Medicaid Colorado Guidelines

Medicaid is a federal-state funded healthcare program that was designed to provide medical care and insurance to low-income families and individuals. All the states in America, including Colorado, administer this program with financial aid from the federal government. The regulations and rules for Colorado Medicaid program is administered by the Department of Health Care Policy and Financing.

Medicaid Colorado  Guidelines

Medicaid is made available to low-income families, kids, pregnant women, the elderly and people who are disabled or blind. The program provides health coverage to low-income individuals under sixty-four who might or might not come under the Social Security Administration (SSA).

The Medicaid program in Colorado adheres to the guidelines set by the federal Health Insurance Portability and Accountability Act or HIPAA, with regards to protected health information or PHI. Anyone who is enrolled in the Medicaid program in this state can file complaints with the Department of HealthCare Policy and Financing in cases where they have reason to believe that their rights are violated.

In addition, Colorado Medicaid program must adhere to the guidelines in the Centers for Medicare and Medicaid Services Manual. These guidelines cover eligibility determination, payment collection, services covered, quality control practices, management information systems and utilization control. The CMS is an agency within the US Department of Health and Human Services and they are responsible for any oversight of the regulations and rules for Medicaid and Medicare.

Eligibility

Medicaid program is income qualified, which means that you must earn a certain amount to qualify. In some cases, the income can be kept in a trust for use in the future if the amount exceeds the pre-set levels. Find out more about the eligibility requirements below:

Resources / Income

The regulations for Colorado Medicaid program state that individuals must meet certain resource and income limits in order to qualify. These limits vary and would depend on whether the person is married; the type of Medicaid and a number of other factors.

Residency

You should be a Colorado resident and a lawful citizen of the United States to get Medicaid benefits. Besides that, you must be in a position to show proof of identification by submitting a birth certificate, a military, federal or state issued photo ID card and a Social Security card.

Individuals Over 65

Generally individuals over 65 qualify for Medicare assistance, but eligibility has to be established in some cases. Those who are eligible to get Old Age Pension, SSI supplemental payments or maybe both might qualify to get Medicaid in this state.

Long-Term Care

Disabled persons can get Colorado Medicaid for long-term care. An individual must qualify to get Social Security Disability Income or Social Security Income to benefit from this program. Those who are not getting hospitalized treatment can deposit funds in a trust, as long as it exceeds the amount given for long-term care.