Starting January 1, 2027, some adults ages 19 to 64 will need to renew every 6 months. If this rule applies to you, Health First Colorado (Colorado’s Medicaid program) will send a letter to you.
Most members will still renew every 12 months, including:
- Children 18 and younger
- Adults age 65 and older
- Pregnant members and members who were pregnant in the last 12 months
- Parents or caretaker relatives whose income is 68% FPL or less
- Members who receive home and community-based services (HCBS) waivers or other long-term services and supports (LTSS) programs
- Members in Medicaid buy-in programs
- Members who qualify based on blindness or disability
- Members who have Medicare
- Former foster care youth through age 26
- Members who are American Indian or Alaska Native, including Indian, Urban Indian, and California Indian members
If people in the same household have Medicaid, they may not all have the same renewal date.

