Medicaid family planning benefits expanded to undocumented and over-income Coloradans

Written by: Children's Campaign
Date Posted: July 22, 2022

On July 1, the Colorado Department of Health Care Policy & Financing (HCPF) expanded family planning benefits for both undocumented Coloradans who would be eligible for Health First Colorado (Colorado’s Medicaid program) if not for their documentation status, as well as for Coloradans who are just over the income eligibility limit for Medicaid. By increasing access to these services for these populations, more Coloradans will have access to vital resources which help families decide if and when they want to have children.  

These expanded family planning benefits come from SB21-009 and SB21-025, both signed into law last year. SB21-009 establishes the Colorado Reproductive Health Care Program, which expands Medicaid to cover contraceptives, sterilization services, and basic fertility assessments for undocumented Coloradans. It also requires Medicaid to do more to ensure that access to a 12-month supply of contraceptives is available for all members. This law was led by the Colorado Organization for Latina and Opportunity and Reproductive Rights (COLOR), with strong support from the Children’s Campaign. 

SB21-025 expands Medicaid coverage for family planning services to Coloradans with incomes over 133% but under 260% of the federal poverty level (FPL), who are just over the income eligibility for Medicaid. It accomplishes this by bringing federal dollars into Colorado and increasing the income limit for family planning services, better aligning with the Child Health Plan Plus (CHP+) eligibility limits for pregnant people. The Children’s Campaign strongly supported this bill and led efforts toward its passage during the 2021 legislative session.  

These new benefit plans are delivered without copays to enrolled members, who can immediately receive a 12-month supply of contraceptives from their provider. Be sure that your community members know about these coverage options. Both undocumented and over-income Coloradans can apply for these benefits in person, via phone, email, or fax to Health First Colorado, or at PEAK.gov. You can also reach out to HCPF_MEDICAID.ELIGIBILITY@STATE.CO.US for questions. More information on these expanded benefits is available on HCPF’s Expanded Maternity and Family Planning Benefits site. 

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The Colorado Children’s Campaign is a nonprofit, nonpartisan advocacy organization committed since 1985 to realizing every chance for every child in Colorado. We advocate for the development and implementation of data-driven public policies that improve child wellbeing in health, education and early childhood. We do this by providing Coloradans with trusted data and research on child wellbeing and organizing an extensive state-wide network of dedicated child advocates. For more information, please visit www.coloradokids.org.