Colorado Medicaid Income Limits 2024

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Colorado Medicaid Income Limits 2023 : Medicaid provides health coverage to millions of Americans, including children, pregnant women, parents, seniors and individuals with disabilities. In some states the program covers all low-income adults below a certain income level. Note: Medicaid is sometimes referred to by state specific names. Regardless of the various names, the programs are still Medicaid and are governed by Federal Medicaid law and regulations.

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Colorado Medicaid Income Limits 2023

Who is eligible for Colorado Medicaid?

To be eligible for Colorado Medicaid, you must be a resident of the state of Colorado, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income. You must also be one of the following:

  • Pregnant, or
  • Be responsible for a child 18 years of age or younger, or
  • Blind, or
  • Have a disability or a family member in your household with a disability, or
  • Be 65 years of age or older.

Colorado Medicaid Income Limits 2023

what is the Per Year Income limit for medicaid in colorado 2023

Household Size* Maximum Income Level (Per Year)
1 $19,392
2 $26,228
3 $33,064
4 $39,900
5 $46,737
6 $53,573
7 $60,409
8 $67,245

*For households with more than eight people, add $6,836 per additional person. Always check with the appropriate managing agency to ensure the most accurate guidelines.

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Colorado Medicaid Long-Term Care Definition

Medicaid is a health care insurance program for low-income individuals of all ages. While this program provides health coverage for diverse groups of Colorado residents, this page is focused on long term care Medicaid eligibility for CO seniors. In addition to care services in nursing home facilities and assisted living residences, services and supports are available to help the elderly remain living in their homes. There are three categories of Medicaid long-term care programs for which Colorado seniors may be eligible.

Institutional / Nursing Home Medicaid – This is an entitlement program; anyone who meets the eligibility requirements will receive assistance. Benefits are provided only in nursing home facilities.

Medicaid Waivers / Home and Community Based Services (HCBS) – This is not an entitlement program; the number of participants is limited and wait lists may exist. Benefits are intended to prevent and delay nursing home admissions and may be provided at home, adult day care, or in assisted living.

Regular Medicaid / Aged Blind and Disabled (ABD) – This is an entitlement program; if eligibility criteria is met, assistance is received. Various long-term care benefits, such as personal care assistance or adult day care, may be available.

In Colorado, Medicaid is called Health First Colorado. While this program is jointly funded by the state and federal government, it is administered by the state under parameters set by the federal government. The Colorado Department of Health Care Policy & Financing is the administering agency.

Colorado Medicaid Income Limits 2023 Chart

Colorado Medicaid income limits per month for 2023

Family Size Parents & Caretaker
Relatives
68% Poverty Level
Adults
(Ages 19-65)
133% Poverty Level
Children
(Ages 0-18)
142% Poverty Level
Pregnant Women
195% Poverty Level
1 826 1616 1725 2369
2 1117 2186 2334 3205
3 1409 2755 2942 4040
4 1700 3325 3550 4875
5 1991 3895 4158 5710
6 2283 4464 4766 6546
7 2574 5034 5375 7381
8 2865 5604 5983 8216
9 3156 6173 6591 9051
10 3448 6743 7199 9887

Co-payments may apply; no co-pays for American Indians, Alaska Natives, or for a pregnant woman and her household.
Effective 1/1/2023 to 12/31/2023 Tax Filing Thresholds for a Tax Dependent or Child:

  • Earned Income $13,850
  • Unearned Income $1,250

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Colorado Medicaid Income & Asset Limits for Eligibility

Each of the three Medicaid long-term care programs have varying financial and medical eligibility criteria. Financial requirements change annually, vary based on marital status, and is further complicated by the fact that Colorado offers alternative pathways towards eligibility.

Simplified Eligibility Criteria: Single Applicant for Nursing Home Care

CO seniors must be financially and medically eligible for long-term care Medicaid. One must have limited income, limited assets, and a medical need for care. A single individual applying for Nursing Home Medicaid in 2023 in Colorado must meet the following criteria: 1) Have income under $2,742 / month 2) Have assets under $2,000 3) Require the level of care provided in a nursing home facility.

The table below provides a quick reference to allow seniors to determine if they might be immediately eligible for a Colorado Medicaid long-term care program.Alternatively, one can take the Medicaid Eligibility Test.  IMPORTANT: Not meeting all the requirements does not mean one is ineligible or cannot become eligible for Medicaid.

Medicaid income limits 2023 colorado

Colorado Medicaid plays a vital role in providing healthcare coverage to individuals and families who meet specific income and household size criteria. In 2023, the income limits for Colorado Medicaid vary depending on the number of household members. These limits ensure that those who need healthcare assistance the most can access the necessary services without facing financial hardship.

