Review cadence
- Source date
- 2026-07-16
- Claim review
- 2026-07-16 · 23/23
- Proven sweep
- 2026-07-15
- Target
- T1 · weekly
Loading...
Colorado has 21 community health centers across 294 sites serving 654,757 patients — the #15 FQHC state by patients in the national-breadth layer. As an expansion state, Medicaid anchors the safety net, and H.R. 1 work requirements plus the December 2026 funding cliff are the key risks.
Save Colorado to Your Pulse for policy, funding, and workforce updates in this browser.
Share with your team
We keep source date, claim review, and a completed source sweep separate. None of these clocks substitutes for another.
203,271 reported patients
Actual values: 10/12 · source-backed: 8/12
Visible gaps: EHR, NPPES operator identity, history, reported financials.
Hash-pinned review: 2026-07-19 · next 2026-09-02
This public log starts July 14, 2026. Zero logged changes does not mean a page or claim never changed before that date.
2026-07-16 · addition
New tracked CO development added to the state intelligence feed.
2026-07-16 · addition
New tracked CO development added to the state intelligence feed.
2026-07-16 · addition
New tracked CO development added to the state intelligence feed.
2026-07-16 · addition
New tracked CO development added to the state intelligence feed.
2026-07-15 · material correction
Corrected this CO record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this CO record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this CO record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this CO record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this CO record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this CO record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this CO record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this CO record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this CO record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this CO record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this CO record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this CO record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this CO record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this CO record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this CO record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this CO record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this CO record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this CO record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this CO record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
Send a correction or new source to improve this state page.
Colorado's verified summer 2026 watchlist has three separate clocks. HCPF's Rural Health Transformation application remains open through August 3 against a $200,105,604.17 first-budget-year award. Health First Colorado says about 378,500 members may be subject to work requirements before exemptions, with letters beginning in August and implementation for relevant applications and renewals in January 2027. Separately, CMS approved a hospital state-directed-payment plan that could bring about $455 million in additional federal Medicaid funds as early as September. The fiscal baseline remains fragile: CCHN reported in November 2025 that uninsured community-health-center patients grew by 38,000 from 2021 to 2024 and two-thirds of Colorado CHCs had negative 2024 operating margins. An April budget article documented a proposed 2% Medicaid provider-rate cut worth $95 million in savings; that article did not establish the later enacted status of the cut.
Patient-weighted across the 20 centers with UDS 2024 data.
Colorado permits nurse practitioners to practice independently without a supervising physician. An advanced practice registered nurse seeking prescriptive authority must first qualify for provisional authority and complete a 750-hour prescribing mentorship within three years; the mentor may be a physician or an APRN with full prescriptive authority whose practice matches the APRN's role and population focus. After full prescriptive authority is obtained, Colorado does not require career-long physician supervision or a standing collaborative agreement.
Medicaid community-engagement (work) requirements under CMS-2454-IFC (80 hrs/month, full implementation Jan 1, 2027) plus expiry of the enhanced ACA premium tax credits (end of 2025) threaten Colorado's expansion population and FQHC Medicaid revenue.
Role implications
Pick the right lens and open a personalized daily brief. Links carry only state, role, and audience in the URL.
Colorado ranks #15 by FQHC patients, with 21 organizations and 294 sites tied to Medicaid work-requirement exposure.
Use this as the board agenda frame: exposure, owner, decision date, and the first source to recheck.
47.7% Medicaid/CHIP, 25% uninsured, and 8.3 points above the expansion peer average.
Turn the payer mix into scenarios for PPS, 340B, grants, and patient-volume stress.
482 public ATS snapshot rows across 11 sources; largest systems and directory links show where hiring capacity may need verification.
Use the state read to pick roles to watch, openings to save, and retention risks to discuss with managers.
Colorado combines 654,757 FQHC patients with full practice NP practice context and access pressure from payer mix.
Map the signal to panel access, team-based care, top-of-license planning, and patient-impact follow-up.
CCHN, state policy context, and the December 31, 2026 CHC Fund cliff define the sources to keep current.
Assign one source owner for state policy, one for federal deadlines, and one for billing/audit implications.
Colorado has 21 FQHC employers in the directory and 482 public ATS snapshot rows across 11 sources to compare before applying.
Use the state context to choose target employers, tailor proof, and save the next job or resource in My Progress.
