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Last Updated: October 6, 2014

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:

Colorado Medical Assistance Application - English (PDF)

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

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As of February 2014, CHP+ enrollment is 56,540 children and 866 pregnant women.*

* Source: Joint Budget Committee Monthly Report.