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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