Family Medicaid and CHP+ are public health insurance programs for families, children and pregnant women. When you apply, you are applying for both Family Medicaid and CHP+. The program you qualify for depends upon family size, income and the age of the applicant.
Colorado Medicaid is public health insurance for families, children, pregnant women, persons who are blind or persons with disabilities and the elderly for Colorado residents.
To find out if you are eligible for Medicaid, CHP, food assistance programs and cash assistance go to the Colorado PEAK website.
Applicants
If you are pregnant, looking for medical assistance for your family or applying on behalf of a child, please print and complete the application for Colorado Public Health Insurance for Families (Joint Application):
Turn in your completed application and required documents to the Chaffee County Department of Human/Social Services, for the location nearest you, click here.
NOTE: You may also qualify for Presumptive Eligibility (PE) if you are pregnant or are under the age of 19. Submit the above application to your local PE Site, click here to find the location nearest you. Your application for Medicaid/CHP+ will be forwarded to your local County Department of Human/Social Services on your behalf.
If you are 64 years old or younger and have not been determined disabled by the Social Security Administration, please print and complete ALL of the following forms:
- Application for Assistance [English] or [Spanish ]
- Information You Need to Know ; keep for your records
- Receipt; turn in with your the application; this will be returned to you as proof that you submitted your application
- Release Form ; allows the State Disability Determination Vendor to request your medical information which is required as a part of the disability determination process.
Turn in your completed application and required documents to your County Department of Human/Social Services, for the location nearest you, click here.
If you are 65 years or older, or if you have been determined disabled by the Social Security Administration, please print and complete ALL of the following forms:
- Application for Assistance [English] or [Spanish ]
- Information You Need to Know ; keep for your records
- Receipt; turn in with your the application; this will be returned to you as proof that you submitted your application
Turn in your completed application and required documents to your County Department of Human/Social Services, for the location nearest you, click here.
For other questions or to talk to a local representative call 719-539-4510 ext. 2565
