¿Puedo vacunarme?

Debido a los cambios en las políticas federales y las recomendaciones sobre las vacunas, quizás se pregunte, “¿Puedo vacunarme contra la gripe, COVID y otras enfermedades este otoño?”

Colorado mantiene su compromiso de proteger la salud de sus habitantes mediante la evidencia científica y las mejores prácticas de salud pública.

¡Todas las vacunas recomendadas son un beneficio cubierto para los miembros de Health First Colorado sin costo!

Para niños y adolescentes (18 años o menores)

Los niños y adolescentes pueden recibir todas las vacunas que les ofrece el Programa federal de vacunas para niños (VFC).

Para obtener estas vacunas:

  • Visite a un proveedor que esté inscrito en el VFC y Health First Colorado.
  • Las vacunas son gratis, y Health First Colorado cubre el costo de dárselas a usted.

Las vacunas cubiertas incluyen:

  • Gripe (influenza estacional)
  • COVID-19 (para todos los de seis meses de edad y mayores)
  • Otras vacunas pediátricas recomendadas

Para adultos (19 años o mayores)

Los miembros de 19 años o mayores pueden obtener sus vacunas en cualquier farmacia o proveedor inscrito en Health First Colorado.

Las vacunas cubiertas incluyen:

  • Gripe (influenza estacional)
  • COVID-19 (para todos los adultos)
  • Otras vacunas recomendadas para adultos

Si pertenece a Rocky Mountain PRIME o Elevate Medicaid Choice (Denver Health)

Por favor, obtenga sus vacunas de un proveedor dentro de su red.

Mantenerse al día con sus vacunas lo protege a usted y a sus seres queridos de enfermedades graves como el sarampión, el COVID-19, la gripe y otras. Hable con su proveedor si tiene preguntas sobre qué vacunas necesita.

Can I get vaccinated?

Because of changing federal policies and recommendations about vaccines, you may be wondering, “Can I get my flu, COVID and other shots this fall?”

Colorado remains committed to protecting the health of our residents by following scientific evidence and public health best practices. 

All recommended immunizations are a covered benefit for Health First Colorado members at no cost to you!

For children and teens (18 or younger)

Children and teens can get all vaccines offered through the federal Vaccines for Children (VFC) Program.

To get these vaccines:

  • Visit a provider who is enrolled in VFC and Health First Colorado
  • Vaccines are free, and Health First Colorado covers the cost of giving them to you.

Covered vaccines include:

  • Flu (seasonal influenza)
  • COVID-19 (for everyone six months and older)
  • Other recommended pediatric immunizations

For adults (19 or older)

Members 19 or older can get vaccines from any Health First Colorado-enrolled provider or pharmacy.

Covered vaccines include:

  • Flu (seasonal influenza)
  • COVID-19 (for all adults)
  • Other recommended adult immunizations

If you belong to Rocky Mountain PRIME or Elevate Medicaid Choice (Denver Health)

Please get your vaccines from a provider in your network. 

Keeping up with your shots protects you and the people you care about from serious diseases like measles, COVID-19, the flu and more. Talk with your provider if you have questions about which vaccines you need.

Lo que necesita saber sobre los cambios federales obligatorios que se avecinan en Medicaid

En este breve video, la directora ejecutiva de Health First Colorado, Kim Bimestefer, explica lo que necesita saber sobre los cambios federales obligatorios que se avecinan en Medicaid.

Manténgase al día:

What you need to know about the federally mandated changes coming to Medicaid

In this short video, Health First Colorado CEO Kim Bimestefer tells you what you need to know about the federally mandated changes coming to Medicaid.

Stay up-to-date:

Statement from HCPF Executive Director Kim Bimestefer in response to the passage of H.R. 1, the One Big Beautiful Bill Act (OBBBA)

“Health First Colorado (Colorado’s Medicaid program) members, providers and partners will be impacted by provisions in the recently enacted federal reconciliation bill, H.R. 1 known as the One Big Beautiful Bill Act (OBBBA).

The bill is anticipated to result in the large-scale loss of health insurance coverage for Coloradans and an extraordinary cost shift to our state that Colorado’s state budget cannot absorb.”

Health First Colorado – the state Medicaid program – members should know that the provisions impacting their coverage will not take effect immediately.

The provisions impacting program eligibility will not take effect until December 2026. That includes increasing eligibility renewals from annually to every 6 months and the new work requirements provision. Implementing these federal mandates will require significant IT system investments, staffing resources, industry and efficiency advances, massive communications, stakeholder engagement and more.

HCPF remains committed to improving efficiencies within our eligibility ecosystem while advancing automation to reduce administrative burden for our members, county partners and others impacted by the bill. Efforts will focus on our north star, which is to mitigate inappropriate health care coverage loss and the challenging downstreaming results, such as increased uninsured rates, poor health outcomes, medical bankruptcies, increased provider uncompensated care and the cost shifting that will increase commercial health insurance rates paid by Coloradans and employers.

