Please ensure Javascript is enabled for purposes of website accessibility

Member Services

Learn about services and resources you can use.

Member Advisory Council (MAC)

Do you have some ideas about how we can improve your health plan? We’d love your input. If you’re a member, we invite you to apply to be a part of our meetings. The meetings happen every month.

A group of four people in a bright office laughing and having a discussion

Health and Other Support

Advance Directives

Advance directives are written instructions that state your wishes about your health and medical care. They are used if you are not able to make health care decisions for yourself. Click here to learn more.

Becoming a Member

Click here to learn more.

Billing

If you have Health First Colorado (Colorado’s Medicaid program):

  • If you have billing questions about your physical health plan:
    • Call Health First Colorado customer service at 800-221-3943.
  • If you have billing questions about your behavioral health plan:

If you have Child Health Plan Plus (CHP+):

  • If you have billing questions about your physical or behavioral health plan:

Benefits and Coverage

If you have questions about your benefits and coverage:

Choose or Change Your Primary Care Provider (PCP)

If you have Health First Colorado, there are two ways you can change your PCP.

We are sorry, but we are not able to help you change your PCP if you have Health First Colorado.

If you have CHP+, we can help you change your PCP. Call our customer service team at 800-511-5010 to change your PCP.

COVID-19

To learn more about your benefits, testing, treatment, and getting health care during the COVID-19 pandemic, visit:

Crisis Help

If you are experiencing a mental, substance use, or emotional crisis, help is there when you need it.

  • Call the National Suicide Prevention Hotline at 800-273-8255.
  • Call 988.

Dental Benefits

Call DentaQuest at 855-225-1729 if you:

  • Need help finding a dentist. You can also find a dentist online.
  • Have questions about your dental benefits.

Emergency Room

Emergency care is for sudden, unexpected health issues that need immediate care. If you don’t get care, you could have a serious injury to your body’s functions or organs. Or you could put your health at serious risk. If you are pregnant, the health of your unborn baby could be at serious risk too. If you’re having an emergency, call 911. Or go to the nearest emergency room.

Click here to learn more about the hospital emergency services you can get.

Find a Doctor or Other Provider

If you need help to find a doctor:

You can also find a doctor on our directory.

Scheduling an Appointment

If you need help to schedule an appointment with your doctor, contact our care coordinators.

Submit a Complaint (Grievance)

To submit a complaint or grievance:

You may file an appeal if we deny or limit a type of service you request. Click here to learn more.

Gender-Affirming Care

Check out resources from One Colorado and the Center on Colfax or call us at 800-511-5010 for more information.

Finding Resources

Immigrant Rights & Support

  • There is a lot of uncertainty about potential immigration policy changes at the federal level.
  • If you have immigration questions, we encourage you to contact a qualified and knowledgeable organization that can help you with your needs and to be prepared.
  • Here is a list of resources where you may be able to direct your questions

Local immigration rights resources

General resources and information:

Resources for children and families

Legal resources

Know your rights if you encounter ICE, City and County of Denver

Community Resources

Our customer service team and care coordinator can always help you find the resources you may need!

211 Colorado connects Coloradoans to community resources across the state.

Or contact each resource directly:

Food Assistance

Supplemental Nutrition Assistance Program (SNAP): This program helps you purchase healthy food. They also have training on nutrition and food preparation.

The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC): This program offers free healthy food benefits. It also offers breastfeeding support and nutrition education. These are for those who are pregnant and breastfeeding and have children under age 5.

Disability Resources

Please contact our care coordinators to learn more about disability resources in Colorado. Call them at 866-833-5717.

  • If you are applying for long-term disability, contact Rocky Mountain Human Services (RMHS). Call them at 844-790-7647.
  • If you need help with developmental and intellectual disabilities, or long-term services, visit the community center boards.
  • Please visit the Single Entry Point website if you need help with:
    • Elderly
    • Blind and disabled
    • Living with HIV/AIDS
    • Mental health
    • Brain injury
    • Spinal cord injury
    • Children with a life-limiting illness
    • Medically fragile children

Clothing Assistance

Our care coordinators can help you learn more about clothing assistance in Colorado. Call them at 866-833-5717.

Hearing or Speech Services

Our customer service team can help you learn more about hearing and speech services in Colorado.

Housing Resources

Our customer service team can help you learn more about housing resources in Colorado. Call them at 800-511-5010.

Free Rides to Medical Appointments

Schedule Transportation with Intelliride

If you have Health First Colorado, you can get rides to and from your health care appointments. You have options:

  • Mileage reimbursement
  • Public transportation
  • Private vehicle or taxi
  • Wheelchair or stretcher van
  • Other options may also be available

Transportation can only be used for non-emergent health care appointments. This means things like a doctor’s office, the hospital, or another medical office. Do not use it in an emergency.

Lost or Replacement ID Card

If you need a new Health First Colorado ID card:

  • Call Health First Colorado customer service at 800-221-3943.

If you need a new CHP+ ID card:

If you need to report your CHP+ ID card as stolen:

Medical Advice 24/7

If you are having an emergency, call 911 or go to the emergency room. If you need medical help fast but it’s not an emergency, call your doctor first.

