MEDICAID

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Medicaid is a program that provides health coverage to some low-income Colorado residents. Medicaid covers families with children and pregnant women, the elderly, and people with disabilities, if state and federal guidelines are met. Legal residents who are not U.S. citizens may be eligible for Medicaid. Non-citizens who do not have immigration documents cannot enroll in Medicaid, but may be covered if treated for an emergency condition.

· For certain categories of people, eligibility for Medicaid is based on the amount of your household income.

Medicaid-eligible individuals in Colorado include infants, children, pregnant women, and parents if your family income meets the Medicaid income standards.

Income eligibility levels for these categories are described below. Your assets and some expenses also may be taken into account, so you should contact Colorado Department Of Health Care Policy - for more information.

Low income persons eligible for Medicaid in Colorado*

Category                Income eligibility (as percent of federal poverty level)

Child 0-5                   133%
Child 6-19                 100%
Non-working Parents   60%
Working Parents         66%
Pregnant woman        200%

* Eligibility information was compiled from State Health Facts Online, the Kaiser Family Foundation, and may have changed since this guide was published. Contact your state Medicaid program for the most up to date information and for other eligibility requirements that may apply.


To get an idea of how your income compares to the federal poverty level, use the federal poverty guideline issued by the U.S. Department of Health and Human Services for the year 2009:

Size of Family Unit         U.S.Poverty Guideline (annual income)

        1                                   $10,830
        2                                   $14,570
        3                                   $18,310

For larger families add $3,740 for each additional person.
So, for example, using this guideline, 200% of the federal poverty level for a family of 3 would be an annual income of $36,620, or a monthly income of $3,052.

Contact your state Medicaid program for the most up to date information and for other eligibility requirements that may apply.

· Families who get cash benefits from Colorado Works (also known as Temporary Assistance for Needy Families, or TANF) are also eligible for Medicaid.

Parents should know that when you get a job, you might qualify for transitional coverage under Medicaid for a 12-month period.

· Foster children and adopted foster children placed in your home by a local County Social/Human Services Office are also eligible for Medicaid.

· Poor elderly or disabled people who get Supplemental Security Income (SSI) benefits are eligible for Medicaid.

Disabled individuals should know that if your income earned from a job increases so that you no longer qualify for SSI, you may be able to continue your Medicaid coverage under a different eligibility category that may require payment of a premium.

· Some people who need long-term care may also receive help through Medicaid. This includes people who are elderly, blind, or disabled, who have traumatic brain injury, or who have HIV/AIDS. If you think you might be eligible, contact your local County Department of Social/Human Services.

· Retired or disabled people who have low incomes and are enrolled in Medicare may also qualify for help from Medicaid. Even though your income may be too high to qualify for Medicaid insurance coverage, Medicaid may be able to help you with your Medicare expenses.

If your household income is below the poverty level, Medicaid will pay your Medicare monthly premium and your Medicare deductibles and coinsurance. This is called the Qualified Medicare Beneficiary (QMB) program.

If your household income is below 120% of the poverty level, Medicaid will pay for your monthly Medicare Part B premiums only. This is called the Specified Low-Income Medicare Beneficiary (SLMB) program.

Contact your County Department of Social/Human Services for more information about other eligibility requirements.

· You must enroll in Medicaid through your County Social Services Office. You can check the Blue Pages (Government) in the phone book or call the State Customer Service Line at:

Metro Denver: (303) 866-3513

Outside Metro Area: (800) 211-3943

TTD: (303) 866-3305

Or check the Internet at http://www.cdhs.state.co.us/servicebycounty.htm for an online list of these offices.

· There may be other ways that Colorado Medicaid can help. To find out if you or other members of your family qualify for Colorado Medicaid, contact the Colorado Department Of Health Care Policy at (800) 221-3943 or (303) 866-2993 or visit online at http://www.colorado.gov/cs/Satellite/HCPF/HCPF/1197364086675


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