Health First Colorado (Medicaid) Adult Buy-In

What It Covers

If you get coverage from the Health First Colorado Buy-In Program For Working Adults With Disabilities (Medicaid Adult Buy-In), it will pay for a broad range of medical services. If you’re not sure if a particular service is covered by the Medicaid Adult Buy-In, or if you need prior authorization, ask your doctor or your regional organization.

Here is a list of some of the main services that the Medicaid Adult Buy-In provides:

  • Doctor's visits, including primary care doctors, specialists, home health services, and telemedicine
  • Vision care
  • Dental services
  • Emergency room visits and ambulance services
  • Transportation to appointments
  • Urgent care
  • Outpatient hospital services and surgery
  • Inpatient medical care or surgical care
  • Organ and transplant services
  • Maternity and newborn care
  • Mental health care
  • Substance use services
  • Prescription drug coverage
  • Durable medical equipment, such as wheelchairs, oxygen, and others
  • Physical therapy
  • Occupational therapy
  • Speech therapy
  • Lab tests, including x-rays and blood tests
  • Preventive care, including immunizations and cancer screenings
  • Family planning services

Coverage for long-term care services, may require a separate application for Home and Community Based Services (HCBS) Waivers. The Medicaid Adult Buy-In can help you qualify for most HCBS Waiver programs, with one exception: the Medicaid Adult Buy-In will not help you qualify for the Developmental Disabilities (DD) Waiver. Instead, see if another waiver might help you, such as the Supported Living Services (SLS) Waiver. Learn more about waivers in DB101's HCBS Waiver Programs article.

Services not covered by the Medicaid Adult Buy-In

The Medicaid Adult Buy-In covers many types of health care, but it doesn't cover everything. Here are some examples of things it does not pay for:

  • Cosmetic surgery
  • Autopsy
  • Vocational/educational services
  • Artificial insemination, including in vitro fertilization

Learn more