Public Charge

Announced August 14, 2019. Set to go into effect on October 15, 2019.

The definition of public charge, and corresponding public charge test was announced by U.S. Citizenship and Immigration Services, part of the U.S. Department of Homeland Security.

Public charge information and resources.

CHIP Reauthorization

January 22, 2018 (retroactive to October 1, 2017), and February 9, 2018.

A six-year funding extension was passed on January 22, and an additional four years were added on February 9, 2018.

Medicaid and CHP + Income Guidelines

April 1, 2018

Adjusted income guidelines for MAGI programs

Agency Letter

Children with Autism Waiver sunset

June 30, 2018

The Children with Autism Waiver sunset; the therapies provided under the waiver are available through EPSDT.

Children with Autism Waiver website

CHIP Reauthorization

January 22, 2018 (retroactive to October 1, 2017), and February 9, 2018.

A six-year funding extension was passed on January 22, and an additional four years were added on February 9, 2018.

Medicaid and CHP + Income Guidelines

April 1, 2018

Adjusted income guidelines for MAGI programs

Agency Letter

Children with Autism Waiver sunset

June 30, 2018

The Children with Autism Waiver sunset; the therapies provided under the waiver are available through EPSDT.

Children with Autism Waiver website

Medicaid and CHP+ Income Guidelines

April 1, 2017

Adjusted income guidelines for MAGI programs

2017 CHP+ Income Chart

2017 Medicaid Income Chart

Updates to citizenship eligibility

September 30, 2017

Updates were made to rule to include eligibility for children who have a pending Special Immigrant Juvenile status. Work quarters were also removed for CHP+ eligibility.

MSB 17-05-22-A

CHP+ enrollment date adjustment

October 30, 2017

Enrollment begin date in a CHP+ MCO changed from the first day of the month following eligibility determination that occurs on or before the 21st of the month, to a determination that happens on or before the 16th of the month.

MSB 17-06-08-A

Medicaid Asset Verification Program

December 17, 2017

For non-MAGI categories, assets can now be verified electronically.

Agency Letter

FAQs

MSB 17-08-21-B

Retro closing and exceptions to 10-day noticing

March 20, 2016

Changes were made to the policy and logic in the Colorado Benefits Management System for retroactive, or retro-closing, and noticing for ongoing cases and redeterminations. Clients with the following circumstances will be terminated without 10-day noticing: not requesting assistance, not in the home, not a Colorado resident, or whereabouts unknown.

FAQ

Income guidelines updated

April 1, 2016

Income guidelines for program eligibility were updated

Medicaid

Medicaid coverage extended to people residing in Community Corrections facilities (half-way homes)

June 1, 2016

Medicaid-covered services became available to residents of Community Corrections facilities (half-way homes) who would otherwise be Medicaid eligible, including individuals who reside at the facility involuntarily.

Policy Statement

Colorado’s Medicaid program name updated to Health First Colorado

June 27, 2016

Medicaid, Colorado’s public health insurance program for low-income Coloradans who qualify, is now called “Health First Colorado.”

Resources

Annualized Income

July 1, 2016

As of July 1, 2016, the Colorado Benefits Management System is programmed to use an applicant’s annualized income for Health First Colorado and Child Health Plan Plus (CHP+) eligibility determinations when the person has income from self-employment, commission-based employment, and/or seasonal employment, and is found financially ineligible for all Modified Adjusted Gross Income (MAGI) Medicaid Assistance programs based upon their current monthly income.

FAQ

Additional updates to the removal of the five-year bar for children and pregnant women

July 1, 2016

The removal of the five-year bar was extended to all Health First Colorado children eligible for non-MAGI programs, and some immigration codes were added.

FAQ

Health First Colorado and CHP+ eligibility appeal timeline extended to 60 days

September 1, 2016

Health First Colorado applicants and members now have 60 days, as opposed to the previous 30 days, after the eligibility determination date on the Notice of Action to file an eligibility appeal with the Office of Administrative Courts.