If you’re not sure if your symptoms are urgent, call the free Nurse Advice Line at 800-283-3221. Or you can use state relay 711. The Nurse Advice Line can help 24 hours a day, each day of the year.

Medications, Pharmacy, and Prior Authorizations

If you have questions about:

  • The medication you are taking:
  • Your eligibility for medications:
    • Call our customer service team at 800-511-5010.
    • Or click here if you have CHP+.
  • Physical health prior authorization:
    • Call the Health First Colorado customer service at 800-221-3943.
  • Behavioral health prior authorization:

If you’re not sure if your symptoms are urgent, call the free Nurse Advice Line at 800-283-3221. Or you can use state relay 711. The Nurse Advice Line can help 24 hours a day, each day of the year.

Update Your Address

If you have Health First Colorado or Child Health Plan Plus (CHP+), make sure they have the right contact details for you. This means your address, phone number, and email address. This will help you get important updates about your health care coverage.

It’s easy to update your contact details. Here are the ways you can do this:

  1. Visit colorado.gov/PEAK. If you don’t have a PEAK account, you can make one there.
  2. Use the free Health First Colorado app on your phone. You can download it from the Apple App store or the Google Play store. Visit healthfirstcolorado.com/mobileapp to learn more about the app.
  3. Get help from our Access Medical Enrollment Services team. Visit accessenrollment.org to learn how they can help you. Or call them at 855-221-4138.
  4. Contact your county department of human services. Visit cdhs.colorado.gov/our-partners/counties/contact-your-county-human-services-department to find out how to contact them.
  5. If you have CHP+, call CHP+ customer service at 800-359-1991. Or use State Relay 711. They can help in multiple languages.

Questions About Your Health Plan or Regional Organization

If you have questions about your Health First Colorado health plan, or your regional organization:

Member Frequently Asked Questions

Are there changes to my health care coverage?

Your covered Health First Colorado (Colorado’s Medicaid Program) benefits and services are not changing. You can continue getting physical and behavioral health care. Your Health First Colorado eligibility has not changed.

Are you worried about protecting your child against respiratory syncytial virus (RSV)?

RSV is a common, highly contagious infection. Most of the time, it will cause a mild, cold-like illness. Sometimes it will cause respiratory issues for your baby, including severe lung infections. Babies’ immune systems are still developing, so they may get infections more easily.

A medication called Beyfortus can help protect babies against serious lung infections from RSV and other types of infections. Beyfortus is an RSV vaccine that can boost your baby’s immune system to help them fight RSV. It is typically given as a shot in your baby’s thigh. Beyfortus is approved by the Food and Drug Administration (FDA). It is also recommended by the American Academy of Pediatrics (AAP).

Talk to your doctor about getting Beyfortus to help protect your baby from RSV. If you don’t have a doctor, we can help you find one. Call us at 800-511-5010. TTY users should call 888-803-4494. Click here to find a doctor online.

Do I get an ID card for being a Colorado Access member?

We issue ID cards for members enrolled in the CHP+ State Managed Care Network and the CHP+ offered by Colorado Access programs. Health First Colorado issues cards for members enrolled in Health First Colorado (Colorado’s Medicaid program).

Do I have to pay a copay?

You may have to pay have a copay. This is what you pay when you get a covered health care service. The amount is based on the service.

If you have Health First Colorado, you may have a copay unless you are:

  • Age 18 and younger.
  • Age 18 to 25 and enrolled in former foster care.
  • Pregnant
  • Living in a nursing facility.
  • Getting hospice care.
  • An American Indian or Alaska Native.

Click here to learn more.

If you have CHP+, you may have a copay unless you are:

  • Pregnant.
  • Up to 12 months postpartum.
  • An American Indian or Alaska Native.

Click here to learn more.

Do I need a referral to receive behavioral health services?

You don’t need a referral. Some services, however, may require a prior authorization. It’s always a good idea to discuss your physical and behavioral health needs with your PCP.

Do I pay a copay for prescription medications?

Some CHP+ offered by Colorado Access members pay a co-pay for prescription medications. If you have a copay, the amount will be listed on your CHP+ card. If you have a copay, you will need to pay it before you can pick up the medication. If you are filling more than one prescription, you will need to pay the copay amount for each medication. If the retail price of the medication is less than your copay price, you will pay the retail price.

How can I find a psychologist?

We can help you find a psychologist. Please call us at 866-833-5717 or 800-511-5010, Monday through Friday from 8:00 a.m. to 5:00 p.m. You can also find a psychologist online.

How do I call customer service?

Please call our Customer Service team at 800-511-5010, Monday through Friday from 8:00 a.m. to 5:00 p.m. We’re happy to help answer any questions you may have.

Additional Member Services

Become a Member


Find helpful information about everything from advance directives to health websites and crisis resources.

Member Engagement


Learn about all of the ways we can help you get the care you need.

Helpful Resources


Find general health websites as well as contact information for our partner providers.

Forms & Documents


Quickly access the resources you need. Find everything from grievance forms to reimbursement request forms.

Quality


The quality of your care matters to us. Read about our appointment standards and more.

Grievances


How to file a grievance and what you can expect after you do.

Appeals


How to file an appeal and what you can expect from the process.

Rights & Responsibilities


It’s important for you to know and understand your rights as well as the things for which you are responsible.