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340 Printers Parkway
Colorado Springs, CO 80910
Customer Service Center:
719-632-5700
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Peak Vista became an application site in the Summer of 2008. For CHP+ and Medicaid applications, please download the CHP+/Medicaid application (Solicitud de Medicaid en Español) and bring it to the Enrollment Services location closest to you. Enrollment Services locations available are:
Please bring the following documents with you:
CHP+/Medicaid
- CO Drivers License/CO State ID
- Birth certificates for all family members applying
- Proof of child care
- Resident alien card (if applicable)
- Medical expenses for last three months if you are requesting Medicaid coverage
- Health insurance information if applicable
- Business ledgers or profit or loss statement for previous month if self employed
Colorado Indigent Care Program (CICP)/Sliding Scale
- CO Drivers License/CO State ID
- Vehicle registrations
- Proof of child care/Alimony
- Medicaid denial letter if applicable
- Resident alien card if applicable
- Medical expenses for last three months if you are requesting Medicaid coverage
- Health insurance information if applicable
- Business ledgers or profit or loss statement for previous month if self employed
- Proof of income for last month if employed
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