(2022-04)HCPF Child Health Plan Plus Monthly Maximum Income Guidelines (April 2022)#
(2022-04)(page-1)Page 1#
Our mission is to improve health care access and outcomes for the people we serve while demonstrating sound stewardship of financial resources.
www.colorado.gov/hcpf
CHILD HEALTH PLAN PLUS Monthly Maximum Income Guidelines Effective April 1, 2022
• Letters correspond to the rating codes in CBMS
• Co-payments may apply • No enrollment fee or co-pays for American Indians, Alaska Natives, or for a pregnant woman and her household • Effective 1/1/2022 to 12/31/2022 Tax Filing Thresholds for a Tax Dependent or Child: Earned Income $12,950 and Unearned Income $1,150 Poverty Level 143-156% F- 157-159% F+ 160-170% G- 171-185% G+ 186-200% J 201-213% K 214-225% L 226-235% M 236-260% O Family Size
1 1610 - 1767 1768 - 1801 1802- 1926 1927 - 2096 2097 - 2265 2266 - 2413 2414 - 2549 2550 - 2662 2663 - 2945 2 2168 - 2381 2382 - 2427 2428 - 2594 2595 - 2823 2824 - 3052 3053 - 3251 3252 - 3434 3435 - 3586 3587 - 3968 3 2727 - 2994 2995 - 3052 3053 - 3263 3264 - 3551 3552 - 3839 3840 - 4088 4089 - 4319 4320 - 4511 4512 - 4990 4 3285 - 3608 3609 - 3677 3678 - 3932 3933 - 4279 4280 - 4625 4626 - 4926 4927 - 5204 5205 - 5435 5436 - 6013 5 3844 - 4222 4223 - 4303 4304 - 4600 4601 - 5006 5007 - 5412 5413 - 5764 5765 - 6089 6090 - 6359 6360 - 7036 6 4402 - 4835 4836 - 4928 4929 - 5269 5270 - 5734 5735 - 6199 6200 - 6602 6603 - 6974 6975 - 7284 7285 - 8058 7 4961 - 5449 5450 - 5554 5555 - 5938 5939 - 6462 6463 - 6985 6986 - 7440 7441 - 7859 7860 - 8208 8209 - 9081 8 5519 - 6062 6063 - 6179 6180 - 6606 6607 - 7189 7190 - 7772 7773 - 8277 8278 - 8744 8745 - 9132 9133 - 10104 9 6078 - 6676 6677 - 6804 6805 - 7275 7276 - 7917 7918 - 8559 8560 - 9115 9116 - 9629 9630 - 10057 10058 - 11126 10 6636 - 7290 7291 - 7430 7431 - 7944 7945 - 8645 8646 - 9345 9346 - 9953 9954 - 10514 10515 - 10981 10982 - 12149 Enrollment Fee: 1 Child $25.00 2 or More $35.00 Enrollment Fee: 1 Child $75.00 2 or More $105.00
(2023-04)HCPF Child Health Plan Plus Monthly Maximum Income Guidelines (April 2023)#
(2023-04)(page-1)Page 1#
Our mission is improving health care equity, access and outcomes for the people we serve while saving Coloradans money on health care and driving value for Colorado. hcpf.colorado.gov
CHILD HEALTH PLAN PLUS Monthly Maximum Income Guidelines Effective April 1, 2023
• Letters correspond to the rating codes in CBMS
• Co-payments may apply • No co-pays for American Indians, Alaska Natives, or for a pregnant woman and her household. • Enrollment fees are no longer required for applications and renewals received after 07/01/2022 • Effective 1/1/2023 to 12/31/2023 Tax Filing Thresholds for a Tax Dependent or Child: Earned Income $13,850 and Unearned Income $1,250 Poverty Level 143-156% F- 157-159% F+ 160-170% G- 171-185% G+ 186-200% J 201-213% K 214-225% L 226-235% M 236-260% O Family Size 1 1726 - 1895 1896 - 1932 1933 - 2066 2067 - 2248 2249 - 2430 2431 - 2588 2589 - 2734 2735 - 2855 2856 - 3159 2 2335 - 2564 2565 - 2613 2614 - 2794 2795 - 3040 3041 - 3287 3288 - 3500 3501 - 3698 3699 - 3862 3863 - 4273 3 2943 - 3232 3233 - 3294 3295 - 3522 3523 - 3833 3834 - 4143 4144 - 4413 4414 - 4661 4662 - 4868 4869 - 5386 4 3551 - 3900 3901 - 3975 3976 - 4250 4251 - 4625 4626 - 5000 5001 - 5325 5326 - 5625 5626 - 5875 5876 - 6500 5 4159 - 4568 4569 - 4656 4657 - 4978 4979 - 5417 5418 - 5857 5858 - 6237 6238 - 6589 6590 - 6882 6883 - 7614 6 4767 - 5236 5237 - 5337 5338 - 5706 5707 - 6210 6211 - 6713 6714 - 7150 7151 - 7553 7554 - 7888 7889 - 8727 7 5376 - 5905 5906 - 6018 6019 - 6435 6436 - 7002 7003 - 7570 7571 - 8062 8063 - 8516 8517 - 8895 8896 - 9841 8 5984 - 6573 6674 - 6699 6700 - 7163 7164 - 7795 7796 - 8427 8428 - 8974 8975 - 9480 9481 - 9901 9902 - 10955 9 6592 - 7241 7242 - 7380 7381 - 7891 7892 - 8587 8588 - 9283 9284 - 9887 9888 - 10444 10445 - 10908 10909 - 12068 10 7200 - 7909 7910 - 8061 8062 - 8619 8620 - 9380 9381 - 10140 10141 - 10799 10800 - 11408 11409 - 11915 11916 - 13182