Peak Vista is becoming 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 Peak Vista’s Registration Department located closest to you. The following locations include a registration department:

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