New federal rules will affect some adults ages 19 to 64 and some immigrants who get Health First Colorado or Child Health Plan Plus (CHP+).
Do the new work requirements apply to me?
Answer a few questions to learn if you may need to complete work requirements to receive or keep your coverage.
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.
Message from Executive Director Kim Bimestefer
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:
- Opt-in to our email updates.
- Follow us on Facebook and Instagram.
- See more Health First Colorado news.
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.
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:
- Opt-in to our email updates.
- Follow us on Facebook and Instagram.
- See more Health First Colorado news.
Call the Free Nurse Advice Line
If 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.
Continue reading “Medicaid Buy-In program premium payments will restart May 2025”
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.

