Medicaid Application Instructions

In order to apply for Colorado Medicaid, you have to find an application according to the category you fall in. For the purpose of application for Colorado Medicaid, applicants are divided into the following categories. Please check application download links within each category to get application forms for that category.

1. For Pregnant Women and families applying on behalf of a child

Apply by Mail: If you are pregnant or you have a child in your family, you can apply for Medicaid by downloading an application. You can also download the application in Spanish.

Apply in Person: You can apply in person for Medicaid by visiting your local Department of Human Services office (DHS). You can use this website to find a DHS office near you. You can get instructions about completing application in person from an agent at the office.

If you are in this group, you may qualify for Presumptive Eligibility. For applying in PE Medicaid, you will need to obtain an application from your local PE site. You can find PE site near you using this tool.

Apply Online: You can apply online for Colorado Medicaid through the PEAK website.

2. Adults Under 65 and Without Disability

If you are an adult who has not reached the age of 65 and is not determined disabled by SSA, you will have the following options to apply for Colorado Medicaid.

Apply by Mail: You can apply through mail for Medicaid if you fall to this group. Download application (English - Spanish), complete it in all respects, and send it to your nearest DHS office. You can also hand them over personally instead of mailing your application and other documents.

Apply Online: You can apply online for Colorado Medicaid through the PEAK website.

3. Elderly and Disabled

If you are above the age of 65 years, or have a disability verified by SSA, you can apply for Colorado Medicaid using three different ways.

Apply Online: You can apply online for Colorado Medicaid through the PEAK website.

Eligibility Requirements

Colorado Medicaid is available to families with children, pregnant women, elderly, and disabled persons. If your family is responsible for any of these, you can apply for Medicaid and get qualified if you meet income guidelines. Here are general requirements of the program

You must be a resident of Colorado
You must be a U.S national or a permanent citizen. You can also qualify for Medicaid if you are a qualified alien and are in need medical assistance due to medical emergency. Qualified aliens will only get assistance with medical emergencies that are considered life threatening.
You must be responsible for a child or an elderly. If you have pregnant women in the household or a person with disability, you can be Medicaid qualified.
You should not be able to afford medical insurance due to your financial situation.
Your household income must be within the income limits of Medicaid, considering your family size.

Family Size	Parents & Caretaker Relatives 68% Poverty Level	Adults (Ages 19-65) 133% Poverty Level	Children (Ages 0-18) 142% Poverty Level	Pregnant Women 195% Poverty Level
1	826	1616	1725	2369
2	1117	2186	2334	3205
3	1409	2755	2942	4040
4	1700	3325	3550	4875
5	1991	3895	4158	5710
6	2283	4464	4766	6546
7	2574	5034	5375	7381
8	2865	5604	5983	8216
9	3156	6173	6591	9051
10	3448	6743	7199	9887