HEALTH CARE POLICY & FINANCING, COLORADO DEPARTMENT OF

What HEALTH CARE POLICY & FINANCING, COLORADO DEPARTMENT OF does

The Department of Health Care Policy and Financing (HCPF) is a Colorado state government department established to administer public health care programs for eligible Colorado residents. Its primary offerings are Health First Colorado (Colorado's Medicaid program) and Child Health Plan Plus (CHP+), which together cover over 1.31 million Coloradans as of June 2026 — 1,237,771 in Health First Colorado and 72,841 in CHP+. HCPF also administers Long-Term Services and Supports Programs that assist elderly, disabled, and chronically ill members with daily-living activities. Eligible populations include low-income families with children, pregnant women, elderly adults, and individuals with disabilities who cannot afford private coverage.

HCPF's operational platform is the PEAK (Program Eligibility and Application Kit) online portal, which serves as the primary self-service channel for member enrollment, account management, application status, and benefit renewal. Member services are also delivered through a statewide Member Contact Center (1-800-221-3943 with State Relay 711 accessibility), and care is delivered through a contracted network of healthcare providers — physicians, dentists, clinics, and behavioral health providers — across Colorado. The agency maintains HIPAA-compliant privacy practices and ADA-compliant website accessibility.

As a state government department, HCPF is funded through state appropriations combined with federal Medicaid matching funds (FMAP), and it does not generate commercial revenue. It operates under the State of Colorado government structure with a statutory mandate to administer these programs exclusively, making it the sole administrator of Medicaid and CHIP in the state. Co-payments and cost-sharing for members are set by eligibility category and income level rather than market pricing.

Name

HEALTH CARE POLICY & FINANCING, COLORADO DEPARTMENT OF

Legal name

Department of Health Care Policy and Financing

Website

https://chcpf.state.co.us

Company type

Private

Operating status

Operating

Headcount range

11–50 employees

Short description

The Colorado Department of Health Care Policy and Financing (HCPF) is the state government agency that administers Health First Colorado (Medicaid) and Child Health Plan Plus (CHP+), providing health coverage to over 1.31 million eligible low-income Coloradans through a statewide provider network and the PEAK self-service portal.

Ownership category

akta.pro rank

Product category

Public Health Insurance Administration

NAICS

Administration of Public Health Programs (923120), Individual and Family Services (6241)

SIC

Hospital & Medical Service Plans (6324)

akta.pro primary industry

Healthcare-Linked Social Benefits Administration (e.g., Medicaid/Means-Tested Health Coverage) (BPAIAKAH)

akta.pro secondary industries

Local Public Health & Human Services Administration (BPAIACAK), Children’s & Family Medicaid Managed Care Plans (HLAEAEAF)

Keywords

• Medicaid program administration
• Public health insurance
• Government healthcare programs
• Child health coverage
• Long-term care services

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure

Revenue model

1. Government appropriations and federal Medicaid matching funds: As a state government department, HCPF is funded through a combination of state appropriations and federal matching funds for Medicaid and CHIP programs. The agency does not generate commercial revenue.

Distribution channels3 records

Marketing channels5 records

Core offering

HCPF administers Health First Colorado (Colorado's Medicaid program) and Child Health Plan Plus (CHP+), providing health coverage to over 1.3 million eligible low-income Coloradans including families, children, pregnant women, the elderly, and individuals with disabilities. The agency also manages Long-Term Services and Supports programs and provides member self-service through the PEAK online portal and a phone-based Member Contact Center.

Product overview

HCPF administers a portfolio of government health care programs for Colorado. The primary offerings are Health First Colorado (Colorado's Medicaid program) and Child Health Plan Plus (CHP+), both providing health coverage to eligible residents. Long-Term Services and Supports Programs provide additional care assistance. Members access services through the PEAK (Program Eligibility and Application Kit) online portal, which enables account management, application submission, and benefit coordination across these programs.

Differentiator

Problem solved

Functional benefit

Products and services

• Health First Colorado

Named customers2 records

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

One partnership is on record.

• Healthcare providers (doctors, dentists, clinics)coreOthersNetwork of contracted healthcare providers throughout Colorado who deliver services to Health First Colorado and CHP+ members. The provider network includes primary care physicians, specialists, hospitals, dental providers, and behavioral health providers.

Scale indicators2 records

Recent moves6 records

Expansion highlights4 records

Broad incumbents

• UnitedHealth Group (UnitedHealthcare Community & State): Operates one of the largest Medicaid managed care platforms in the U.S. Comparable to HCPF in serving Medicaid enrollees, but as a private managed care contractor rather than a state agency.
• Centers for Medicare & Medicaid Services (CMS): Federal agency that sets Medicaid policy and provides federal matching funds. Acts as the regulator and upstream funder for HCPF; comparable in mission but operates at federal scope.
• Centene Corporation: Largest pure-play Medicaid managed care organization in the U.S., contracting with state Medicaid agencies including Colorado. Comparable in serving Medicaid populations but operates as a private insurer rather than administering the program directly.
• Elevance Health (Anthem): Operates state Medicaid managed care plans across multiple states including Colorado (Anthem Blue Cross Blue Shield). Comparable in serving Medicaid beneficiaries but at a broader commercial scale.
• Molina Healthcare: Medicaid-focused managed care company with significant state Medicaid contracts. Comparable in serving government-sponsored healthcare populations, though as a private contractor to agencies like HCPF.

Direct peers

• California Department of Health Care Services (DHCS): California's state Medicaid agency administering Medi-Cal, the largest Medicaid program in the U.S. Most directly comparable peer to HCPF given its state-level statutory authority, scale, and benefits structure.
• Oregon Health Authority: Administers Oregon Health Plan (Medicaid) with similar regional payer role, value-based care orientation, and state-government structure comparable to HCPF.
• New York State Department of Health: Administers New York's Medicaid program with similar statutory authority, federal matching funds, and population-scale managed care contracting. Directly comparable in function and structure to HCPF.
• Washington State Health Care Authority: Washington's Medicaid (Apple Health) administrator; comparable in scope, governance structure, and member-facing digital services to HCPF.
• Texas Health and Human Services Commission: Texas's state agency administering Medicaid and CHIP programs, comparable to HCPF in regulatory structure, federal-state funding model, and population-scale administration.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/COHCPF
• LinkedInlinkedin.com/company/health-care-policy-&-financing-colorado-department-of

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about HEALTH CARE POLICY & FINANCING, COLORADO DEPARTMENT OF