Co-pays changing
STATEWIDE — Some Health First Colorado (Colorado’s Medicaid program) members will see a slight increase in co-pays for three services beginning January 1. The co-pay increases do not reflect a change in Medicaid policies, only the co-pay dollar amounts. Additionally, some members and prescriptions are exempt from co-pays.
Outpatient hospital visit — Before December 31, 2017, $3; After January 1,$4
Outpatient hospital non-emergent emergency room visit — Before December 31, 2017, $3; After January 1, $6
Generic drugs — Before December 31, 2017, $1; After January 1, $3
Those Health First Colorado members who are exempt from co-pays are:
• Pregnant women
• Children under the age of 19
• American Indians and Alaska Natives
• Qualifying former foster care youth
Some prescriptions never have a co-pay, including prescriptions to help Health First Colorado members quit smoking.
The co-pay increases are required under Senate Bill 17-267 which was passed during the 2017 legislative session.
The Department administers Health First Colorado (Colorado’s Medicaid Program) and Child Health Plan Plus as well as a variety of other programs for Coloradans who qualify. For more information about the Department, please visit Colorado.gov/hcpf.