plan Plus (CHP+) you are pregnant in a way that’s easy for you:
Visit CO.gov/PEAK. If you don’t have a PEAK account, you can create one at CO.gov/PEAK.

Use the Health First Colorado app on your phone. This free app is for Health First Colorado and CHP+ members.

CHP+ members can call 800-359-1991 (State Relay: 711). Help is available in multiple languages.

Or, contact your county department of human services.

English is not my first language. Will Health First Colorado pay for a translator during my doctor visits?

Translators are not a Health First Colorado (Colorado’s Medicaid program) benefit. Doctors and other medical providers must offer effective communication with their patients. Effective communication includes translators, American Sign Language interpreters, written material in another language, or other options to help people who speak a language other than English and for people with a disability. For more information, contact the Americans with Disabilities Act (ADA) Coordinator.

I legally changed my name. How do I change my name on my Health First Colorado or Child Health Plan Plus case?

There are two ways to report that you have legally changed your name.

  1. Contact your local county office or Medical Assistance site.
  2. If you are enrolled in Health First Colorado (Colorado’s Medicaid program) or Child Health Plan Plus (CHP+) and do not receive food assistance, cash assistance, or financial assistance to purchase private health insurance through Connect for Health Colorado, you can also call the Member Contact Center at 1-800-221-3943 / State Relay: 711 to change your name.

I have Health First Colorado but my income has recently changed. How can I update my income?

If you are a current Health First Colorado (Colorado’s Medicaid program) or Child Health Plan Plus (CHP+) member and you need to tell us about a change in your income, log on to your PEAK account at Colorado.gov/PEAK to report the change. This is the fastest and easiest way to tell us about the change in your income. You can get in-person help updating your income using your PEAK account from a Certified Application Assistance Sites in your community. If you do not have a PEAK account, you can create a PEAK Account at any time, even if you did not apply online.

You can also report income changes using the Health First Colorado mobile app or by contacting your local County Human Services Office or a Medical Assistance Site in your community.

After you tell us what your new income is, we will need to see if you and your family still qualify for Health First Colorado or CHP+. If you do still qualify then you do not have to do anything. If you no longer qualify for Health First Colorado or CHP+ we’ll check to see if you and your family still qualify for a tax credit to help purchase private health insurance through Connect for Health Colorado.

Why is my doctor sending me a medical bill if I’m a Health First Colorado member?

If you have received a medical bill from your doctor or a collection agency, and you have confirmed that you were active on Health First Colorado (Colorado’s Medicaid program) on the date of service, first check if the date of service is within 120 days. If it is, please contact your provider and ask them to bill the medical assistance program. If they are having trouble billing, ask them to contact the Provider Services Call Center.

If the date of service on the bill is greater than 120 days, please get in touch with the Member Contact Center for further assistance.

How can I find out what medical claims Health First Colorado has paid for?

You can submit a written request to receive copies of medical claims paid by Health First Colorado (Colorado’s Medicaid program) to our Privacy Officer using our Access to Protected Health Information form.

A Parent or Legal Guardian may sign on behalf of minor child. Legal Guardian, Power of Attorney, or equivalent may sign on behalf of adult. Documentation is required

Health First Colorado screens and processes the request to make sure it meets the Health Insurance Portability and Accountability Act (HIPAA) requirements. The Department will act on your request within 30 days (60 days if the information is off site), unless we provide you with notification in writing that a 30-day extension is needed.

Please send your written request with copies of your IDs to the following address:

Department of Health Care Policy & Financing
Privacy Officer
303 E. 17th Avenue
Suite 1100
Denver, CO 80203

What is a managed care plan?

Managed care plans are networks of physicians, hospitals, and other health care professionals who deliver medical services to members. To enroll in a Health First Colorado (Colorado’s Medicaid Program) managed care plan, visit enroll.healthfirstcolorado.com or call Health First Colorado Enrollment at 303-839-2120 (in Denver) or 1-888-367-6557 (outside of Denver). Hours: Monday-Friday, 8:00 a.m. to 5:00 p.m. (closed state holidays). Note: The Health First Colorado Enrollment number is not for information on benefits or to find out if you qualify.

What is managed care?

Managed care is a group of doctors, clinics, hospitals, pharmacies and other providers who work together to take care of your health care needs. We refer to these groups as Managed Care Organizations or MCOs. For more information please see the Regional Organizations page.

What is Estate Recovery?

Federal law requires states to operate an Estate Recovery Program to help pay for the costs of their Medicaid program. We recover medical assistance payments paid on behalf of former Health First Colorado (Colorado’s Medicaid program) members from their estates. We may only recover medical assistance costs from the estates of members who received services in an institutionalized setting or for the cost of services received by members who were age 55 and older. The law also provides exceptions to estate recovery and the ability to compromise claims.