Other provisions that will significantly reduce Medicaid and Children’s Health Insurance Program federal funding, and therefore impact the state budget, will begin in October 2027. These include provisions that decrease provider fees and related federal funding, which will propel difficult conversations necessary to balance program expenses with lower revenues.

We also recognize that these new federally mandated changes will impact all Coloradans, not just those served by our safety net coverage programs. Accordingly, we will collaborate with other state agencies and stakeholders to double down on efforts to mitigate the commercial health insurance price increases that will result from the provisions of this bill.

We will also advance and increase all efforts to mitigate the financial threats to doctors, hospitals, and other care providers – especially rural providers – that will occur as uninsured rates rise, driving increases in uncompensated care costs that will threaten care access, health care jobs, and ultimately the solvency of certain providers.

HCPF will continue to communicate broadly and transparently with members and stakeholders on these and other issues, and in advance of changes to renewal obligations, processes, benefits or coverage. As more is known, we will post updates on our federal resource center.

Lo que usted necesita saber sobre los posibles recortes estatales y federales a Medicaid

Usted puede haber escuchado en las noticias sobre posibles recortes a Medicaid.

Colorado cerró un déficit presupuestario de $1 mil millones sin recortes importantes en Medicaid este año, pero los desafíos presupuestarios persisten a nivel estatal y federal.

En este breve video, La CEO de Health First Colorado, Kim Bimestefer le dice a usted lo que necesita saber sobre la situación actual, las perspectivas futuras y cómo mantenerse informado.

Manténgase actualizado:

What you need to know about potential state and federal budget cuts to Medicaid

You may have heard in the news about potential budget cuts to Medicaid.

Colorado closed a $1B budget shortfall without major Medicaid cuts this year, but budget challenges remain on the state and federal level.

In this short video, Health First Colorado CEO Kim Bimestefer tells you what you need to know about the current situation, the future outlook and how we’re fighting for you.

Stay up-to-date:

Descargue la aplicación gratuita de Health First Colorado

Descargue la aplicación gratuita de Health First Colorado

¡Use la aplicación móvil de Health First Colorado para tomar control de su cobertura! Cree una cuenta en CO.gov/PEAK, y luego descargue la aplicación gratuita de Health First Colorado. 

Use la aplicación de Health First Colorado para:

  • Ver si su cobertura está activa
  • Aprender sobre sus beneficios
  • Actualizar la información de su caso
  • Encontrar proveedores
  • Ver su tarjeta de identificación del miembro
  • Los miembros inscritos y de CHP+ pueden pagar las cuotas y los cargos de inscripción
  • Llame a la Línea de consejos de enfermería, a la línea sobre crisis de Colorado y la Línea para dejar de fumar Quitline

Descargue la aplicación gratuita de Health First Colorado hoy de la Apple App Store o Google Play Store.

Call the Free Nurse Advice Line

Health First Colorado Nurse Advice Line - 800-283-3221If you are not feeling well but are not sure if you need to go to the doctor, call the Nurse Advice Line at 1-800-283-3221. This free hotline is just for Health First Colorado (Colorado’s Medicaid program) members and you can call it 24-hours a day, 7 days a week. Help is available in both English and Spanish.

Medicaid Buy-In program premium payments will restart May 2025

In 2020, we paused the monthly premium payments for the Buy-in Program for Working Adults with Disabilities and Program for Children with Disabilities because of the COVID-19 pandemic.

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NEMT riders: Tell us about your complaint or feedback

NEMT riders: Tell us about your complaint or feedback.


Miembros que usan Transporte médico no urgente (NEMT): Díganos sobre su queja o comentario.

 

Co-pays eliminated for many services

As of July 1, 2023, Health First Colorado members will not have to pay co-pays for most services, except an $8 co-pay for each non-emergency emergency room visit.

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No annual benefit limit for adult dental care

As of July 1, 2023, adult Health First Colorado members seeking dental care will not have an annual benefit limit.

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Renewals: What You Need To Know

Update Your Information

Have you moved in the past three years? Has your contact information changed?

Don’t miss important updates – update your information today.

Make sure Health First Colorado (Colorado’s Medicaid program) and Child Health Plan Plus (CHP+) have your current phone number, email and mailing address. It’s important to make sure we can reach you when it’s time to fill out paperwork.

Learn More

1095-B Form

Changes to the Health First Colorado and Child Health Plan Plus (CHP+) 1095-B Form Process

The law has changed, and you no longer need to provide proof of health insurance coverage in order to file your taxes. Therefore, Health First Colorado will not be mailing out 1095-B forms this year. If you want a copy of your 1095-B form, you can request it by PEAK, phone, email, or mail.

Please visit: https://www.cohealthinfo.com/irsform1095b/

Regional Organizations

Health First Colorado members’ physical and behavioral health care are now managed by regional organizations. Learn more about the Health First Colorado Regional Organizations.

Health First Colorado Co-Pays

Our new Health First Colorado Co-Pays page covers everything members need to know about their co-pays.