Apply by mail: Download and print a paper application. Apply in person: Apply in person at your county of residence’s local county office or at a local application assistance site. Explore options: If you applied and didn’t qualify, you can learn more about your options. The best way to find out if you qualify is to apply online.

You can start the process by filling out your name, address, and signature or that of an authorized representative on this form and turning it into a county office. You can give us your application in person, by fax, through the mail or you can apply through PEAK.

Application Forms. If you want to fill out a paper application and mail it in, print out one of the applications below. You can also drop it off at your county of residence's local county office or at a local application assistance site. Apply Only for Health First Colorado (Colorado's Medicaid program) and Child Health Plan Plus (CHP+)

application today. You can complete your name, address, and signature and turn this form in to the county office where you live. An interview is required. Benefits begin from the date the office receives your signed application. A decision will be made as quickly as possible, but no later than 30 days from the

This is the form you will want to use to apply for one of the Insurance Affordability Programs: Health First Colorado (Colorado’s Medicaid Program), Child Health Plan Plus (CHP+) and the Premium Tax Credits and/or Cost-Sharing Reductions. Authorizing, Changing …

This page contains links to many of the most commonly used and requested forms for services and programs provided through CDHS. If you can't find the form you're looking for, email cdhs_communications@state.co.us.

These links will help you find the forms you need for your Health First Colorado (Colorado's Medicaid Program) or CHP+ application. To save time, you can print the forms and fill them out before your appointment with us.

this application to see if you qualify for: Symbols used in this application • Free or low-cost public health insurance from Health First Colorado (Colorado’s Medicaid Program) or the Child Health Plan Plus (CHP+) program administered by the Colorado Department of Health Care Policy and …

Application for Health Coverage & Help Paying Costs THINGS TO KNOW Apply faster online Apply faster online at Colorado.gov/PEAK or ConnectforHealthCO.com. It may provide a faster determination. Use this application to see what coverage you may qualify for • Free or low-cost insurance from Medicaid or the Child Health Plan Plus (CHP+) Program

To see if you may be eligible or to check current benefits, visit Colorado Peak. If you cannot complete the application via the Colorado PEAK website, you may print the Colorado Department of Human Services Application for Public Assistance in English or Spanish.