A new Medicaid Buy-In Program for Children with Disabilities (Children's Buy-In) is now available. As part of the Colorado Health Care Affordability Act, the Children’s Buy-In program will give families who make too much to qualify for Medicaid or Child Health Plan Plus (CHP+) the opportunity receive Medicaid coverage for their child with a disability. Through the program, eligible families will 'buy-into' Medicaid benefits for their child by paying a monthly premium based on their income.
The Children’s Buy-In program may be an option for children with a disability to receive health care coverage, including children who: are on a waitlist for Home and Community-Based Services (HCBS) or Medicaid Waiver, or were denied services; do not currently have health care insurance; or have needs that are not covered by private insurance. Once a child is enrolled in the Children’s Buy-In Program they will receive Regular Medicaid benefits.
To be eligible for the Children’s Buy-In program, children must be under 19 years of age, have a qualifying disability using the Social Security Administration (SSA) listings, and have a family income level below 300% of the Federal Poverty Level (FPL), after income disregards are calculated. For example, a family of four can make approximately $8,600 a month and their child may still qualify for this program.
Premium costs for the Medicaid Buy-In Program for Children with Disabilities are based Federal Poverty Levels. Starting July 1, 2012 monthly premium amounts will be:
For more information about the program, contact Eagle and Pitkin County Health & Human Services at 970-704-2777, visit our Aspen or El Jebel locations, or go on-line to www.colorado.gov/PEAK.