Client eligibility and enrollment

Before Health Navigation or Clinical Services are provided, organizations must verify the client meets eligibility requirements. Health Navigation and Clinical Services eligibility and enrollment requirements are found in the Health Navigation and Clinical Services Strategy Administrative Program Manual. The tools below relate to some of the eligibility and enrollment requirements.

Eligibility* and enrollment requirements

One: Verify eligibility

Breast services are available for:

• Women
• Transgender women who have taken or are taking hormones for gender transition
• Transgender men who have not had a bilateral mastectomy
• Non-binary individuals
• Ages 40-64

Cervical services are available for:

•  Clients 21-64 with services

Two: Verify a family income at or below 250 percent of the federal poverty level (self-report)

• Poverty Guidelines. (PDF)
• Eligibility calculator. (web page)

Three: Assess insurance status

• During eligibility assessment, all uninsured clients should be referred to Health First Colorado or Connect for Health Colorado for assessment of eligibility for Health First Colorado or subsidized marketplace health insurance coverage.

Four: Complete the Combined Consent form

• Complete the Combined Consent form. (web page with links to PDFs in different languages)

Five: Complete the Client Profile Tool

• The Client Profile Tool is optional, except in cases of enrollment into Health First Colorado’s Breast and Cervical Cancer Treatment Program (BCCP).