Family Medicine Resources

CO Medicaid Approved to Expand Coverage Through Continuous Eligibility

Colorado has prioritized continuous eligibility as a way to ensure that Medicaid members are getting timely access to the health care they need with as few barriers as possible. Colorado Medicaid has received approval from the Centers for Medicare & Medicaid Services (CMS) for this policy.

The policy will support continuous coverage for children from birth to age three who are eligible for Health First Colorado (Colorado’s Medicaid program) or Children’s Health Insurance program (CHP+). This expands continuous coverage for young children to 36 months, rather than the current continuous coverage of 12 months. 

CMS also approved Colorado’s request to allow adults leaving a state prison to maintain continuous Medicaid coverage eligibility for 12 months regardless of any changes in income or other fluctuations. Both eligibility changes will be implemented on January 1, 2026.

These changes, supported by CAFP, will expand coverage for an estimated 31,000 children over a 5-year period and by connecting people leaving incarceration with physical and behavioral health care and making sure they can continue to access care for 12-months following their release, the State expects to see a reduction in overdoses or people returning to prison.

Patient Resource: Gender-Affirming Care and HIV Prevention / Treatment Insurance Coverage Guides Updated for 2025

These guides were created by the Colorado Division of Insurance (DOI) to help Coloradans choosing health insurance plans for the coming year understand the coverage options available for gender affirming care and prescriptions to prevent and treat HIV.

• 2025 Gender Affirming Care Coverage Guide
• 2025 HIV Prevention and Treatment Coverage Guide