We see a lot of folks with CHP and CHP+ in our offices. Many have been bounced back and forth between Medicaid and CHP. With many of these folks, there is some confusion on the subject of CHP and how that works with braces. So let us try to clarify.
The answer to the question, “does CHP pay for braces in Colorado?” is maybe and kind of. We know, not much of an answer, so here are the details. The state of Colorado outsourced the processing of CHP to a third party called Dentaquest. This was a relationship that is structured in such a way that Dentaquest acts much like a private insurance company. There are rules and guidelines set by the state which they much follow, but within those rules and guidelines, they get to determine if a claim is approved or denied and it is in their financial best interest to pay out as few claims as they can as long as they remain within the parameters set by the state. The result is, very few claims are approved for CHP.