Agency Letter

HB 16-1277

Connect for Health Colorado eligibility appeal timeline extended to 60 days

October 1, 2016

Connect for Health Colorado extended the time limit for a customer to file an appeal from 30 days to 60 days to align with the changes to HCPF’s appeals process (listed above).

Appeals Information

Minimum Essential Coverage for Dependent Children of Parents and Caretaker Relatives

October 1, 2016

Parents and caretaker relatives who have incomes between 69 and 133 percent of the Federal Poverty Level are required to attest that any dependent children who live with them, under the age of 19, are enrolled in Minimum Essential Coverage in order to be eligible for the Health First Colorado MAGI-Adult category.

FAQ

Eligibility for refugees and other immigrants

December 30, 2016 (going back to September 2015)

Under the revised policy, individuals who are refugees will no longer be found ineligible for Health First Colorado and CHP+ based upon individuals not changing their status after seven years. Although the rule is effective December 30, 2016, the policy will be applied to applicants who lost coverage going back to September 2015.

Agency Letter

MSB 16-07-05-A

Medicaid eligibility income change for Parent and Caretaker Relatives

April 1, 2015

To align with federal requirements and to fully implement the Modified Adjusted Gross Income (MAGI) income conversion for this population, MAGI Parent/Caretaker income threshold was reduced from 107% of the Federal Poverty Level (FPL) to 68% FPL. Parents with incomes above 68% FPL were transitioned to the Adult MAGI Medicaid category.

MSB 15-02-06-A

Parent/Caretaker Relative Federal Poverty Level Changes Frequently Asked Questions (HCPF)

Elimination of the five year waiting for lawfully present children and pregnant women applying for Medicaid and Child Health Plan Plus (CHP+)

July 1, 2015

Colorado eliminated the five year waiting period for lawfully present children otherwise eligible for MAGI Medicaid and CHP+, and for lawfully present regnant women otherwise eligible for CHP+ in July 2015. State legislation authorizing the elimination of the five year bar was passed in 2009, and funding to fully implement the bill was provided in July 2014. Systems changes were implemented July 2015.

MSB 15-02-23-A

House Bill 09-1353

Elimination of Five-Year Bar for Lawfully Residing Pregnant Women and Children Frequently Asked Questions(HCPF)

Did you know you might now qualify for Medicaid or CHP+? (CKF Fact Sheet for Clients – English)

¿Sabía que ahora podría calificar para el Medicaid o CHP+? (CKF Fact Sheet for Clients – Spanish)

1115 Demonstration Waiver Extension for Prenatal Medicaid Coverage

August 1, 2015 – July 31, 2020

Colorado requested to maintain its existing authority under a 1115 demonstration waiver to provide Medicaid coverage using title XXI funding for uninsured pregnant women with income above 141 percent through 195 percent of the Federal Poverty Level (FPL). The renewal period will be effective from August 1, 2015 until July 31, 2020

Centers for Medicare & Medicaid Services Approval Letter

12-month Continuous Eligibility extended to children’s non-MAGI Medicaid programs

October 18, 2015

12-month continuous eligibility was expanded to children enrolled in non-MAGI programs including children eligible for Supplemental Security Income (SSI) mandatory, Pickle, Disabled Adult Child (DAC), Medicaid Buy-In Program for Children with Disabilities and children in Long-Term Care programs such as Children’s Home and Community Based Services (HCBS) waiver and the Children with Autism Waiver (CWA). Continuous eligibility also applies to children under the age of 19 who are no longer eligible for Foster Care Medicaid.

MSB 15-05-27-D

Continuous Eligibility: Frequently Asked Questions (HCPF)

Medicaid eligibility rule review and updates

November 1, 2015

Several updates were made to the Medicaid eligibility regulations set forth in section 8.100.4 to align rule with federal regulations. These updates were made as part of a five-year rule review process. Clarifications were made to rules concerning verifications, MAGI methodology for income calculation, income disregard, household composition, presumptive eligibility, needy newborns, and transitional Medicaid.

MSB 15-07-08-B

Medicaid expansion for adults

January 1, 2014

Medicaid eligibility threshold expanded to 133% of the Federal Poverty Level (FPL) for Adults without Dependent Children, and for Parents and Caretaker relatives.

