Child Health Plan Plus
Child Health Plan Plus (CHP+) is public low-cost health insurance for certain children and pregnant women. It is for people who earn too much to qualify for Health First Colorado (Colorado's Medicaid program), but not enough to pay for private health insurance.
Managed Care Organizations Maternity Care Dental Care
CHP+ Program Information
Who Qualifies?
- Children age 18 and under and pregnant people
- Applicants with household income under 260% of the Federal Poverty Level (FPL). See the income table below for more details.
- Colorado Residents
- Applicants not eligible for Health First Colorado
- Applicants who do not have other health insurance
Approximate Monthly Income to Qualify for CHP+
| Family Size | Monthly Income |
|---|---|
| 1 | up to $3263 |
| 2 | up to $4429 |
| 3 | up to $5595 |
| 4 | up to $6760 |
Effective April 1, 2024
Benefits and Services
CHP+ covers:
- Primary Care
- Emergency Care and Urgent Care
- Hospital Services
- Dental Care
- Prescriptions
- Immunizations
- Maternity Care (prenatal, delivery and postpartum care)
- Mental/Behavioral Health Care
What Does It Cost?
CHP+ costs for services vary depending on your household size and income, and your Managed Care Organization (MCO). It is free to enroll in CHP+.
Co-Pays
You may also have to pay small co-pays when you or your child receives CHP+ services. There are no co-pays for preventative care, such as prenatal care and check-ups. Other services may require co-pays that vary based on your income. Native Americans and Alaskan Natives do not have to pay co-pays. Contact your Managed Care Organization (MCO) for their applicable copays.
Out of Pocket Limit
Each year, the maximum amount of money (referred to as out-of-pocket limit) that you are required to spend on health care payments for all members of your household that are enrolled in CHP+ is 5% of your annual income. For more information about your out-of-pocket limit, please contact CHP+ customer service at 800-359-1991.
How To Apply
- Apply online at co.gov/PEAK or ConnectForHealthCO.com
- Apply in person
- Apply by phone at 800-221-3943 / State Relay: 711
- Apply by mail
Visit the How To Apply page for more information.
If you need immediate care, you may qualify for a program called Presumptive Eligibility (PE). PE is a way for children and pregnant members to receive care right away without having to wait to see if you are eligible. To apply, you must visit a PE Site and they will do a quick review. If found eligible you will get enrolled for up to 60 days while you wait to see if you qualify for CHP+. Find a PE Site in your area.
CHP+ Maternity Care Program
It is free to enroll in CHP+ and you do not have co-pays. All pregnancy care is free, including prenatal care, labor and delivery, and visits after you deliver.
If you are found eligible, your coverage will last for 12 months after your pregnancy ends. Coverage will end 365 days after your pregnancy ended. Members need to report their pregnancy in order to receive postpartum coverage.
Members can report their pregnancy by:
- Visiting the PEAK website and reporting a change
- Calling or visiting County Human Services
- Calling the Member Contact Center: 800-211-3943 State Relay: 711
- Calling CHP+ Customer Service: 800-359-1991
Once CHP+ is notified of your baby's birth, your baby will be given CHP+ coverage for a full year from their date of birth. To enroll your newborn, call CHP+ Customer Service at 800-359-1991.
CHP+ Dental Care
DentaQuest provides dental benefits to all eligible and enrolled CHP+ members. Benefits include preventive and diagnostic services, restorative services, endodontic, periodontic, prosthodontic, oral surgery, and limited orthodontic services. See our CHP+ Dental Care page for more information.
If you have any questions about CHP+ dental benefits call DentaQuest at 1-888-307-6561, TTY 711.
Please visit the DentaQuest Member Access page. After registration, you will be able to search for a dentist, check your benefits, and download your member ID card.
DentaQuest Contact Information
DentaQuest Customer Relations:
Toll free: 1-888-307-6561, TTY: 711
Member Portal
Claims and Appeals:
DentaQuest Appeals
PO Box 2906
Milwaukee, WI 53201
Complaints and Grievances:
DentaQuest Complaints and Grievances
PO Box 2906
Milwaukee, WI 53201
CHP+ Managed Care Organizations (MCOs)
CHP+ members are enrolled into a Managed Care Organization (MCO). An MCO is a group of doctors, clinics, hospitals, pharmacies, and other providers who work together to help meet your health care needs. Each CHP+ MCO uses its own group of hospitals, pharmacies and doctors for the counties it serves.
The county you live in will determine which MCO you or your child enrolls with. If more than one MCO is available in your county, a health plan will be selected for you, but you can change MCOs for up to 90 days after you qualify for CHP+.
If you have any questions, please contact your MCO or visit their website:
| Managed Care Organization | Phone Number | Counties Served |
|---|---|---|
| Colorado Access | 800-511-5010 | Adams, Alamosa, Arapahoe, Baca, Bent, Boulder, Broomfield, Chaffee, Cheyanne, Clear Creek, Conejos, Costilla, Crowley, Custer, Delta, Denver, Douglas, Eagle, El Paso, Elbert, Fremont, Gilpin, Huerfano, Jefferson, Kit Carson, Kiowa, Larimer, Las Animas, Lincoln, Logan, Mineral, Morgan, Otero, Park, Philips, Prowers, Pueblo, Rio Grande, Sedgwick, Saguache, Summit, Teller, Washington, Weld, Yuma |
| Denver Health Medical Plan | 303-602-2100 | Adams, Arapahoe, Denver, Jefferson |
| Kaiser Permanente | 303-338-3800 | Adams, Arapahoe, Boulder, Broomfield, Denver, Douglas, Jefferson |
| Rocky Mountain Health Plans | 877-668-5947 | Archuleta, Delta, Dolores, Eagle, Garfield, Grand, Gunnison, Hinsdale, Jackson, La Plata, Lake, Mesa, Moffat, Montezuma, Montrose, Ouray, Pitkin, Rio Blanco, Routt, San Juan, San Miguel, Summit |
Contact your MCO for the following:
- Questions about your benefits
- Need a new membership card
- A bill you received
- Help finding a doctor
For more help
- Call CHP+ Customer Service at 800-359-1991, available Monday through Friday, 8 a.m. to 6 p.m. (se habla Español).
- The CHP+ mailing address is Department of Health Care Policy & Financing, P.O. Box 17548, Denver CO 80217.
- Email CHP+ staff directly at hcpf_chpplus@state.co.us
- See our Child Health Plan Plus Frequently Asked Questions.