482 live FQHC job postings in Colorado on the national board right now.344 include employer-posted pay.11 verified employer sources; newest review 2026-07-20.
The official Colorado Department of Labor and Employment source was checked 2026-07-15, and the artifact contained 27 official rows. We publish only human-confirmed FQHC directory matches: 0 confirmed and 0 pending.
The row count describes the official artifact, not a count of FQHC layoffs. · Official source
The enacted budget cut Medicaid provider rates 2% to close a $1.5B shortfall; the counterweight is the $160M RHTP grant window now open.
Only organizations that apply in the 2026 RHTP cycle stay eligible for future rounds — skipping this window locks a center out of the five-year program.
Primary source · as of 2026-07-14
23 primary-sourced findings on Colorado FQHC policy and financing.Newest item: 2026-07-16
Clinica Family Health & Wellness—the current public identity of directory-listed Clinica Campesina/Family Health Services after its 2024 merger with Mental Health Partners—says the unified FQHC and Comprehensive Safety Net Provider now has more than 900 staff, serves around 50,000 patients and clients per year, and operates 14 community clinics across Adams, Boulder, Broomfield, and Gilpin counties.
It provides integrated medical, dental, mental-health, and substance-use care. The same page reports that in 2025 about 31% of patients and clients were uninsured, 55% had Medicaid, Medicare, or other public coverage, and 35% were served in a language other than English.
July 16, 2026 is the verification date for this undated current About page, not the merger date; the source identifies the merger only to 2024. The systemwide counts are current rounded self-reported measures, not pre/post-merger changes, and the source does not publish site-level volume, FTE composition, merger savings, incremental capacity, or causal outcome estimates.
The Division of Insurance says Colorado Option plans must lower premiums for individual-market customers and small employers and that the commissioner enforces reductions through rate review and public hearings. The page now says DOI submitted a June 2026 letter of intent to CMS and the Treasury Department to extend Colorado's Section 1332 waiver through 2032; waiver funds support the state reinsurance program.
For benefit year 2027, the page posts a rate-target-methodology addendum, public-hearing regulation, hospital reimbursement floors, and March 1 filing instructions updated February 5, 2026. The page does not state the previously claimed 15% reduction figure in its current text.
CCHN's current policy-and-advocacy page says community health centers serve more than 32.5 million people nationally and one in seven Coloradans. Its listed Colorado priorities include increasing state funding for health centers, especially care for uninsured patients; expanding safety-net capital funding; improving enrollment and renewal systems; protecting community-health-center Medicaid reimbursement; supporting value-based payment; protecting 340B; and supporting workforce investment.
Its federal priorities include protecting Medicaid and growing federal investment in community health centers. This page does not state a December 2026 funding deadline, the number of Colorado centers or patients, a 300,000-person coverage projection, or an enacted 2% state rate cut.
HCPF's current FAQ says the rule applies beginning January 2027 to low-income adults ages 19–64 who are not in specified programs such as long-term services and supports or Medicaid buy-in and who do not qualify for an exemption. New applicants must show 80 hours of approved activities or at least $580 in earnings in the calendar month before applying.
Existing members must meet the threshold in at least one calendar month within their six-month renewal period. HCPF estimates about 378,500 members may be subject before exemptions, says letters begin in August 2026, and notes that the estimate depends on future enrollment.
The page does not say that January renewals begin in October or that members receive six months' advance notice.
HCPF's current Rural Health Transformation page says applications must be submitted by 11:59 p.m. on August 3, 2026 and identifies Colorado's first-budget-year federal award as $200,105,604.17. The page says the Colorado Rural Health Center is under contract to provide applicant training and technical assistance.
It also publishes application guidance, funding restrictions, work-plan and budget templates, webinar recordings, and office hours. The page does not state the amount that will be distributed through this application round in its main text.
HCPF estimates that initial implementation of H.R. 1 Medicaid eligibility provisions will cost $5.4 million in total funds in FY2025-26, including $0.3 million General Fund, and $45.8 million in total funds in FY2026-27, including $5.6 million General Fund.
It says CMS approved an Advanced Planning Document on November 28, 2025 authorizing $25,627,630—90%, or about $22.5 million, federal—to build the work-requirement program. HCPF cautions that implementation costs remain estimates.