Senate Bill (SB) 13-200

Parent/Caretaker Relative Federal Poverty Level Changes Frequently Asked Questions (HCPF)

Implementation of 12-month continuous eligibility for kids in MAGI programs

March 1, 2014

Children ages 0-18 will remain eligible and enrolled in one program (either MAGI Medicaid or CHP+) for 12 continuous months regardless of changes to family size or income.

House Bill 09-1293

Adult dental Medicaid benefit added

April 1, 2014

Medicaid clients ages 21 and older (including pregnant women) gained access to limited dental benefits in April 2014. Full dental benefits, including restorative procedures and services requiring prior authorization, became available on July 1, 2014.

Senate Bill 13-242

Extension of reasonable opportunity period to 90 Days

May 1, 2014

The state responded to federal guidance by defining and aligning the reasonable opportunity period for citizens and non-citizen applicants to 90 days.

CHP+ children’s dental benefit expanded

July 1, 2014

The state responded to federal guidance by expanding benefits to include periodontic care, orthodontic care, prosthodontic care, and an increased annual maximum per member from $600 to $1,000.

Removal of Medicaid “stair step” for kids

January 1, 2013

Children between six and 18 with family incomes at or below 133 percent FPL gained Medicaid eligibility.

Senate Bill 11-008

MSB 12-07-03-A

Increase in Medicaid eligibility for pregnant women

January 1, 2013

Increased the Medicaid eligibility threshold for pregnant women to 185 percent FPL allowing them to access dental benefits and lower cost sharing.

Senate Bill 11-250

MSB 12-07-03-A

CHP+ expanded to dependents of state employees

January 1, 2013

CHP+ became a health coverage option for dependents of state employees, making their dependents eligible for CHP+ benefits, lower enrollment fees, and fewer out-of-pocket costs.

Implementation of CHP+ health plan automatic enrollment

January 1, 2013

Health Maintenance Organization selection for new CHP+ enrollees is automated to streamline enrollment. CKF continues to recommend that further changes be made to protect family choice.

CHP+ “opt in” options for children of families who have submitted food stamps or a Colorado Works application.

April 30, 2013

MSB 13-01-08-A

Express lane eligibility for children who have submitted an Free/Reduced Lunch application will have the option to “opt-in” for Medical Assistance eligibility determination at participating school districts

March 3, 2013

MSB 12-07-27-A

Removal of CHP+ three-month waiting period

May 1, 2013

Eliminates the three-month waiting period that required children who were covered by health insurance to wait three months before applying for CHP+ if the insurance was through an employer who contributed at least 50% of the premium cost.

Senate Bill 13-008

MSB 13-04-04-A

Funding Colorado Health Benefit Exchange

Eliminates the three-month waiting period that required children who were covered by health insurance to wait three months before applying for CHP+ if the insurance was through an employer who contributed at least 50% of the premium cost.

House Bill 13-1245

Transfer Developmental Disabilities to HCPF

House Bill 13-1314

CHP+ Enrollment Fee

January 1, 2012

CHP+ Enrollment Fee increased for families between 205-250% FPL

MSB 11-08-30-A

CHP+ Co-pay increases

July 1, 2012

MSB 11-08-30-A

Medicaid Buy-In Program for Working Adults with Disabilities (Adult Buy-In)

March 1, 2012

House Bill 09-1293

Electronic Identity Verification

Feb. 27, 2012

Department of Motor Vehicles Electronic Interface with the Colorado Benefits Management System for Identity Verifications

MSB 11-12-09-C

Adults without Dependent Children (AwDC)

April 1, 2012

Medicaid Expansion to Adults without Dependent Children under 10% of FPL

House Bill 09-1293

Medicaid Buy-In Program for Children with Disabilities (Children’s Buy-In)

July 1, 2012

Families earning up to 300 percent of the Federal Poverty Level (FPL) can “buy-in” to Medicaid benefits for disabled children via a monthly premium.

Colorado Benefits Management System Project

House Bill 12-1339

Medicaid Payment Reform and Innovation Pilot Program

House Bill 12-1281