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Medicaid Waiver Colorado

Hey there, parents! If you’ve ever felt like you’re navigating a maze while trying to secure the best resources for your neurodivergent child, we hear you. It’s not a walk in the park, but you’re not alone. Let’s look closer at the Colorado Medicaid Waiver, a crucial tool for parents of kids with thinking and learning differences. With Goally by your side, we’ll break it down together.

So, What’s the Medicaid Waiver Colorado All About?

Let’s get down to brass tacks. The Medicaid Waiver Colorado program provides extra support and services to individuals who might not usually qualify for Medicaid. This includes our amazing neurodivergent kids who need a little extra help. It’s a game-changer for many families, but understanding the process is key.

Think of it as a secret door to resources that can make a difference for your family. And, as we all know, when it comes to our kids, every bit of support counts.

Who’s Eligible?

Like a VIP pass, not everyone gets access to the benefits of the Medicaid Waiver Colorado. There are specific criteria to meet. For example, your child’s diagnosis, age, and financial situation all come into play. But, most importantly, the waiver is designed for those who require a level of care typically provided in a hospital or facility.

If your child’s needs align with these criteria, you’re on the right track. And remember, Goally is here to help you navigate this process.

What’s Covered?

Let’s talk about what’s covered under the waiver. It’s a broad spectrum, for sure. The list goes on from personal care to respite for caregivers, behavioral therapy to minor home modifications. It’s designed to support not just the child but the entire family unit, recognizing the ripple effect of neurodivergence.

So, whether you need help with day-to-day care or are looking for therapeutic support, the Medicaid Waiver Colorado covers you.

medicaid waiver colorado. a parent meets with a medicaid waiver specialist.

Applying for the Medicaid Waiver Colorado: A Step-by-Step Guide

Alright, we’ve covered the basics. Now, let’s talk about the application process. It may seem daunting, but don’t worry. With the right preparation, it can be a smooth ride.

Documentation: The Key to Success

First things first, gather all necessary documentation. This includes medical records, diagnosis details, and financial information. It’s crucial to show that your child requires a level of care that aligns with the waiver’s purpose. And remember, the more detailed your documentation, the better.

Consider this step as laying the groundwork for your application. With solid evidence in hand, you’re setting yourself up for success.

The Application Process: One Step at a Time

Next up is the application process. This typically involves an interview and an assessment of your child’s needs. It’s important to be thorough and honest during this process. Remember, the goal is to secure the best possible support for your child.

And remember, Goally is here to support you through this process. With our resources and tools, we can help make this journey a little less overwhelming.

Goally Waiver ScorecardScore (out of 5)
Website clarity and ease of navigation3
Access and requirements of qualification3
Healthcare coverage3

The Waiting Game

There’s a waiting period Once the application is submitted. It’s like waiting for a pot to boil – it can seem like it takes forever. But remember, this is a standard part of the process. Patience is critical here.

While you wait, take this time to explore other resources, like Goally’s learning tablet for kids, which can provide additional support for your neurodivergent child.

medicaid waiver colorado. two parents are meeting with a medicaid specialist.

Waiver #1: Children’s Extensive Support Waiver

Other online resources for Colorado:

  • PEAK Parent Center — PEAK Parent Center’s mission is to ensure that people with all types of disabilities can be fully included in their neighborhood schools, their communities, and in all walks of life.
  • The Arc of Colorado has worked for decades to obtain services for children and adults who were denied day care, preschool, education, and employment programs.

Telephone Resources

  • Community Center Boards by County — These agencies assist a person in accessing necessary services and supports to meet his or her needs. Services include intake, eligibility determination, service plan development, arrangement for services, delivery of services, service and support coordination.
  • (303) 726-2065 — This is the Family Voices Colorado contact line. Their website is down currently but Family Voices provides advocacy services and support for families living with disabilities nationwide.
  • Colorado Department of Health Care Policy & Financing — This page contains a bunch of contact numbers that will be able to answer any questions you may have.

Maximizing the Benefits: Getting the Most Out of the Medicaid Waiver Colorado

Securing the Medicaid Waiver Colorado is just the first step. It’s about maximizing the benefits for your child and your family. This means understanding the services available and how to access them.

Understanding the Services: A Customized Approach

Each child is unique, and so are their needs. Take the time to understand the services covered under the waiver. From there, identify which services align with your child’s needs. This will ensure you’re utilizing the waiver to its full potential.

Whether it’s occupational therapy or speech-language services, ensure you’re taking full advantage of what the Medicaid Waiver Colorado offers.

Accessing the Services: Navigating the System

Accessing the services can sometimes feel like trying to solve a puzzle. It’s essential to communicate effectively with your Medicaid case manager. They can guide you through the process and ensure you’re accessing the appropriate services.

And remember, Goally is here to help. Our resources and tools can provide additional support as you navigate this process.

  • Using Visual & Verbal Instructions: Goally provides children with visual and verbal supports for routines, helping increase independence and reduce parent nagging.
  • Reducing Anxiety: Goally helps reduce anxiety through relaxation exercises and coping strategies in video classes, helping children feel more calm and comfortable during their clinic visit.
  • Communication: Goally helps facilitate communication between children and parents, allowing parents to better understand and support their child’s needs.

Goally’s distraction-free kid’s tablet can be used as a therapy tool to help teach executive functionlanguage, emotional regulation, finger dexterity skills, and more!

In Short: You’ve Got This!

There’s no denying that navigating the Medicaid Waiver Colorado can feel like a marathon. But remember, you’re not alone. With the right information and support, you can secure your child’s resources to thrive. It’s not just about the destination but the journey towards better support, understanding, and care for your neurodivergent child. And with Goally by your side, you’ve got a steadfast companion for this journey.

Who can apply?

Circumstance/Diagnosis: Any child under 18 who is diagnosed with either an intellectual and/or developmental disability (this includes autism). The state requires that individuals need an intermediate care facility level of care to qualify. This just means that the individual is unable to get through their day without a lot of supervision.
Income: Income eligibility is only based on the child’s income and not the parents income. This means that your child is financially eligible for the waiver if they don’t have an income.

What do I get?

The CES waiver provides adaptive therapeutic recreational equipment and fees, assistive technology, community connector, home accessibility adaptations, homemaker services, parent education, professional services (e.g. hippotherapy, massage therapy, and movement therapy), respite care, specialized medical equipment and supplies, vehicle adaptations, and youth day.

How do I apply?

Call your local Community Center Board and ask about the process.

What does the Goally Team Think?

Colorado’s waiver process is average compared to other states. The CES waiver is the only waiver that provides special support for children with intellectual and/or developmental disabilities like autism so we focused on it here. You can find additional waivers here that can cover general expenses like X-rays, dental, and doctors visits, more specialized waivers if your child requires a hospital or nursing home level of care, and waivers for adults with disabilities.

This post was originally published on 02/16/2021. It was updated on 09/14/2023.