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  • Provider Enrollment Update Form - Coloradogov - Colorado

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THE COLORADO MEDICAL ASSISTANCE PROGRAM Medical Assistance Program Provider Services P.O. Box 1100 Denver, CO 802011100 18002370757 PROVIDER ENROLLMENT UPDATE FORM Only one provider may be updated.

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Child Health Plan Plus (CHP+) offered by Colorado Access is a low-cost health insurance plan for children through age 18 and pregnant women. If you make too much to qualify for Medicaid, your family might qualify.

Health First Colorado (Colorado's Medicaid Program) is free or low-cost public health insurance for Coloradans who qualify. Health First Colorado, administered by Denver Health Medicaid Choice (DHMC), is for individuals who live in Denver, Jefferson, Arapahoe, or Adams counties.

Note: There are no limits to how much money or other resources you can have for income-based Health First Colorado (Medicaid). If your family's income is at or below the limit for a program, you may qualify if you meet other program rules.

Your ID Number is a letter plus 6 numbers. For example, A123456. If your Health First Colorado coverage ends and starts again, your number stays the same. A health plan is a group of doctors, hospitals and other providers who work together to get you the health care you need.

See if you can sign up for Health First Colorado Family SizeApproximate Monthly Family Income to Qualify for Health First ColoradoAdults 19 – 65Children 0 – 181Up to $1,616Up to $1,7252Up to $2,186Up to $2,3343Up to $2,755Up to $2,9423 more rows

Income & Asset Limits for Eligibility 2023 Colorado Medicaid Long-Term Care Eligibility for SeniorsType of MedicaidSingleMarried (one spouse applying)Medicaid Waivers / Home and Community Based Services$2,742 / month$2,742 / month for applicantRegular Medicaid / Aged Blind and Disabled$914 / month$1,371 / month2 more rows • Dec 16, 2022

It may take up to 45 days — or up to 90 days if the application requires a disability determination — from the date your application was received for a case number to be assigned to you. Once you are assigned a case number, you can check your status and benefits online through Colorado PEAK.

Income & Asset Limits for Eligibility 2023 Colorado Medicaid Long-Term Care Eligibility for SeniorsType of MedicaidSingleIncome LimitAsset LimitInstitutional / Nursing Home Medicaid$2,742 / month*$2,000Medicaid Waivers / Home and Community Based Services$2,742 / month$2,0001 more row • Dec 16, 2022

Providers submitting new HCBS enrollment applications must watch the "Enrolling as a Health First Colorado Home and Community Based Provider" Training and successfully complete the "Provider Enrollment Quiz." This training is also available as a PDF.

Colorado Access is a nonprofit health plan. We have many programs to help you take charge of your health. Colorado Access helps Health First Colorado (Colorado's Medicaid Program) members in Denver County. We also help members outside Denver County if they get primary care from one of our providers.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232