Medical Only Application Submitted Online
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1 Submitted Online Application for Medical Assistance only is submitted online Colorado.gov/PEAK ConnectforHealthCO.com manages case if, CHP+, or Non- Applicant receives real-time eligibility determination for MAGI Medicaid, CHP+ and/or APTC* C4HCO manages case if APTC/CSR, joint APTC/CSR and Medicaid/CHP+, or joint APTC/CSR and Non- Applicant does not receive realtime eligibility determination for, CHP+ and/or APTC* receives PEAK Inbox assignment and follows up on case with applicant to make determination *If an applicant is being screened for Non-MAGI, they may get a real-time decision for or CHP+ but additional follow up from the applicant s County of Residence is needed to determine eligibility for Non-MAGI programs. manages case if, CHP+, or Non- C4HCO manages case if APTC/CSR, joint APTC/CSR and Medicaid/CHP+, or joint APTC/CSR and Non-MAGI
2 CBMS/Paper Submitted by County Application is submitted via CBMS by a County Worker follows up on case with manages case if MAGI Medicaid, CHP+, or Non- APTC/CSR and Medicaid/CHP+, or joint APTC/CSR and Non-MAGI
3 CBMS/Paper Submitted by MA Site Application is submitted via CBMS by a Medical Assistance Site Medical Assistance Site follows up on case with manages case if, CHP+, or Non- APTC/CSR and Medicaid/CHP+, or joint APTC/CSR and Non-, including Buy-In manages case if ONLY
4 Combo Application Submitted Online Application for Medical, Food and Cash Assistance submitted online Colorado.gov/PEAK Applicant receives real-time eligibility determination for, CHP+ and/or APTC*. Case is automatically assigned Applicant does not receive realtime eligibility determination for, CHP+ and/or APTC* manages Food and Cash Assistance portion of case manages case if, CHP+, or Non-MAGI Medicaid manages Food and Cash Assistance portion of case C4HCO manages case if APTC/CSR, or joint APTC/CSR and Medicaid/CHP+ follows up on case with applicant to make determination *If an applicant is being screened for Non- MAGI, they may get a real-time decision for or CHP+ but additional follow up from the applicant s County of Residence is needed to determine eligibility for Non-MAGI programs. manages case if, CHP+, or Non-MAGI Medicaid manages Food and Cash Assistance portion of case C4HCO manages case if APTC/CSR, or joint APTC/CSR and Medicaid/CHP+, including Buy-In Denver Health (CMAP) manages the case if ONLY
5 Submitted by Phone Application is submitted over the phone by calling Denver Health or the Medicaid Customer Contact Center follows up on case with manages case if MAGI Medicaid, CHP+, or Non- APTC/CSR and Medicaid/CHP+, or joint APTC/CSR and Non-MAGI
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