Print out paper application to complete and mail or fax to the HIBI Program.
Renewal Application Form
Fill out a renewal form to apply for continued program participation and to avoid any interruption in your monthly payments.
Sign up for direct deposit payments. It is easy to sign up and you will not have to wait for your check to arrive by mail.
Information Change Form
Keep your personal information up-to-date. It is especially important to keep your banking account, mailing address, commercial health insurance policy information, and Medicaid status up-to-date.
Allow a representative, such as a family member, to speak on your behalf or have access to your health information.
Direct Deposit Form
Print out a Direct Deposit form.
Fax Cover Sheet
Use this cover sheet to fax your forms to the Colorado HIBI Program.