We get it ― navigating the healthcare maze for your little one can be a bit overwhelming, especially if they have autism. Not to worry, though; Abby Care has your back with this guide on how to get Medicaid for your child with autism in Colorado.
If you live in Colorado and your income is on the low side, you might qualify for low-cost or free health insurance benefits. And even if you earn a bit too much, you could still be eligible through waivers or buy-in programs.
The best part? Applying for Medicaid is easy ― you can do it online, drop by in person, or chat with someone over the phone. Let’s kick things off with a sneak peek into Colorado’s Medicaid program.
Medicaid is a team effort involving both the federal and state governments. The health insurance program ensures families with incomes below a certain level can easily access essential healthcare through low-cost or free health insurance.
Health First Colorado is Colorado’s Medicaid program administered through the state’s Department of Health Care Policy and Financing. The program covers a wide range of essential healthcare services, ensuring that individuals and families receive comprehensive care to support their well-being. This includes:
In addition, Medicaid covers services to treat autism spectrum disorder for children under 21.
Applying for Medicaid in Colorado is a breeze with just three easy steps:
You’ve got choices in deciding how to apply. Select the one that works best for you:
Usually, you’ll be asked to provide a few key documents, so it’s best to get them ready before applying. Gather your important documents such as:
Whether you’re going digital or old-school paper, completing the application usually takes around 30 minutes to an hour. Once done, the local office will process and review it. They might need to speak with you in person or over the phone if they need more information.
Keep an eye out for your case number, typically beginning with “1B.” It usually takes about 45 days to receive this number. Once you have it, use the number to easily check your application status online, regardless of the method you used to apply.
Qualifying for Health First Colorado depends on your income, family size, and other factors. Essentially, the following persons may be eligible for Colorado’s Medicaid program:
This way, Health First Colorado covers many individuals, ensuring everyone gets the healthcare support they need.
Navigating health insurance coverage for your family, especially when there’s a bit more on the income side, can be quite a journey. In Colorado, there are options for families whose children don’t quite fit the traditional Medicaid coverage criteria due to excess parental income or resources.
For the grown-ups in the family, there’s the Health First Colorado Buy-In Program for Working Adults with Disabilities. This program lets eligible individuals aged 16 or older with disabilities “buy into” Health First Colorado. By paying a premium, they can access Medicaid coverage and maintain their employment while getting the health care benefits they need.
Now, for children under 19, there’s the Medicaid Children’s Buy-In Program, which is a bit different from the adult version. This program is tailored to provide healthcare coverage to children with disabilities and special needs whose family income is above the Health First Colorado threshold but still below 300% of the Federal Poverty Level (FPL). Think of it as a helping hand for families making a bit too much for Health First Colorado but not quite enough for private insurance coverage.
To qualify for the Medicaid Children’s Buy-In Program:
Children in the program get all the regular Health First Colorado benefits. And the best part? No co-payments for them!
However, on the family side of things, there are monthly premiums based on income to keep the program rolling. As your income goes up, the premium increases a bit, too. It’s just a way to keep things fair while making sure your child gets the care they need.
Colorado brings a touch of sunshine into the lives of families with kids facing developmental challenges. The state does this through a handful of Home and Community Based Services (HCBS) waiver programs.
The Children with Autism Waiver (HCBS-CWA) is one such program specifically designed to assist kids with autism in Colorado. This waiver ensures children with autism can stay happily in their homes and communities by providing services such as:
There are also many other HCBS waivers similar to the Children with Autism Waiver that are available to support you and your child:
To kick off the waiver application process, simply reach out to one of these agencies for guidance:
At Abby Care, we understand that navigating the healthcare system can be a challenge, especially when it comes to ensuring the best for your child with autism. Our top priority is your child’s well-being, and we’re here to offer the support and expertise you need to secure Medicaid.
Feel free to reach out to us today, and let’s start this important journey together.