People who meet any of the following criteria should not have to meet the work requirement.
- Children 18 and younger
- Adults 65 and older
- Parents, guardians, caretaker relatives or family caregivers responsible for a child aged 13 or younger
- Parents, guardians, caretaker relatives or family caregivers responsible for caring for a person of any age, who has a disability
- Veterans with a service-connected disability that the U.S. Department of Veterans Affairs has determined to be total and permanent
- People who qualify or are enrolled in Medicare
- People enrolled in a long-term services and supports (LTSS) program
- People enrolled in Medicaid buy-in programs (Working Adults or Children’s)
- People who are receiving Supplemental Security Income (SSI) and/or Social Security Administration (SSA) income, such as Social Security Disability Insurance (SSDI) or Social Security Retirement (SSR)
- Former foster care youth age 19 to 26
- Current Health First Colorado members who are pregnant and some members who were pregnant within the last 12 months
- American Indians and Alaska Natives (AI/AN) who qualify for Indian Health Services (IHS)
- People who are medically frail. A medically frail person has significant health needs, such as a disabling mental health condition, substance use disorder, or other complex medical condition that limits daily functioning or requires ongoing medical care.
- People enrolled in treatment or rehab for a mental health or substance use disorder
- People living in a jail, prison or some halfway houses, now or in the past 3 months
- People who comply with Supplemental Nutrition Assistance Program (SNAP) or Colorado’s Temporary Assistance for Needy Families (TANF) work requirements.
- People with SNAP or TANF who fail to comply with their work requirement must comply with Health First Colorado’s work requirement to keep their health coverage.
If Health First Colorado needs more information to decide if you must meet work requirements, we will send you a letter. Open and respond to letters from Health First Colorado right away.
Use our screener tool to find out if you might be affected by Medicaid work requirements. (Please note: the screener tool is only an estimate. It is not an official application or eligibility decision.)