Personal/Healthcare Professional or Agency Referral | Las Animas County

Current Location
Demographics
Medical and Insurance Information
Referral Information
Complete

Is the individual you’re referring physically in Las Animas or Huerfano County?

Yes

No

Please refer to the CMA and CCB Agency Directory web page for assistance.

Have you completed an eligibility application?

Medicaid ID

Referring Agency

County

You must first request an application by contacting our to request office at 219 S. Chestnut Street, Trinidad, CO 81082, calling 719-846-2276, or completing the online application form.