Here is a breakdown of the Colorado Medicaid income limits for 2023 based on household size:

1. Single Individuals (Household Size: 1)

For individuals living alone, the maximum annual income they can earn and still qualify for Colorado Medicaid in 2023 is $19,392. This income limit allows single individuals with modest earnings to receive essential healthcare coverage.

2. Couples or Two-Person Households (Household Size: 2)

Two-person households, such as couples or parent-child pairs, can earn up to $26,228 annually while remaining eligible for Colorado Medicaid in 2023. This threshold provides support to small households with limited incomes.

3. Households with Three Members (Household Size: 3)

Families or households with three members can qualify for Colorado Medicaid in 2023 if their combined annual income does not exceed $33,064. This limit ensures that many families have access to healthcare services.

4. Four-Member Households (Household Size: 4)

For households consisting of four members, the maximum income allowed in 2023 is $39,900. This income limit accommodates larger families and helps cover their healthcare needs.

5. Five-Member Households (Household Size: 5)

Families with five members can have an annual income of up to $46,737 and still be eligible for Colorado Medicaid in 2023. This limit helps support families with additional dependents.

6. Six-Member Households (Household Size: 6)

Larger households with six members can qualify for Colorado Medicaid in 2023 with an annual income of $53,573 or less. This threshold assists in ensuring that more extensive families have access to healthcare services.

7. Seven-Member Households (Household Size: 7)

Seven-member households can have an annual income of up to $60,409 and still be eligible for Colorado Medicaid in 2023. This income limit acknowledges the needs of more significant households.

8. Eight-Member Households (Household Size: 8)

The income limit for eight-member households in 2023 is $67,245. This allows larger families to access healthcare coverage even with their increased financial responsibilities.

It’s important to note that these income limits are subject to change and may be adjusted annually based on various factors. Additionally, other eligibility criteria, such as citizenship and residency status, must also be met to qualify for Colorado Medicaid.

The Colorado Medicaid program serves as a crucial safety net for individuals and families who may not have access to private health insurance or other forms of healthcare coverage. By adjusting income limits based on household size, the program strives to provide healthcare assistance to those who need it most, helping to improve the overall well-being of Colorado residents in 2023 and beyond.

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How to Apply for Colorado Medicaid

For additional information about Colorado’s Medicaid programs, or to apply, one should contact their county Department of Human Services’ office. Persons can also call the Colorado Department of Human Services at 1-800-221-3943. Another option is to apply online via the Health First Colorado website. Finally, one’s local Single Entry Point Agency can provide assistance with applying for Medicaid.

Colorado Medicaid applicants should be certain that all eligibility requirements are met prior to applying for benefits. For seniors who have income and / or asset(s) greater than the allowable amounts, Medicaid planning can be invaluable. Furthermore, the application process is complicated and assistance with the process may be welcomed.

FAQ’s-Medicaid income limits 2023 colorado over 65

Q: What are the maximum income limits for Colorado Medicaid in 2023 for a household with one member?

Ans: The maximum income limit for Colorado Medicaid in 2023 for a household with one member is $19,392 per year.

Q: What is the maximum income limit for Colorado Medicaid in 2023 for a household consisting of two members?

Ans: The maximum income limit for Colorado Medicaid in 2023 for a household with two members is $26,228 per year.

Q: How much can a household with three members earn annually and still be eligible for Colorado Medicaid in 2023?

Ans: A household with three members can earn up to $33,064 per year and still be eligible for Colorado Medicaid in 2023.

Q: What is the income threshold for a four-member household to qualify for Colorado Medicaid in 2023?

Ans: The income threshold for a four-member household to qualify for Colorado Medicaid in 2023 is $39,900 per year.

Q: Can a household with five members qualify for Colorado Medicaid in 2023 if their annual income is $46,737?

Ans: Yes, a household with five members can qualify for Colorado Medicaid in 2023 with an annual income of $46,737 or less.

Q: How much can a six-member household earn per year and still be eligible for Colorado Medicaid in 2023?

Ans: A six-member household can earn up to $53,573 per year and still be eligible for Colorado Medicaid in 2023.

Q: What is the maximum annual income allowed for a seven-member household to be eligible for Colorado Medicaid in 2023?

Ans: The maximum annual income allowed for a seven-member household to be eligible for Colorado Medicaid in 2023 is $60,409.

Q: What income level is required for an eight-member household to qualify for Colorado Medicaid in 2023?

Ans: An eight-member household can qualify for Colorado Medicaid in 2023 if their annual income is $67,245 or less.

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In conclusion, Colorado’s Medicaid program aims to ensure that healthcare is accessible to those who need it most, regardless of their income and family size. By adjusting income limits accordingly, the program seeks to provide a safety net for individuals and families, promoting better health and well-being for all Colorado residents in 2023 and beyond. If you believe you meet the income and other eligibility criteria, don’t hesitate to explore the benefits of Colorado Medicaid and secure the healthcare coverage you and your family deserve.

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