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Medicaid for Children with Disabilities

Medicaid Buy-In Program for Children with Disabilities
The Medicaid Buy-In Program for Children with Disabilities (Children's Buy-In) is a Family Medical Assistance program that provides Medicaid benefits for children with disabilities whose adjusted family income is at or below 300% of the Federal Poverty Level (FPL).

Eligible families receive Medicaid benefits for their child with a disability by paying a monthly premium on a sliding scale based on their adjusted income.

Who is eligible?
The Children's Buy-In is for children under age 19 who have a qualifying disability, and whose adjusted family income is at or below 300% of the Federal Poverty Level (FPL).

What is a qualifying disability?
A qualifying disability is determined using the Social Security Administration (SSA) criteria.

There are two ways to determine disability for the Children's Buy-In program:
  • A disability determination through the SSA; or If the child does not have a disability determination through the SSA, the disability determination will be made through the State Disability contractor using SSA childhood listings.

  • Disability determination for the Medicaid Buy-In program excludes individual's level of earnings, resources or Substantial Gainful Activity (SGA), but otherwise uses the same criteria as the Social Security Administration (SSA).

  • Detailed enrollment and eligibility information can be found in the Children's Buy-In FAQs on the Department Web site at: Colorado.gov/hcpf/MedicaidBuyInPrograms

    What are the benefits for children enrolled in the program?
    Children enrolled in the Medicaid Buy-In Program receive Regular Medicaid benefits.

    What do the premiums for the Children's Buy-In program cost?
    Premiums are based on adjusted monthly income on a sliding scale. The premium structure is as follows:
    FPL Monthly Premium
    0-133% $0
    134-185% $70
    186-250% $90
    251-300% $120


    For information on how to estimate your monthly premium payment, please refer to the Children's Buy-In Income Chart and Premium Guide on the Children's Buy-In Web page: Colorado.gov/hcpf/MedicaidBuyInPrograms

    Is this program currently available for enrollment?
    Yes! The Children's Buy-In program launched on July 1, 2012.

    CONTACT:
    Program:
    Customer Service
    303-866-3513 OR 1-800-221-3943

    Media:
    Rachel Reiter
    303-866-3921



    State of Colorado website information-|
    State of Colorado press release on Medicaid Buy-In Programs: Working Adults with Disabilities-|
    Return to Adult Medicaid-|

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