The FAQ says relevant new applicants and January 2027 renewals are first affected and that letters begin in August 2026; it does not quantify an FQHC-specific burden.
The Gazette reported that CMS approved Colorado's state-directed-payment plan in April and that hospitals could begin receiving about $455 million in additional federal Medicaid funding as early as September 2026. The arrangement uses hospital fees and public dollars to draw federal matching funds and distribute higher managed-care payments to hospitals.
The article says the payments are expected to begin declining by about 10% in 2028. It also reports that Medicaid covers about 1.3 million Coloradans, nearly half of Denver Health's patients have Medicaid, and Denver Health expects about $30 million annually—roughly 2% of its $1.6 billion budget.
The article does not describe a parallel payment increase for community health centers.
Denver Health and Hospital Authority, operating publicly as Denver Health, says Southeast Medical Center opened primary care to existing Denver Health patients on May 11 and began accepting all new and existing primary-care patients on July 6, 2026. The clinic operates Monday through Friday from 8:30 a.m. to 5:30 p.m. Adult primary care is the service explicitly marked open.
Specialty visits are scheduled to begin in late 2026, with a future service list that includes cardiology, integrated behavioral health, physical therapy, radiology and other specialties; pharmacy, laboratory and X-ray services are also planned on site. The future list is expressly subject to change.
The page gives no exam-room count, provider FTE total, appointment slots, annual patient capacity or assurance that every planned service will open simultaneously.
Health First Colorado announced a July 21, 2026 webinar from 9 a.m. to noon for members, providers, community organizations, advocacy groups, counties, and other partners. HCPF says it will explain the work requirements, share what is known, describe possible effects and exemptions, outline next steps, and explain how partners can stay involved.
Live Spanish and American Sign Language interpretation will be available. The announcement itself does not state an affected-member estimate, a mailing date, or an implementation budget.
WBUR's June 9 page contains a 5-minute, 32-second Here & Now audio segment in which Scott Tong speaks with Colorado Medicaid director Adela Flores-Brennan about federal guidance on who will be required to work to receive Medicaid benefits beginning the following year. The displayed article text does not provide an affected-member count, an 80-hour threshold, a notice schedule, implementation costs, or the amount of any Colorado budget reduction; those details are therefore not attributed to this source.
The source reports that the NLRB's June 3 order requires Peak Vista Community Health Centers to recognize and bargain with the Union of American Physicians and Dentists, post employee-rights notices at all Colorado facilities for 60 consecutive days, and file a compliance certification. Of 91 eligible voters, 64 cast valid ballots and 49 supported representation; the union was certified January 13, 2025.
Peak Vista argued that excluding dental providers made the bargaining unit improper, but the Board rejected that issue as already litigated. A separate January 2026 settlement resolved federal allegations tied to five 2024 terminations for $1.2 million; the clinicians did not seek reinstatement.
The enacted HB26-1411 imposes a $1,100 annual dental-services cap beginning July 1, 2026. Beginning January 1, 2027, it moves behavioral-health services to fee-for-service and ends coverage through the accountable care collaborative and Medicaid managed care for the affected population.
For certain children who are ineligible for Medicaid because of immigration status, specified long-term services are unavailable unless the child was already receiving them by December 31, 2026. The 25,000-child enrollment cap is conditional: it begins after enrollment or quarterly-spending thresholds are met and after the statutory 60-day interval.
The bill page does not report 28,000 enrollees or the prior cost projections previously attached to this claim.
The enacted law creates a commission to develop recommendations on federal Medicaid policy changes taking effect in 2026, 2027, and 2028 and to support affected Coloradans. It must meet at least six and no more than 12 times between May 14 and December 11, 2026, invite state agencies and Medicaid stakeholders, retain a technical adviser, and submit its process and any recommendations to the General Assembly and governor by December 11.
The act appropriates $500,000 from the General Fund. The bill page does not connect the deadline to the Community Health Center Fund or identify the commission as the main forum for Colorado health centers.
The Colorado Sun reports that Aurora Mental Health & Recovery eliminated 111 positions, or 14% of its workforce, with employees given 60 days' notice that their jobs would end June 30, 2026. The center projected a $6.5 million revenue loss for the following year and said it had to return $7.2 million in unspent prepaid funding to the state.
