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New to CHP+?

Find out more about the State Managed Care Network.

Are You New to CHP+?

If you’re new to CHP+, then you’re likely a member of the CHP+ State Managed Care Network. If you’re pregnant and don’t qualify for Health First Colorado (Colorado’s Medicaid Program), you might qualify for the CHP+ State Managed Care Network.

What is the SMCN?

The Child Health Plan Plus (CHP+) State Managed Care Network (SMCN) covers CHP+ members before they are enrolled in a CHP+ health plan. It also covers pregnant women who are older than age 19 and qualify. If you live in a county where CHP+ health plans don’t offer coverage, you might also be a part of CHP+ SMCN. The SMCN has more than 8,000 providers in Colorado.

Who qualifies:

  • Children and youth ages 18 and under
  • Pregnant women older than age 19
  • People who are not eligible for Health First Colorado
  • People living in a family that qualifies financially
  • Lawfully residing children and pregnant women with no five year waiting period
  • Refugees and Asylees
  • People who are not covered under any other health plan

For more information, call the CHP+ State Managed Care Network at 800-803-4494.

New parents hold baby

CHP+ Frequently Asked Questions.

What is the difference between the Colorado Access CHP+ plan and the CHP+ State Managed Care Network?

The CHP+ State Managed Care Network is a plan members are placed on for:

  • The pre HMO period: This is the span of time from a member’s original enrollment until the member is enrolled in a CHP+ participating HMO.
  • Prenatal plan: This is the plan for pregnant women (Colorado residents) age 19 and older that covers all pregnancy care, including labor and delivery and visits after you deliver.
  • Presumptive eligibility: The Presumptive Eligibility program gives children under 19 and pregnant women temporary Health First Colorado (Colorado’s Medicaid Program) or Child Health Plan Plus (CHP+) medical coverage right away. Temporary medical coverage lasts for at least 45 days while your medical assistance application is processed.

Children placed on the CHP+ State Managed Care Network program generally are on it for 30-60 days. Then you can choose an HMO. Colorado Access is one of six HMOs in the state. Your options depend on where you live. To choose an HMO, contact Health First Colorado Enrollment at 800-259-1991.

I received a bill when my child was on CHP+. Do I need to pay that?

We’d be happy to help you figure out if you need to pay the bill you received. Please call us Monday through Friday from 8 a.m. to 5 p.m. if you have billing questions.