Child Health Plan Plus

Last Updated: June 15, 2010

Click on the links below to download and print the CHP+ and Medicaid application.

NOTE: You must have Adobe Acrobat Reader to download these files. Click here if you need to download Adobe. Instructions:

• Download and print the application
• Fill out the application—If you need assistance completing the application, call CHP+ Customer Service at (800) 359-1991 for help
• Mail the application to:
  • CHP+
  • PO Box 929
  • Denver, CO 80201

Colorado Medical Assistance Application - English (PDF)

Colorado Medical Assistance Application - Spanish (PDF)

| P.O. Box 929 || Denver, Colorado || 80201-0929 || Phone: 800.359.1991 || FAX: 303.893.1780 |

As of June 2010, CHP+ enrollment is 69,369 children and 1,607 pregnant women.*

* Source: Joint Budget Committee Monthly Report.