The layoffs included four licensed therapists and staff serving people leaving psychiatric hospitals and refugees or trafficking survivors. Aurora attributed the pressure to the payment model and Medicaid enrollment and rate changes; state officials disputed that account, called the explanation misleading, and cited financial mismanagement.
The source does not identify the center as an FQHC or document the referral and labor-market effects previously asserted.
The Colorado Sun reported on April 1 that the Joint Budget Committee had completed a draft to close a roughly $1.5 billion shortfall. The committee voted to reduce Medicaid provider reimbursement rates by 2%, a step the article estimated would save $95 million, while exempting maternal-health, neonatal-intensive-care, and pediatric-autism providers.
It also proposed a 25,000-child limit for Cover All Coloradans and described separate reductions to dental benefits, family-planning services, and a prior 1.6% increase for some health workers. This source documents the committee's draft, not the later signed budget, and it does not report community-health-center margins, uninsured-patient growth, a Medicaid coverage-loss projection, or a New York comparison.
Denver Health and Hospital Authority says four members of the 2025 Colorado Works for International Physicians (COWIP) Clinical Readiness Program cohort matched into family-medicine residencies: one each at HealthPoint in Kent, Washington; St. Mary's Regional Hospital in Grand Junction; Denver Health Community Health Services in Denver; and CommonSpirit Health in Pueblo.
A physician from the 2024 cohort also matched in 2026. Denver Health reports a 100% match rate for the 2025 cohort and since program launch, and describes COWIP as a nine-month curriculum in which Denver Health faculty assess, teach, and prepare internationally trained physicians, with preclinical and recredentialing support from the Spring Institute.
The article's opening says the four 2025 learners matched in Colorado, but its own placement list includes Kent, Washington; this record follows the named placements rather than repeating the broader wording. The source does not report the cumulative cohort denominator, residency completion, licensure, retention, FTE additions, or where participants will practice after training.
A March 9, 2026 Joint Budget Committee staff analysis explains that OmniSalud connects people without legal status to private insurance and limited state subsidies, is overseen by the Division of Insurance rather than HCPF, and is funded through insurance taxes. It reports the Division's estimate that OmniSalud will spend about $50 million and serve roughly 6,700 people in plan year 2026, using a lottery to keep spending within available funds.
The analysis explicitly distinguishes OmniSalud from the separate programs commonly grouped under Cover All Coloradans. It does not attribute the 2026 limit to the older 11,000-enrollment event or quantify an FQHC effect.
Southwest Colorado Mental Health Center, Inc., operating as Axis Health System, reported that its Montrose Regional Crisis Center transitioned from a level 3.2 withdrawal-management unit to a pilot with five dedicated observation beds inside the walk-in crisis area. Launched December 29, 2025, the model can provide clinically appropriate withdrawal protocols for up to 23 hours; patients needing longer care are assessed for referral and transportation to Axis's Durango withdrawal program or comparable care, with a warm handoff when possible.
The pilot anticipates Colorado's planned two-year phaseout of level 3.2 withdrawal care and does not provide medical detox. The notice gives no previous bed count, staffing level, patient volume, occupancy, transfer rate, outcome target or pilot end date, so the five beds are not characterized as a net capacity increase or reduction.
HCPF's release says Colorado received just over $200 million for the first period, December 2025 through September 2027, and is positioned to receive more than $1 billion through federal fiscal year 2030. The program is intended to serve all 52 rural and frontier counties, both federally recognized tribes, and about 800,000 rural Coloradans.
HCPF identifies gaps in 23 frontier counties and chronic-disease or preventable-hospitalization burdens in 29 rural counties. The release lists rural FQHCs and look-alikes among the provider types intended to benefit, but it does not give the exact $200,105,604 figure or describe HCPF as the lead applicant.
HCPF's December 29, 2025 release says Colorado will receive just over $200 million for the first Rural Health Transformation funding period, which runs from December 2025 through September 2027, and more than $1 billion through federal fiscal year 2030. The program covers all 52 rural and frontier counties and both federally recognized tribes.
HCPF lists rural Federally Qualified Health Centers and look-alikes among the provider types intended to benefit, and CCHN reports that nearly 100 community-health-center locations operate in rural and frontier areas.
In a November 24, 2025 release, CCHN says Colorado community health centers served 38,000 more uninsured patients in 2024 than in 2021, a 29% increase, and that two-thirds of the state's centers reported negative operating margins in 2024. CCHN estimates that health centers now provide primary care to 48% of Colorado's uninsured population, up from 34% in 2021, and says more than 25% of CHC patients are uninsured.
