The Health First Colorado (Colorado's Medicaid program) Immunization benefit promotes and facilitates the prevention of vaccine-preventable diseases. The Department has an inter-agency agreement with the Colorado Department of Public Health and Environment (CDPHE) to maximize immunization recommendations by the Advisory Committee on Immunization Practices (ACIP) of the U.S. Department of Health and Human Services.
Who is eligible?
All members enrolled in Health First Colorado can receive immunizations recommended by the ACIP, or when required to enter the workforce or attend school.
Is there a cost?
Members do not have co-pays for this service effective July 1, 2023.
Are travel-related vaccinations covered?
Health First Colorado does not pay for travel-related vaccines for adults or children.
Are flu shots and other seasonal vaccinations covered?
Yes! The seasonal influenza or “flu” vaccine is covered for children and adults and is recommended for people who are six (6) months of age or older. The influenza vaccine is available through the VFC Program for providers enrolled in the program to administer to Health First Colorado-enrolled children/adolescents (under 19 years of age). All other seasonal vaccines, such as COVID-19 and Respiratory syncytial virus (RSV) are also covered benefits for members and available without cost or copay.
Where can members get their vaccines?
- Members enrolled in a Health First Colorado Managed Care Organization (MCO) must receive immunization services through a provider in the MCO's network
- Members under the age of 19 must receive their vaccines from a provider enrolled in the Vaccines For Children (VFC) program. The Vaccines for Children Program (VFC) is a federal program administered by the Colorado Department of Public Health and Environment (CDPHE). VFC supplies all vaccines recommended by the ACIP for Health First Colorado children ages 0 through 18.
- Adult members, 19 years of age and older, may receive vaccines from any Medicaid-enrolled provider who is licensed to give vaccines. This includes enrolled pharmacies.
Where can I find a VFC provider?
CDPHE’s website shows where to find a VFC provider.
Where can I find the immunization schedule?
CDC Child and Adolescent Immunization Schedules
What is the Immunization Registry?
Colorado has an immunization registry, a central place for health care providers to keep track of immunizations. This helps providers know what shots you/your child have had and which ones are still needed. The information in the registry is completely confidential.
Under Colorado law, you can choose to opt out of participating in the registry. If you opt out, you/your child's immunization history will not be in the registry, and you will need to keep track of this information. You can decide to opt out of the registry at any time. For more information and an opt-out form visit the Colorado Department of Public Health and Environment (CDPHE).
What if I have other questions?
Please get in touch with the Member Contact Center.