These links will help you find the forms you need for your Health First Colorado (Colorado's Medicaid Program) or CHP+ application. To save time, you can print the forms and fill them out before your appointment with us.
We also have copies of all the forms available in our office if you are unable to print them out before you come in.
Forms and Resources
- English Application for Medical assistance (Health First Colorado, CHP+ and Tax Credits)
- Aplicación en español para asistencia médica (Health First Colorado, CHP+ y créditos fiscales)
If you are applying for a buy in program or a waiver:
- English Medicaid Disability Application and Medical Release Form
- Spanish Disability Application and Medical Release Form
After You Apply:
Frequently Asked Questions
What is Health First Colorado? - A jointly funded program through the federal and state government, which is administered by the Department of Health Care Policy and Financing. Learn more about who qualifies, and the information you may need to present when applying.
How do I qualify for Health First Colorado? There are many different Medicaid program that Colorado offers its residents. Even if you think you might not qualify for Medicaid based on your income, there might be other options that can help you depending on your circumstances.
What are the income guidelines for Health First Colorado? - Learn more about the income guidelines for Medicaid and who may qualify for the program.
What does Health First Colorado cover? - View the benefits and services overview provided by the program. Benefits typically cover provider visits, emergency services, wellness visits, and much more.
How do I qualify for CHP+? - View the monthly maximum income guidelines for qualifying for the CHP+ program and other guidelines.
What are the Income Guidelines for CHP+? - View the monthly maximum income guidelines for qualifying for the CHP+ program and other guidelines.
What are the CHP+ Benefits? - Learn more about what services and benefits are covered under CHP+ program.