The release describes CCHN as the voice of 21 centers serving more than 850,000 Coloradans. This replaces a mismatched 2017 funding-cliff page that did not support the previous 2025 claims.
In its October 27, 2025 release, the Colorado Division of Insurance projected that about 225,000 individual-market customers who depended on enhanced federal premium tax credits would see an average net premium increase of approximately 101% for 2026 and that about 75,000 Coloradans would lose coverage. DOI said HB25B-1006 reduced the projected increase from 174% to 101%, would save consumers $220 million, and was expected to keep 28,000 more people insured.
It reported that the reinsurance program's statewide premium reduction improved from 13.8% to 21.3%, with larger effects in several rural rating areas. The release does not state that 80% of marketplace enrollees receive aid or quantify an effect on FQHC uncompensated care.
SB25-071 was signed May 30, 2025 and took effect August 6. It bars manufacturers, third-party logistics providers, repackagers, and related agents from denying or limiting acquisition or delivery of 340B drugs to covered entities—including FQHCs—contract pharmacies, or other authorized locations, unless federal HHS prohibits receipt.
It also limits demands for claims, utilization, or health data outside specified federal claims unless voluntarily supplied or required by federal law. Violations are unfair or deceptive trade practices.
The annual reporting requirement described on the bill page applies to certain hospital covered entities, not all participating providers or FQHCs.
By patients (HRSA UDS 2024). Tap for the full profile.
| Organization | Patients | Sites | Uninsured | Revenue (990) | Resilience | District |
|---|---|---|---|---|---|---|
| Denver Health and Hospital Authority Denver | 203,271 | 43 | 21.45% | — | Stable | CO-01 |
| Peak Vista Community Health Centers Colorado Springs | 74,378 | 25 | 21.29% | $112M | Stable | CO-05 |
| Salud Family Health, Inc. Fort Lupton | 60,522 | 24 | 20.56% | $121M | Stable | CO-08 |
| Clinica Campesina/Family Health Services Lafayette | 53,516 | 24 | 37.99% | $68M | Watch | CO-02 |
| Metro Community Provider Network Inc. Wheat Ridge | 47,581 | 14 | 28.31% | $71M | Watch | CO-07 |
| Sunrise Community Health Evans | 43,450 | 14 | 29.7% | $57M | Watch | CO-08 |
| Valley-wide Health Systems Alamosa | 35,907 | 38 | 10.63% | $61M | Strong | CO-03 |
| Pueblo Community Health Center Pueblo | 25,398 | 14 | 14.56% | $44M | Stable | CO-03 |
| Mountain Family Health Centers Glenwood Springs | 16,724 | 9 | 47.76% | $23M | Watch | CO-03 |
| Marillac Clinic, Inc. Grand Junction | 16,426 | 7 | 19.6% | $13M | Watch | CO-03 |
2 hospital/university/county-operated: 1 hospital, 1 university.
| District | Representative | Sites |
|---|---|---|
| CO-03 | Jeff Hurd | 73 |
| CO-01 | Diana DeGette | 70 |
| CO-02 | Joe Neguse | 45 |
| CO-04 | Lauren Boebert | 28 |
| CO-08 | Gabe Evans | 24 |
| CO-05 | Jeff Crank | 22 |
Colorado ranks #15 by FQHC patients and #25 by organization count among the 57 national-breadth jurisdictions. All 21 centers depend on the federal Community Health Center Fund, authorized only through December 31, 2026.
State flywheel
Turn this state read into a directory scan, peer comparison, national context, or a recurring update habit.
Provider map
Colorado directory
Scan all 21 organizations and 482 ATS snapshot rows from 11 public career sources.
State Lab
Compare Colorado
Put this state next to peers and see what changes in expansion, payer mix, and funding risk.
Context
National overview
Zoom out to the expansion divide, CHC Fund cliff, and national operating picture.
Retention
Get weekly updates
Choose your state and role so future briefs start with the changes that matter to you.
FQHC data from the HRSA bulk-sites file + UDS 2024 + IRS 990. State policy profile via NACHC/KFF/AANP. Intelligence items cite primary sources. Federal items apply to all states; state items are Colorado-only. Updated 2026-06-30.