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Colorado Medicaid

Health First Colorado

Expansion adopted (2014) 12-month postpartum Doula covered · $2,700

Health First Colorado covers pregnant women up to 200% of the federal poverty line, roughly $51,640 annual income for a family of three in 2025. The state adopted Medicaid expansion in 2014.

On maternal health specifically: Health First Colorado has extended postpartum Medicaid coverage to 12 months (effective 2022-04-01), and covers doula services through Medicaid at up to $2,700 per full perinatal package (effective 2024-07-01).

House Bill 22-1289 authorized Medicaid doula coverage; reimbursement of up to $2,700 per package launched July 2024. Elephant Circle and Sacred Seeds of Colorado have led perinatal workforce development for Black and Indigenous birth workers.

Ways to apply for Health First Colorado

These are the channels Colorado names on its own Medicaid pages. Use whichever is easiest.

Online
Apply online

co.gov

In person
County of residence local county office or a local application assistance site.
Decision time
Federal rules give the state up to 45 days to decide, or 90 days if you apply based on a disability (42 CFR 435.912).

Read on the state's own pages, October 13, 2026.

Key facts at a glance

  • Pregnant women eligible up to 200% FPL ($51,640 for a family of three in 2025).
  • Children 0-5 eligible up to 147% FPL ($37,960 for a family of three).
  • Expansion adults eligible up to 138% FPL ($35,630 for a family of three).
  • Doula reimbursement: $2,700 per full perinatal package.
  • Postpartum Medicaid extended to 12 months (effective 2022-04-01).

For Black families

Roughly 55,000 Black residents are enrolled in Health First Colorado, per the most recent CMS T-MSIS analytic file. The number understates true eligibility: every state has Black eligibles who aren't currently enrolled, usually because of the administrative-churn rates that rose sharply during the 2023 unwinding.

House Bill 22-1289 authorized Medicaid doula coverage; reimbursement of up to $2,700 per package launched July 2024. Elephant Circle and Sacred Seeds of Colorado have led perinatal workforce development for Black and Indigenous birth workers.

For enrollment help: look for your state's Navigator program (federally funded under the ACA), a Federally Qualified Health Center in your county (every FQHC has certified application counselors on staff), or one of the named community organizations below. Our FQHC directory filters to this state at /clinics/co/.

Data sources

Data refreshed:

If you have Medicaid, the coverage on this page is the route to use first: it costs you nothing and it is what these programs exist for. If you are not covered yet, there is still a free option. Our directory of free and charitable clinics lists centers by state. The option below is self-pay and is not billed to Medicaid. It is here for readers who are between coverage or who prefer to pay out of pocket:

Sesame Care

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