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Are you on a Medicaid Colorado or Health First Colorado Plan?

I am not on a Medicaid of Health First Colorado Plan or other Medicaid plan. I am on a Medicaid or Health First Colorado Plan. I'm not sure

I confirm that I am not on a Medicare plan in Colorado or another state.

I am not currently in network with Medicare. Due to insurance rules related to this, I am not able to see client on a Medicare plan.

I confirm I am not on a Medicare Plan. I am on a Medicare Plan. I don't know.

If you are on a Medicaid plan, do you have any other insurance?

I am not currently in network with Medicaid. Due to insurance rules related to this, I am not able to see client on a Medicaid plan who also have other forms of insurance.

I am not on Medicaid so this question does not apply to me. I am on Medicaid, and I confirm that I do not have any other forms of health insurance. I am on Medicaid, and I do have other forms of insurance.

For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.