Statutes, codes, and regulations
Colorado Administrative Code
Department 2505 - Department of Health Care Policy and FinancingDivision 2505 - Medical Services Board (Volume 8; Medical Assistance, Children's Health Plan)
Rule 10 CCR 2505-3 - FINANCIAL MANAGEMENT OF THE CHILDREN'S BASIC HEALTH PLAN
Section 10 CCR 2505-3-180 - Express Lane Eligibility

10 Colo. Code Regs. § 2505-3-180

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Current through Register Vol. 47, No. 24, December 25, 2024
Section 10 CCR 2505-3-180 - Express Lane Eligibility

Express Lane Eligibility shall allow for automatic initiation of Medical Assistance enrollment by using available data and findings from other programs as listed below.

180.1 Free/Reduced Lunch Program
A. Recipients of the Free/Reduced Lunch Program who have submitted a Free/Reduced Lunch application at a participating school district
1. Families will be given the option to opt into Medical Assistance coverage for their potentially eligible child.
2. Children who meet all necessary eligibility requirements as outlined in this volume will be automatically enrolled.
3. Children who meet all necessary eligibility requirements except verification of U.S. citizenship and identity will receive 90 days of eligibility while awaiting this verification.
4. Any additionally required verification will be requested from the client through CBMS prior to being automatically enrolled.
5. Eligibility is based on income declared on the Free/Reduced Lunch application as well as eligibility requirements outlined in section 150.
6. If it would be found that a child does not satisfy an eligibility requirement for Medical Assistance, the child's eligibility will be evaluated using the application for Medical Assistance.
B. Recipients of the Free/Reduced Lunch Program who were not required to submit a Free/Reduced Lunch application at a participating school district
1. Families who are automatically enrolled Free/Reduced Lunch recipient children will not be forwarded to the Department for Express Lane Eligibility in compliance USDA confidentiality guidelines.
2. These families must apply for Medical Assistance in order to give consent for request of benefits.
180.2 Direct Certification
A. When an application for Supplemental Nutrition Assistance Program (SNAP) or Colorado Works (Temporary Assistance for Needy Families Program (TANF)) has been submitted, families will be given the option to opt into Medical Assistance coverage for their potentially eligible children.
1. Children who meet all necessary eligibility requirements as outlined throughout sections 100 through 180 will be automatically enrolled,
2. Children who are only missing verification of U.S. citizenship and identity will receive 90 days of coverage while waiting for this verification.
3. Any additionally required verification will be requested from the client through CBMS prior to being automatically enrolled.
4. Eligibility is determined based on income declared on the Food Stamp or Colorado Works application as well as eligibility requirements outlined throughout this volume.
5. If it would be found that a child does not satisfy an eligibility requirement for Medical Assistance, the child's eligibility will be evaluated using the Single Streamlined application for Medical Assistance.
6. Individuals whose eligibility is not determined through Express Lane Eligibility may also submit a separate Single Streamlined Application for Medical Assistance to determine eligibility.

10 CCR 2505-3-180

38 CR 11, June 10, 2015, effective 7/1/2015
40 CR 03, February 10, 2017, effective 3/2/2017
40 CR 17, September 10, 2017, effective 9/30/2017
40 CR 19, October 10, 2017, effective 10/30/2017
41 CR 19, October 10, 2018, effective 10/30/2018
42 CR 18, October 10, 2019, effective 10/1/2019
42 CR 23, December 10, 2019, effective 12/30/2019
43 CR 11, June 10, 2020, effective 5/8/2020
43 CR 17, September 10, 2020, effective 9/4/2020
44 CR 01, January 10, 2021, effective 12/11/2020
44 CR 17, September 10, 2021, effective 8/9/2021
44 CR 23, December 10, 2021, effective 11/12/2021
45 CR 03, February 10, 2022, effective 3/10/2022
45 CR 07, April 10, 2022, effective 3/11/2022
45 CR 11, June 10, 2022, effective 6/30/2022
45 CR 15, August 10, 2022, effective 7/8/2022
45 CR 22, November 25, 2022, effective 10/14/2022
45 CR 19, October 10, 2022, effective 10/30/2022
46 CR 06, March 25, 2023, effective 2/10/2023
46 CR 07, April 10, 2023, effective 4/30/2023
46 CR 11, June 10, 2023, effective 5/12/2023
46 CR 19, October 10, 2023, effective 10/30/2023