Archivos: Términos de Glosario

Yes. If you are a tax dependent of someone else, you need to include their income information on your application. If you do not know it, you will need to contact that person to get their income information.

If you have received a medical bill from your doctor or a collection agency, and you have confirmed that you were active on Health First Colorado (Colorado’s Medicaid program) on the date of service, first check if the date of service is within 120 days. If it is, please contact your provider and ask them to bill the medical assistance program. If they are having trouble billing, ask them to contact the Provider Services Call Center.

If the date of service on the bill is greater than 120 days, please get in touch with the Member Contact Center for further assistance.

You can submit a written request to receive copies of medical claims paid by Health First Colorado (Colorado’s Medicaid program) to our Privacy Officer using our Access to Protected Health Information form.

A Parent or Legal Guardian may sign on behalf of minor child. Legal Guardian, Power of Attorney, or equivalent may sign on behalf of adult. Documentation is required

Health First Colorado screens and processes the request to make sure it meets the Health Insurance Portability and Accountability Act (HIPAA) requirements. The Department will act on your request within 30 days (60 days if the information is off site), unless we provide you with notification in writing that a 30-day extension is needed.

Please send your written request with copies of your IDs to the following address:

Department of Health Care Policy & Financing
Privacy Officer
303 E. 17th Avenue
Suite 1100
Denver, CO 80203

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.

Some Health First Colorado (Colorado’s Medicaid Program) services and benefits require a health care provider to complete a form or make a phone call that gives permission to get extra services and supplies if you have a special health care need. If you have questions about prior authorizations please contact your health care provider or the Member Contact Center.

Managed care plans are networks of physicians, hospitals, and other health care professionals who deliver medical services to members. To enroll in a Health First Colorado (Colorado’s Medicaid Program) managed care plan, visit enroll.healthfirstcolorado.com or call Health First Colorado Enrollment at 303-839-2120 (in Denver) or 1-888-367-6557 (outside of Denver). Hours: Monday-Friday, 8:00 a.m. to 5:00 p.m. (closed state holidays). Note: The Health First Colorado Enrollment number is not for information on benefits or to find out if you qualify.

Managed care is a group of doctors, clinics, hospitals, pharmacies and other providers who work together to take care of your health care needs. We refer to these groups as Managed Care Organizations or MCOs. For more information please see the Accountable Care Collaborative page.

If you are a woman enrolled in Health First Colorado (Colorado’s Medicaid Program) or Child Health Plan Plus (CHP+) when your baby is born, you can add your newborn to your case online by reporting a change through your PEAK account at Colorado.gov/PEAK, or using the Health First Colorado mobile app. Your baby will then be automatically enrolled in health coverage until his or her first birthday.

You also have the option to report the birth of your baby to your county of residence human services office or a Medical Assistance (MA) site case worker near you. Once your baby is added to your case and you have their State ID, you are able to take your baby to the doctor.

We give each person who qualifies for Health First Colorado (Colorado’s Medicaid program) an ID Number. Your and your family or caretaker’s Health First Colorado ID Number is sometimes called your State ID Number. Your ID Number is on your Health First Colorado card. It is also on all letters we send you about your benefits. You can also get your Health First Colorado ID Number by calling or visiting your county of residence’s human services office, calling the Member Contact Center, or view it from the Health First Colorado mobile app.

Federal law requires states to operate an Estate Recovery Program to help pay for the costs of their Medicaid program. We recover medical assistance payments paid on behalf of former Health First Colorado (Colorado’s Medicaid program) members from their estates. We may only recover medical assistance costs from the estates of members who received services in an institutionalized setting or for the cost of services received by members who were age 55 and older. The law also provides exceptions to estate recovery and the ability to compromise claims.