Archives: FAQs

Licensed physicians who have experience and training in disability determinations will review your medical records and completed applications to make their decision. If you disagree with their decision, you can appeal it. Information on how to appeal will be in the letter you will receive that explains the decision.

The application is only complete if the applicant or their parent, guardian, or authorized representative hand signs and dates it. ARG cannot legally process the application without a legally approved signature.

The disability determination has a start and end date. When the end date approaches, the determination has to be reviewed/redetermined for continued eligibility.

• If you do not have SSI or SSDI, and you want to apply for a Health First Colorado program that requires a disability determination
• If you do not have SSI or SSDI, and you are 65 or older, and re applying for a Medicaid Buy-In program and
• If your SSDI ended due to your work activity and you have Medicaid Buy-In (Buy-in programs are for members/applicants that do not meet income eligibility requirements) but may qualify for buying into Health First Colorado programs with a monthly premium payment.

Complete a Health First Colorado application online or contact your county to apply.

If you believe you may have a qualifying disability, please also complete the disability application. The disability application and release must be signed in ink. If you are unable to sign the application in ink, you can authorize a designated representative to sign it for you. The disability application explains how to authorize someone to sign for you.

Yes, unless you are already receiving Supplemental Security Income (SSI) or Social Security Disability Income (SSDI).

If you are not already receiving SSI or SSDI, the disability portions of the Health First Colorado application must be completed, signed and dated. If you did not fill out this part of the application when you applied before, you need to do it now. Contact your county department of human services.

Arbor E&T LLC dba Action Review Group (ARG) is the contractor that helps Health First Colorado (Colorado’s Medicaid program) make disability determinations on behalf of the state. They are part of the process that decides if a Health First Colorado member or applicant qualifies for benefits and services for a disability. ARG is only responsible for the disability determination portion of the application.

No. If you are already receiving SSI or SSDI, you do not need to complete the disability application.

• If you are already a Health First Colorado member, please make sure to let us know you are receiving SSI and SSDI. Report this information to your county or through Colorado.gov/PEAK.
• If you are not already a Health First Colorado member, please complete the Health First Colorado application. You do not have to complete the separate disability application.