The documents on this page provide an annual snapshot by fiscal year of Health First Colorado (Colorado's Medicaid program) activity including average annual caseload and top five claim types for each county. The data on the fact sheets is for fiscal year 2023-2024 unless otherwise noted and will be updated annually when new data is available. The Department also reports monthly caseload information for Health First Colorado and Child Health Plan Plus (CHP+). See our Methodology Notes for more information.
Methodology Notes
County fact sheets contain data on total Health First Colorado (Colorado’s Medicaid program) spending. While Child Health Plan Plus (CHP+) enrollment data is included, CHP+ expenditures are not.
Health First Colorado claim types represent consolidated categories of fee-for-service expenditures based on multiple data fields, such as claim types, billing provider types, CPT codes, revenue codes, and place of service.
Capitation claim types (system generated claims for members enrolled in managed care) are included in the total Health First Colorado expenditures, but are excluded from the claim types breakout. Capitations are paid to Managed Care Organizations per client per month, regardless of utilization type or frequency.
The percent of the population enrolled in Health First Colorado was calculated by taking the average monthly eligible members and dividing by county population data from the State Demography Office at the Colorado Department of Local Affairs.