Changes Are Coming to Health First Colorado
Federal changes are coming to Health First Colorado (Colorado’s Medicaid program).
These changes will affect some members’ eligibility, coverage, and renewal requirements.

Many members will not be affected, and not everyone will be affected in the same way.
What You Can Do Now
Upcoming Changes
Health First Colorado
Program Changes Timeline
Get the Latest Information Here →
October 1, 2026 - Immigrant Eligibility Changes
Beginning October 1, federal law changes which immigration groups may qualify for full Health First Colorado coverage. These changes will affect some members who currently receive benefits.
Many Health First Colorado members will not be affected. Members who may be impacted will receive official communication from Health First Colorado before changes to their coverage take effect.
2027 - Work Requirements
New federal requirements will affect some adults enrolled in Health First Colorado. Some members may need to meet work, education, volunteer or other requirements to maintain coverage. Many members are expected to qualify for exemptions.
More information will be shared as guidance becomes available.
2027 - Six-Month Renewals
Some Health First Colorado members may need to renew their coverage every six months instead of once a year. Many renewals may be completed automatically. Other members may receive a request for updated information or documents.
More information will be shared as guidance becomes available.
Need Help?
You don’t have to navigate these changes alone. There are trusted resources available to help you understand your coverage and what you may need to do.
County Human Services Offices
Your county human services office can help with Health First Colorado eligibility, applications, renewals and updates to your information.
Colorado Access
Colorado Access can help you understand and use your benefits and connect you with available resources.
Community Support
Connect with trusted community organizations for additional help navigating coverage changes and available resources
Tools & Resources
- Changes Are Coming to Health First Colorado. Latest information about upcoming changes.
- Colorado PEAK. Update your information and manage your benefits.
- Immigrant Eligibility Screener Tool
- Work Requirements Screener Tool
- H.R. 1 Resources for Stakeholders, Providers and Partners
- H.R. 1 Communications Toolkit for Partners
Frequently Asked Questions
No. The federal changes do not affect every Health First Colorado member, and members may be affected differently based on their circumstances.
Watch for official communications from Health First Colorado. If you are affected or need to provide information, you will receive instructions explaining what to do next.
Keep your contact information up to date in Colorado PEAK, watch for official communications and respond to requests for information by the deadline provided.
Health First Colorado is the official source for information about these changes. Visit HealthFirstColorado.gov/changes for the latest updates.
You can contact your county human services office for questions about eligibility, applications and renewals. Colorado Access can help you understand and use your benefits and connect you with available resources.