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Colorado Indigent Care Program (CICP)

The CICP distributes federal and State funds to partially compensate qualified health care providers for uncompensated costs associated with services rendered to the indigent population.  Qualified health care providers who receive this funding deliver discounted health care services to Colorado residents, migrant workers and legal immigrants with limited financial resources who are uninsured or underinsured and not eligible for benefits under the Medicaid Program or the Children's Basic Health Plan. 

 

This is not a health insurance program.  Services are restricted to participating hospitals and clinics throughout the state.  Also, medical services vary by participating health care provider.  The responsible physician or health care provider determines what services will be covered.  These services must include emergency care, and may include, but are not limited to, inpatient care, outpatient care and prescription drugs.

 

Eligibility Requirements

 

Local hospitals and clinics enroll families into the CICP.  To be eligible for discounted services under the program, applicants must meet both residency and income and asset requirements.  A resident is anyone who is:  1) a Colorado resident or a migrant farm worker and 2) a U.S. citizen or legal immigrant.

 

To qualify, applicants must have income and resources combined at or below 250% of the Federal Poverty Level (FPL), and cannot be eligible for Medicaid or CHP+.  There are no age limitations for CICP eligibility.  Applicants can have Medicare and any other commercial health insurance policy, but these policies must be exhausted before CICP reimburses the health care provider.

 

Applications

 

The application must be completed by the participating health care provider.  The applicant or responsible party must sign the application within 90 days of the date of service.  If the applicant or responsible party is unable to sign the application or has died, a signature should be provided by a spouse, relative, or guardian.  Without a completed, signed application, discounted services cannot be provided to the applicant and no appeal rights exist. 

 

Applicants have the right to appeal their application within 15 days of completing the application.  Appeals must be received in writing and delivered to the provider where the application was completed. 

 

Rating

 

Applicants will be assigned a "rating" based on their total income and resources.  The rating process takes a "snapshot" of the applicant's financial resources as of the date the rating takes place.  Ratings cover services that were received up to 90 days prior to your application.  The results of the rating will determine the client's copayments for the year.  If a client moves or changes providers it is the client's responsibility to tell the eligibility technician at the new provider of their CICP rating.

 

Changes To The Rating or Application May occur when:

  • The year has expired;
  • Family income has changed significantly;
  • The number of dependents has changed; or
  • Information provided was not accurate.

 

Copayment Cap

 

Under CICP, clients never have to pay more than 10% of their income in a 12-month calendar period for medical care from a participating health care provider.  For example, a family of four with an annual income of $16,500 will have to pay copayments only up to $1,650.  Clients are responsible for maintaining copayment related documentation and must submit in writing to the provider once the family has reached the 10% copayment cap.

 

Can Individuals Have Medicare or Other Health Insurance Apply For CICP?

 

Yes, they can still apply for CICP.  However, the clinic or hospital must bill those clients' commercial health insurance policy first for all medical expenses incurred.

 

Where can I apply for this program?

 

You need to apply at a CICP contracted provider. 

 Click here for a list of participating health care providers.