Hollie Presley sits at the kitchen table in her tidy southwest Denver home, surrounded by paperwork. Her four-year-old, Isabella, watches a cartoon in the living room, while her infant son, Parker, reclines in a bouncy chair within arm's reach, his belly full from his last bottle. The paperwork chronicles Presley's ongoing struggles with Colorado's Medicaid system. Presley wants her children to be able to go to the same doctors at South Federal Family Practice who delivered them and who know them. But because the family lives in Denver, getting both of her kids on a Medicaid plan that allows for that has been tough.
That's because since 2006, any Medicaid recipient with a Denver address has been automatically enrolled in the Denver Health Medicaid Choice plan. This so-called passive enrollment happens even if the patient has been seeing another doctor for years and lives nowhere near a clinic operated by Denver Health. And it happens despite the fact that Denver Health has a waiting list that's thousands of patients long (though it's taken significant steps to reduce it over the past year).
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