Medicaid is a vital resource for millions of Americans, providing access to affordable healthcare for low-income individuals and families. But what about Colorado? Does Colorado have expanded Medicaid, and how does it work? In this article, we’ll explore Colorado’s Medicaid expansion, its benefits, eligibility requirements, and how it can help you or your loved ones access essential healthcare services, including addiction treatment.

If you’re wondering whether Colorado’s expanded Medicaid can help you access treatment, this guide is for you.

What Is Medicaid Expansion?

Medicaid expansion is a provision of the Affordable Care Act (ACA) that allows states to extend Medicaid coverage to more low-income individuals. Before the ACA, Medicaid primarily covered specific groups, such as pregnant women, children, and individuals with disabilities. However, the expansion broadened eligibility to include nearly all low-income adults under the age of 65.

As of 2023, 40 states, including Colorado, have adopted Medicaid expansion. This has significantly increased access to healthcare for millions of Americans who previously fell into the “coverage gap”—earning too much to qualify for traditional Medicaid but too little to afford private insurance.

Does Colorado Have Expanded Medicaid?

Yes, Colorado has expanded Medicaid under the ACA. The state’s expanded Medicaid program, known as Health First Colorado, provides coverage to low-income adults who meet specific eligibility criteria.

Key Features of Colorado’s Medicaid Expansion

• Broader Eligibility: Expansion allows more individuals to qualify for Medicaid, including single adults without children.
• Comprehensive Coverage: Health First Colorado covers a wide range of services, including doctor visits, hospital stays, prescription medications, and mental health and substance use treatment.
• No Asset Test: Unlike traditional Medicaid, expanded Medicaid in Colorado does not require an asset test, making it easier for individuals to qualify.

Who Qualifies for Expanded Medicaid in Colorado?

Eligibility for Health First Colorado is based on income and household size. Here’s a breakdown of the requirements:

Income Limits

• Individuals: To qualify, your income must be at or below 138% of the Federal Poverty Level (FPL). For 2023, this translates to approximately $20,120 per year for a single person.
• Families: For a family of four, the income limit is around $41,400 per year.

Other Eligibility Criteria

• Residency: You must be a resident of Colorado.
• Citizenship: You must be a U.S. citizen, national, or qualified non-citizen.
• Age: Expanded Medicaid in Colorado covers adults aged 19 to 64.

How to Apply

Applying for Health First Colorado is simple and can be done online, by phone, or in person. Here’s how to get started:

1. Online: Visit the Colorado PEAK website to complete an application.
2. In-Person: Visit your local county human services office for assistance.

Benefits of Colorado’s Expanded Medicaid

Medicaid expansion has had a profound impact on healthcare access in Colorado. Here are some of the key benefits:

1. Increased Access to Healthcare

Since expanding Medicaid, Colorado has seen a significant reduction in the number of uninsured residents. This has allowed more individuals to access preventive care, manage chronic conditions, and seek treatment for mental health and substance use disorders.

2. Coverage for Addiction Treatment

One of the most significant benefits of Colorado’s expanded Medicaid is its coverage of addiction treatment services. Health First Colorado covers a wide range of services, including:

• Detoxification: Medically supervised detox to safely manage withdrawal symptoms.
• Inpatient Rehab: Residential treatment programs for individuals with severe addiction.
• Outpatient Rehab: Therapy and counseling sessions for those with mild to moderate addiction.
• Medication-Assisted Treatment (MAT): FDA-approved medications to reduce cravings and prevent relapse.

3. Improved Mental Health Services

Expanded Medicaid in Colorado also covers mental health services, including therapy, counseling, and psychiatric care. This is particularly important for individuals with co-occurring mental health and substance use disorders.

4. Financial Relief

For many low-income individuals, the cost of healthcare can be overwhelming. Colorado’s expanded Medicaid provides financial relief by covering essential services at little to no cost.

How AspenRidge Recovery Can Help

Alpine Recovery, a sub-business of AspenRidge Recovery, specializes in providing Medicaid-covered rehab programs for individuals struggling with alcohol and substance use disorders. Our mission is to make high-quality addiction treatment accessible to everyone, regardless of their financial situation.

Services Offered at Alpine Recovery

• Outpatient Rehab: Flexible programs that allow you to receive treatment while maintaining your daily responsibilities.
• Individual and Group Therapy: Evidence-based therapies to address the root causes of addiction.
• Aftercare Support: Ongoing support to help you maintain sobriety after completing treatment.

How to Get Started

1. Verify Your Medicaid Eligibility: Visit Alpine Recovery’s Medicaid rehab page to check your eligibility.
2. Schedule an Assessment: Our team will work with you to create a personalized treatment plan.
3. Begin Your Journey to Recovery: Start your treatment and take the first step toward a healthier, sober life.

Frequently Asked Questions

1. Can I Apply for Medicaid If I’m Already Enrolled in a Private Insurance Plan?

Yes, but your eligibility will depend on your income and household size. If you qualify for Medicaid, you may be able to switch to Health First Colorado for more comprehensive coverage.

2. Does Medicaid Cover Prescription Medications?

Yes, Colorado’s expanded Medicaid covers prescription medications, including those used in medication-assisted treatment (MAT) for addiction.

3. What If I Don’t Qualify for Medicaid?

If you don’t qualify for Medicaid, you have other options, such as sliding-scale fees, payment plans, and state-funded programs.

Conclusion

Colorado’s expanded Medicaid program, Health First Colorado, has been a game-changer for low-income individuals and families. By broadening eligibility and covering essential services like addiction treatment, it has made healthcare more accessible and affordable for thousands of Coloradans.