Other Medicaid Programs
Colorado Health Partnerships contracts with the State of Colorado’s Department of Health Care Policy and Financing (the Department). The Department administers the Medicaid and Child Health Plan Plus programs as well as a variety of other programs for Colorado's low-income families, the elderly and persons with disabilities. To learn more about your Medicaid benefits and other programs they offer, visit the State of Colorado’s Department of HealthCare, Policy and Financing web site.
Finding a Doctor or PCPTaking care of all your health needs, both mental health and medical, is important. If you don’t have a doctor, or primary care physician, the Department has resources to help. To find a doctor or PCP, call the Health Colorado, the Medicaid enrollment broker at
303-839-2120 (within Metro Denver),
1-888-367-6557 (outside Metro Denver).
Finding a Medicaid SpecialistThe Department has a list of specialists, who can help you with special medical needs. You can use the Medicaid Provider Lookup, to find a provider or contact
Medicaid Customer Service at 303-866-3513 (within Metro Denver),
1-800-221-3943 (outside Metro Denver).
Prescription DrugsThe State of Colorado has a Preferred Drug List (PDL) for many Medicaid clients who need prescription medication. The PDL is a list of drugs that the state does not require prescribers to get prior approval to prescribe. Drugs that are not on this list need approval from the state. This means that some drug choices are limited. Medicaid members and their families can get more information about the PDL and any future changes by going to the state website or call
Pharmacy Liaison at
303-866-3614 (within Metro Denver),
1-800-866-3513, (outside Metro Denver).
Home and Community-Based Services (HCBS) WaiversThe State of Colorado has many waiver programs. Waiver programs are special programs to help people with special health care needs to remain in their home and community. To qualify for a waiver, people must meet specific financial, medical and program criteria.
People who get services through a waiver are eligible for all basic services that Medicaid covers except services in a nursing facility and long-term hospital care. Some waivers may be applied for through a state agency. Others must be applied for through a Single Point of Entry (SEP) agency. To learn more about waiver programs by going to the Department’s HCBS page.
Early Periodic Screening, Diagnosis & Treatment (EPSDT)Early Periodic Screening, Diagnosis and Treatment (EPSDT) is a special health care program for children and youth ages 20 and under who have Medicaid. Children and youth can get health checkups, nutrition checkups, dental checkups, baby shots and other tests under EPSDT. There is no fee for EPSDT check-ups. Regular check-ups are important. They will help keep your child healthy and find any health problems early. If the EPSDT screening finds that your child has health problems, EPSDT will also provide for the medical treatment.
If your child is Medicaid eligible, and you would like to get an EPSDT check-up, call your Primary Care Physician (PCP). Your PCP will do the health check or refer you to a health clinic. To learn more about Colorado’s EPSDT program, visit the Departments web site that talks about EPSDT.
Medicaid Eligibility and Other BenefitsThe State’s Program Eligibility Application Kit, or PEAK, is a way to check your benefits. This Web site
- Lets people applying for benefits find out if they are eligible for food stamps, cash assistance, and Medicaid eligibility by clicking on “Am I Eligible” function
- Allows current Medicaid members to check the status of their benefits by clicking on “Check My Benefits.” The site is in English and Spanish. Check it out! Colorado.gov/benefits.