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? - Select -YesNo Medicaid ID Referring Agency County - Select -HuerfanoLas Animas 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. Submit Leave this field blank
